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When a surgical technologist discovers bioburden in a sterilized instrument tray, the most appropriate action is to remove the sterilized instrument tray from the sterile field. This ensures that any potential contamination does not compromise the sterile field or pose a risk to the patient. The presence of bioburden indicates that there is a potential for infection or complications, and maintaining strict sterility protocols is essential in a surgical environment.
Removing the contaminated tray promptly helps to prevent the transfer of microorganisms to the surgical site. It also allows for a proper evaluation and re-sterilization of the instruments, ensuring that they are safe for use in subsequent procedures. This step emphasizes the importance of maintaining a sterile environment for patient safety during surgery.
Attempting to use the instruments with caution, informing the surgical team after the procedure, or attempting to clean the instruments do not address the immediate risk posed by the bioburden, which can lead to infection and other postoperative complications. Proper protocol dictates that any contaminated items must be dealt with swiftly to uphold the highest standards of surgical care.