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The Surgical Scrub. Todays Topics Surgical Scrub Surgical Scrub Drying hands Drying hands Donning surgical gown Donning surgical gown Closed gloving Closed.

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Presentation on theme: "The Surgical Scrub. Todays Topics Surgical Scrub Surgical Scrub Drying hands Drying hands Donning surgical gown Donning surgical gown Closed gloving Closed."— Presentation transcript:

1 The Surgical Scrub

2 Todays Topics Surgical Scrub Surgical Scrub Drying hands Drying hands Donning surgical gown Donning surgical gown Closed gloving Closed gloving Turning Turning Open gloving Open gloving

3 The Surgical Scrub You must scrub your hands and arms up to inches above the elbow rendering them surgically clean You must scrub your hands and arms up to inches above the elbow rendering them surgically clean Transient microorganisms are removed and resident flora are reduced Transient microorganisms are removed and resident flora are reduced Occurs by two actions: Occurs by two actions: Mechanical friction brings microorganisms to the surface Mechanical friction brings microorganisms to the surface Chemical action of antimicrobial soap which also provides a film that lasts several hours after the scrub Chemical action of antimicrobial soap which also provides a film that lasts several hours after the scrub See Technique, pg See Technique, pg

4 Equipment Scrub sink Scrub sink Scrub brush with nail cleaner Scrub brush with nail cleaner Antiseptic solution Antiseptic solution PPE PPE Proper OR attire Proper OR attire

5 Scrub Techniques Brush Stroke Brush Stroke Each surface is scrubbed a designated number of times Each surface is scrubbed a designated number of times We will use this We will use this Timed Method Timed Method Scrub for a designated time (5 Min) Scrub for a designated time (5 Min) Not used here. Not used here.

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7 Counted Brush Stroke Each stroke consists of one back and forth motion Each stroke consists of one back and forth motion You will perform 30 strokes to your nails You will perform 30 strokes to your nails You will perform 10 strokes to each plane of your fingers (4 planes) You will perform 10 strokes to each plane of your fingers (4 planes) You will perform 10 strokes to each of your web spaces as you progress to each finger You will perform 10 strokes to each of your web spaces as you progress to each finger You will perform 10 strokes to each of the four planes of your hand You will perform 10 strokes to each of the four planes of your hand Your arm is divided into three sections Your arm is divided into three sections Each section has four planes or more Each section has four planes or more You will perform 10 strokes to each plane of your arm beginning at your lower forearm, proceeding to your upper forearm and ending with your lower upper arm You will perform 10 strokes to each plane of your arm beginning at your lower forearm, proceeding to your upper forearm and ending with your lower upper arm STOP at 2above your elbows STOP at 2above your elbows Please measure at home so you know how far this is Please measure at home so you know how far this is Not as far as you think Not as far as you think

8 Counted Brush Stroke Bunch up your nails and apply 30 counted strokes to your nail tips with bristle side of brush Bunch up your nails and apply 30 counted strokes to your nail tips with bristle side of brush Switch hands and apply 30 strokes to the other hand Switch hands and apply 30 strokes to the other hand Begin with thumb, apply ten strokes to lateral side and progress to each of the four planes, web space between index finger and thumb, moving to index finger, etc. Begin with thumb, apply ten strokes to lateral side and progress to each of the four planes, web space between index finger and thumb, moving to index finger, etc. Ten strokes to hands four planes Ten strokes to hands four planes Move to lower forearm, apply ten strokes to each of the four planes Move to lower forearm, apply ten strokes to each of the four planes Move to upper forearm, apply ten strokes to each of the four planes Move to upper forearm, apply ten strokes to each of the four planes Move to lower upper arm, apply ten strokes to each of the four or more planes Move to lower upper arm, apply ten strokes to each of the four or more planes Stop at 2 above elbow Stop at 2 above elbow DO NOT TOUCH your scrub sleeves DO NOT TOUCH your scrub sleeves KEEP YOUR fingers up, arms away from your body and hands in front of your face KEEP YOUR fingers up, arms away from your body and hands in front of your face AVOID touching spigot or sink AVOID touching spigot or sink Proceed to other hand beginning with fingers and progress in same manner described Proceed to other hand beginning with fingers and progress in same manner described

9 Counted Brush Stroke Keeping your hands up in front of yourself and away from your body, turn to the side you intend to rinse first Keeping your hands up in front of yourself and away from your body, turn to the side you intend to rinse first Beginning with your fingertips, place them under the water, wiggle them and rotate hand to thoroughly rinse, progress up your arm Beginning with your fingertips, place them under the water, wiggle them and rotate hand to thoroughly rinse, progress up your arm KEEP your arm in an arc (U), fingers pointed at the ceiling KEEP your arm in an arc (U), fingers pointed at the ceiling DO NOT GO BACK DO NOT GO BACK Once you have rinsed an area, you cant go back down Once you have rinsed an area, you cant go back down Once you have reached your elbow, step away from the water, turn body to other side and rinse using same technique Once you have reached your elbow, step away from the water, turn body to other side and rinse using same technique Turn off water with your hip or leg Turn off water with your hip or leg DO NOT SHAKE your hands, can drip a minute DO NOT SHAKE your hands, can drip a minute KEEP HANDS up in front of you! KEEP HANDS up in front of you! Putting them out to the side endangers you being run into by someone and having to start over! Putting them out to the side endangers you being run into by someone and having to start over! Progress to OR suite door and open with your hip or buttocks (BACK IN!) Progress to OR suite door and open with your hip or buttocks (BACK IN!)

10 Hand Drying and Donning Surgical Gown Keep arms above waist and hands up Keep arms above waist and hands up Open door with the back, hip, or rear end (back in the room) Open door with the back, hip, or rear end (back in the room) Avoid touching anything with hands and arms Avoid touching anything with hands and arms Avoid dripping on the sterile field when grasping drying towel Avoid dripping on the sterile field when grasping drying towel Grasp gown on outside and lift up and away from the sterile field it is on (the gown is packaged for you to do this without readjusting the gown/grab it as where it lays just below the collar) Grasp gown on outside and lift up and away from the sterile field it is on (the gown is packaged for you to do this without readjusting the gown/grab it as where it lays just below the collar) Step away from sterile field when donning gown to avoid touching unsterile areas Step away from sterile field when donning gown to avoid touching unsterile areas Be aware of surroundings so you do not inadvertently touch anything around you or above you Be aware of surroundings so you do not inadvertently touch anything around you or above you Only touch the item you are retrieving, one at a time! Only touch the item you are retrieving, one at a time! See technique, pg See technique, pg

11 Self-Gowning Fasteners at the shoulders and waist are secured by the circulator Fasteners at the shoulders and waist are secured by the circulator Circulator will assist in pulling gown over the shoulders Circulator will assist in pulling gown over the shoulders Do not turn your back to the sterile field Do not turn your back to the sterile field Use the closed glove technique to put on gloves Use the closed glove technique to put on gloves Hand the Ticket to the circulator to turn gown and tie Hand the Ticket to the circulator to turn gown and tie Do not spin around Do not spin around Do not pull the tie strap from the ticket vigorously Do not pull the tie strap from the ticket vigorously See technique, pg See technique, pg

12 Closed Glove Technique Used for donning gloves after the sterile surgical gown is put on Used for donning gloves after the sterile surgical gown is put on Should NOT use a back table to don the surgical gown and gloves Should NOT use a back table to don the surgical gown and gloves Use a mayo stand or other clean, flat surface such as a prep stand Use a mayo stand or other clean, flat surface such as a prep stand See technique, pg. 338 See technique, pg. 338

13 Open Glove Technique For sterile procedures that need to be performed by a non-sterile OR team member For sterile procedures that need to be performed by a non-sterile OR team member Used in skin preps, catheterization, or any procedure that does not require a surgical hand scrub Used in skin preps, catheterization, or any procedure that does not require a surgical hand scrub You should always wash and dry your hands before and after using the open glove technique You should always wash and dry your hands before and after using the open glove technique See technique, pg. 198 and 340 See technique, pg. 198 and 340

14 Summary Surgical Scrub Surgical Scrub Drying hands Drying hands Donning surgical gown Donning surgical gown Closed gloving Closed gloving Turning Turning Open gloving Open gloving


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