Presentation on theme: "SURGICAL SCRUB Presented by MAJ Patti Glen. PURPOSE OF SURGICAL SCRUB Aims to remove dirt, oils and bacteria from the hands and forearms of operating."— Presentation transcript:
PURPOSE OF SURGICAL SCRUB Aims to remove dirt, oils and bacteria from the hands and forearms of operating personnel. It should kill transient bacteria and have a prolonged depressant effect on the resident bacteria and should not irritate skin or be time consuming. Brushes and nail cleaners are commonly used with an antiseptic. Brushes should be soft enough to not damage skin, but still achieve the expected result It is important that specific attention is paid to the fingernails as this area has the highest bacterial load.
SCRUB PROCEDURES Two scrub procedures commonly used a timed anatomic scrub, where all surfaces of the hand and arm are scrubbed for a specified length of time a timed anatomic scrub, where all surfaces of the hand and arm are scrubbed for a specified length of time the counted strokes method where each part of the hand and arm receives a specific number of scrub strokes the counted strokes method where each part of the hand and arm receives a specific number of scrub strokes For all techniques it is important that hands are held above elbows so that water flows away from the hands Important that the scrub solution is left on the skin for a suitable length of time (this will be dependent on the manufacturers recommendations) Whatever technique is used, the hands are clean rather than sterile, so sterile surgical gloves and a sterile long sleeved surgical gown should be worn.
SUGGESTED INSTANCES FOR HAND HYGIENE Before and after touching catheters, drains, wounds etc After removing gloves When hands are visibly soiled On arrival to and before leaving work Before and after eating/smoking After using the toilet/wiping nose After any clean up
MATERIALS TO USE A hand wash with soap and water is suitable for most basic care activities. Before touching wounds or performing invasive procedures, and after dealing with infected/contaminated patients/tissues, an antiseptic hand wash or alcoholic hand rub should be performed.
NECESSITY FOR HAND WASHING Hand washing is the single most important means of preventing hospital acquired infections
REASONS FOR NON- COMPLIANCE Being too busy and not thinking about it Skin irritation Washing facilities not being readily available Wearing gloves Lack of guidance/protocols Absence of an appropriate role-model from colleagues/superiors Skepticism about the effectiveness of hand hygiene
METHODS TO IMPROVE HAND HYGIENE COMPLIANCE Education; instruction and constant reinforcement within the work place Modeling of good behavior by senior staff Ensuring the staff patient ratio is favorable Introducing conveniently placed alcoholic hand rubs in order to remove the need to wash hands after every patient contact Allowing opportunities for hand hygiene remote from washing facilities
IMPORTANT GUIDELINES Good hand hygiene is fundamental to effective prevention of cross-infection and should be adopted by all those working in clinical veterinary medicine. It is easy to perform and good compliance will result in a reduction in hospital acquired and zoonotic infections. This will bring benefits to patients and clients as well as veterinary surgeons and their staff. Veterinary surgeons and nurses should be instrumental in educating staff, students and owners about the importance of hand hygiene.
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