Anatomical Surgical Hand Scrub
Summary
TLDRThis training video instructs on the proper surgical hand scrub technique using the brush stroke method to reduce the risk of surgical site infections. It emphasizes the importance of removing jewelry, ensuring skin and nails are in good condition, and wearing personal protective equipment. The scrub procedure involves using a hospital-approved antiseptic sponge to clean hands and arms methodically, with specific strokes and rinse techniques. The video concludes with instructions for turning off the water with a knee control, drying hands, and preparing for gowning and gloving.
Takeaways
- 👨⚕️ Proper surgical hand scrub is crucial for reducing surgical site infections.
- ⏰ The scrub procedure should take about 3 to 5 minutes to ensure effectiveness.
- 💍 Remove all jewelry and ensure nails are clean and intact before starting the scrub.
- 👕 Wear personal protective equipment, including a surgical head covering, eye protection, and mask.
- 🧼 Use hospital-approved antiseptic solutions like chlorhexidine or povidone-iodine for scrubbing.
- 🚿 Pre-wash hands and arms if it's the first case of the day or if hands are visibly soiled.
- 🪥 Clean under the fingernails with a disposable nail pick before discarding it.
- 🖐️ Scrub the fingertips with the abrasive side of the sponge and the rest of the hand with the non-abrasive side.
- 🔄 Apply ten strokes to each section of the hand and arm, and avoid going back over scrubbed areas.
- 💧 Rinse hands and arms from fingertips to elbow in one direction without moving arms back and forth.
- 👉 Turn off the water with a knee control to prevent contamination and dry hands with a sterile towel.
Q & A
What is the primary purpose of the video?
-The primary purpose of the video is to provide training on proper surgical hand scrub techniques to decrease the incidence of surgical site infections.
What are the essential steps before starting the surgical hand scrub procedure?
-Before starting the surgical hand scrub procedure, one must remove all jewelry from hands and arms, inspect the skin and nails for cuts or wounds, ensure nails do not extend past fingertips, and nail polish is intact without chips or scratches. Acrylics, artificial nails, and nails with foreign bodies are not allowed.
Why is it important to wear personal protective equipment during the scrub process?
-Wearing personal protective equipment, including proper eye protection and a surgical mask, is important to prevent contamination and maintain a sterile environment in the operating room.
What type of antiseptic solutions are recommended for the surgical hand scrub?
-The recommended antiseptic solutions for the surgical hand scrub are chlorhexidine or povidone-iodine, also known as betadine.
How should the surgical sponge be prepared before scrubbing?
-The surgical sponge should be moistened under running water by squeezing and releasing it with fingertips together, using a light but firm pressure.
What is the correct technique for scrubbing the fingertips?
-The abrasive brush side of the sponge should be used to stroke the nails in a back-and-forth motion approximately 30 times.
How should the rest of the hand and arm be scrubbed after the fingertips?
-After scrubbing the fingertips, the non-abrasive side of the sponge should be used to scrub the palm, dorsal surface, and the outside surface of the thumb and fingers, applying ten strokes to each area.
What is the correct way to rinse hands and arms after scrubbing?
-Rinsing should start at the fingertips and continue to the hand, forearm, and elbow, moving in one forward direction through the water, always keeping the elbow at a right angle and hand raised above the elbow level.
Why is it important to turn off the water with the knee control after rinsing?
-Turning off the water with the knee control after rinsing is important to avoid contamination of the hands, which should remain sterile.
How should the residual water on the hands and arms be removed before donning a sterile surgical gown and gloves?
-Residual water should be allowed to drip off the elbows into the sink, and hands should be dried with a sterile towel before donning a sterile surgical gown and gloves.
Why is it necessary to walk backward through the operating room door after the hand scrub procedure?
-Walking backward through the operating room door helps to maintain sterility by minimizing contact with non-sterile surfaces and reducing the risk of contaminating the scrubbed hands and arms.
Outlines
👨⚕️ Surgical Hand Scrub Procedure
This video script outlines the essential steps for a surgical hand scrub using the brush stroke method to prevent surgical site infections. It emphasizes the importance of proper hand hygiene before surgery. Key points include removing jewelry, inspecting skin and nails, wearing personal protective equipment, and following a detailed scrubbing technique with an antiseptic sponge. The procedure should take three to five minutes and involves scrubbing the fingertips, palms, and arms with specific brush strokes, followed by thorough rinsing and drying with sterile materials before donning a surgical gown and gloves.
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Mindmap
Keywords
💡Surgical Site Infections (SSIs)
💡Surgical Hand Scrub
💡Antiseptic
💡Sterile Surgical Sponge
💡Personal Protective Equipment (PPE)
💡Nail Polish
💡Acrylics and Artificial Nails
💡Sterile Towel
💡Rinsing Technique
💡Knee Control
💡Sterile Surgical Gown and Gloves
Highlights
Surgical site infections (SSIs) are a prevalent threat to patient safety.
Proper surgical hand scrub or rub techniques are essential to decreasing SSIs.
Instructions provided for anatomical surgical hand scrub using the brush stroke method.
Correct procedure should take three to five minutes.
Remove all jewelry from hands and arms before beginning the surgical hand scrub.
Inspect skin and nails to ensure they are free of cuts, wounds, and foreign bodies.
Acrylics, artificial nails, and nails with foreign bodies are not allowed in the operating room.
Wear personal protective equipment, including a surgical head covering and mask.
Use hospital-approved antiseptic sponges, such as chlorhexidine or povidone-iodine.
Pre-wash hands and arms if it's the first case of the day or if hands are visibly soiled.
Use a disposable nail pick to clean under fingernails.
Scrub fingertips with the abrasive brush side of the sponge approximately 30 times.
Use the non-abrasive side of the sponge for the rest of the scrub.
Mentally divide the forearm into thirds for scrubbing, applying ten strokes to each section.
Do not go back to previously scrubbed areas to avoid contamination.
Rinse hands and arms starting from fingertips, moving in one forward direction.
Turn off the water with the knee control to avoid contamination.
Dry hands and arms with a sterile towel before donning a sterile surgical gown and gloves.
Transcripts
this video is for training purposes only
surgical site infections or ssize remain
a prevalent threat to patient safety
proper surgical hand scrub or rub
techniques are essential to decreasing
its incidence this video provides
instructions on anatomical surgical
hands for a procedure using the brush
stroke method if done correctly this
procedure should take three to five
minutes before beginning the surgical
hand scrub procedure you must remove all
jewelry from both hands and arms inspect
your skin and nails ensure your skin is
free of any cuts and wounds nails must
not extend past your finger tips and
nail polish must be intact without chips
or scratches remember acrylics
artificial nails and nails with foreign
bodies are not allowed in the operating
room put on your personal protective
equipment make sure your hair and ears
are tucked into your surgical head
covering and that any neck jewelry is
contained in your surgical attire scrubs
dawn proper eye protection and a
surgical mask covering your nose mouth
and if applicable facial hair to begin
the scrub tear open a sponge of your
preferred hospital approved antiseptic
either chlorhexidine or betadine also
known as povidone-iodine place the open
packet on the shelf
above the sink with a tear facing the
ceiling you must pre wash your hands and
arms only if this is the first case of
the day
if your hands are visibly soiled use the
soap from the dispensers located within
the scrub sink or in a separate
container above the sink
then use the disposable nail pick and
clean under your fingernails under
running water dispose of the nail pick
in the trash can decide at the scrub
sink and rinse hands and forearms once
hands and arms have been washed remove
the sterile surgical sponge from its
wrapper and moistened sponge under
running water by squeezing and releasing
it with fingertips together use a light
but firm pressure to stroke the nails in
a back-and-forth motion with the
abrasive brush side of the sponge
approximately 30 times the abrasive
brush side is only used on your
fingertips the non abrasive side should
be used for the remainder of the scrub
next turn the surgical sponge over to
the non abrasive side place fingers side
by side including the thumb and scrub at
the surface of the palm ten strokes then
turn the hand over and scrub the dorsal
surface ten strokes next scrub the
outside surface of the thumb from wrist
to tip of the thumb ten strokes continue
to apply ten strokes to the other side
of the thumb and to each side of your
fingers once you scrub an area do not go
back now that you scrubbed your hand
it's time to scrub your arm on the same
side mentally divide the forearm into
thirds from wrist up to two inches above
the elbow when scrubbing each third of
your forearm apply ten strokes to the
top bottom in both sides of each section
like before
once you scrub an area do not
go back repeat the scrub on the other
hand and arm once both hands and arms
are complete discard the surgical sponge
in the trash can and beside the scrub
sink start rinsing at your fingertips
and continue to the hand forearm and
elbow moving in one forward direction
through the water always keep your elbow
at a right angle and hand raised above
the level of your elbow do not move arms
back and forth in the water if you need
additional rinsing completely remove
your arm from the water stream and
re-enter at the fingertips until you
reach the elbow
[Music]
once rinsing is complete and no
antiseptic remains on the hand and arms
turn off the water with the knee control
to avoid contamination keep hands above
the level of the elbow and away from
scrub attire and non sterile services
allow residual water to drip off the
elbows and into the sink do not shake or
wave hands and arms to remove excess
water walk backwards through the
operating room door and dry hands and
arms with a sterile towel before donning
a sterile surgical gown and gloves
[Music]
you
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