scrubbing what you need to know

Scrubbing

It is crucial for doctors starting their career in surgery to appreciate the importance of the sterile surgical scrub and how to perform one. As this skill is already a prerequisite for every surgeon , this module serves as a guide on the scientific rationale behind the sterile surgical scrub and how to perform one. Expected surgical site infection (SSI) rates should be less than 2% in clean surgery, as patients with SSIs require an additional inpatient stay of 6.5 days, doubling hospital costs.

This module includes instructions on how to carry out a sterile surgical scrub. It is accompanied by a training video and concludes with some self-assessment questions.

The Purpose Of The Surgical Scrub

The surgical scrub is performed in order to:

  1. Remove dirt and transient microorganisms from the nails, hands, and forearms of the surgeon .
  2. Minimise the resident microbial .
  3. Inhibit rebound growth of microorganisms
Sterile Surgical Scrub Techniques

The video below provides a comprehensive guide to the surgical scrub. It demonstrates an-approved method of the surgical scrub technique and provides a step-by-step guide on how best to scrub-up in 5 minutes.

First scrub of the day
Surgical Hand washing

This is usually of 3 minutes duration.

Method :

  1. Open brush.
  2. Turn tap on and adjust temperature.
  3. Wet hands and arms under running water .
  4. Turn off tap. Apply antimicrobial solution 5 ml (one pump) to hands and arms up to 2.5 cm past the elbow for 30 seconds.
  5. Remove pick from brush packet and clean nails for 15 seconds in all .
  6. Discard pick and use brush on nails only for 15 seconds each hand, on completion the brush should be discarded .
  7. Scrub all sides of each digit, including connecting web spaces, the back of the hands and palms for 1 minute .
  8. Rinse off solution from fingertips to elbow .
  9. Apply anti microbial solution to hands and halfway down forearms .
  10. Wash hands paying particular attention to washing between the digits, the back of the hands and palms for 1 minute .
  11. Finish off applying a circular movement from wrist to halfway down forearms .
  12. Final rinse and turn tap off with elbow .Allow excess water to drain from the elbows into the sink .
  13. Walk to gowning and gloving area with hands held away from the body keeping hands higher than elbows.

The following video summaries the pervious steps take a look:

Subsequent scrubs
scrubbing

This is usually of 2-minute duration

Method:

  1. Rinse hands and arms under running water.
  2. Apply antimicrobial solution to hands and halfway down forearms for 30 seconds.
  3. Attention must be paid to washing between the digits, the back of the hands and palms for 90 seconds.
  4. Finish off applying a circular movement from wrist to halfway down forearms.
  5. Final rinse and turn tap off with elbow
Drying hands and arms

Method

This is usually of 2-minute duration.

  1. Method Rinse hands and arms under running water.
  2. Apply antimicrobial solution to hands and halfway down forearms for 30 seconds.
  3. Attention must be paid to washing between the digits, the back of the hands and palms for 90 seconds.
  4. Finish off applying a circular movement from wrist to halfway down forearms .
  5. Final rinse and turn tap off with elbow.
Alcohol rubs
Alcohol Rub

A surgical scrub with antiseptic solution must be undertaken for 3 minutes before using the alcohol-based rub. Application of the alcohol-based rub must be as per manufacturer’s instruction.

you can watch the technique of Alcohol rubbing in this vedio

FURTHER RESOUCES
ASSESSMENT
Created By
Heba habib
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