Approach sterile setup grasp sterile towel, taking care not to drip water onto sterile setup.į. Enter operating room suite by backing into room.Į. Turn off water with foot or knee control, with hands elevated in front of and away from body. Flex arms and rinse from fingertips to elbows in one continuous motion, allowing water to run off at elbowĭ. Rinse brush and repeat sequence for the other arm. Some health care facility policies require scrub by total time (e.g., 5 minutes) rather than number of strokes. Divide the arm mentally into thirds: scrub each third 10 times (AORN, 2014) (see illustration). Scrub the palm, each side of thumb and fingers, and posterior side of hand with 10 strokes eachī. Scrub the nails of one hand with 15 strokes. Visualize each finger, hand, and arm as having four sides. Aguidetosurgical handantisepsis Handwashingandsurgicalhandantisepsisaretwo differentactivities. Wet clean sponge and apply antimicrobial agent. Optional: Brushless antiseptic hand rubĪ. Surgical hand scrub (with sponge or sponge brush)ġ1. Under running water clean under nails of both hands with nail pick. Antisepsis may reduce the risk of surgical site infections in patients. Rinse hands and arms thoroughly under running water. When should you wash your hands Wash hands before patient care After touching blood, body fluids, secretions, excretions, and contaminated items Immediately after gloves are removed Between patient contacts And when otherwise indicated. Background: Surgical hand antisepsis, to destroy transient micro-organisms and inhibit the growth of resident micro-organisms, is routinely carried out before undertaking invasive procedures. (Hands need to be above elbows at all times.)Ĩ. Surgical site infection,Hand asepsis,Povidone-iodine,Chlorhexidine gluconate. Hygienic Hand Sanitation Protocol Pre-Surgical Hand Asepsis Protocol. The surgeon uses different methods of surgical hand antisepsis. Prescrub wash/rinse: Wet hands and arms under running lukewarm water and lather with detergent to 5 cm (2 inches) above elbows. Hand hygiene reduces bacteria on the hands as well as those objects that hands come. Turn on water using knee or foot controls and adjust to comfortable temperature.ħ.
Apply surgical shoe covers, cap or hood, face mask, and protective eyewear.Ħ. Inspect condition of cuticles, hands, and forearms for abrasions, cuts, or open lesions.ĥ. Natural nails should be less than inch long from fingertip.Ĥ. Be sure that fingernails are short, clean, and healthy.
Urologists should consider using Avagard for hand antisepsis. Chlorhexidine has been found to be more effective than povidone iodineģ. Avagard is superior to the surgical hand scrub in cost- effectiveness and time efficiency. Consult manufacturer policy regarding required length of time and antiseptic to use for hand antisepsis.
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