Surgical Hand Scrub Procedure Instructions

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Questions and Answers

What is essential to decreasing the incidence of surgical site infections (SSIs)?

Not inspecting your skin before the procedure

Proper surgical hand scrub techniques (correct)

Having foreign objects on your nails

Wearing acrylic nails in the operating room

Why is it important to ensure your skin is free of cuts and wounds before a surgical hand scrub?

To prevent the risk of infection during surgery (correct)

To make the scrubbing process easier

To test the efficacy of the antiseptic

To check for allergies to the soap used

What should not extend past your fingertips before a surgical hand scrub?

Wristbands

Rings

Bracelets

Nails (correct)

Why are acrylics and artificial nails not allowed in the operating room?

They can harbor bacteria and increase infection risk Signup and view all the answers

What should be done if hands are visibly soiled before a surgical hand scrub?

Pre-wash hands and arms Signup and view all the answers

What should be done with neck jewelry before beginning a surgical hand scrub?

Contain it in your surgical attire scrubs Signup and view all the answers

When should soap and water be used for hand hygiene?

After touching surfaces close to the patient like a bedside table Signup and view all the answers

What should be avoided to prevent skin issues during hand hygiene with soap and water?

Touching the inside of the sink with scrubs Signup and view all the answers

Why is it advised to keep a wedding band on during hand hygiene if worn during patient care?

To clean the jewelry Signup and view all the answers

What can using excessively hot water for hand hygiene lead to?

Skin dryness and cracking Signup and view all the answers

Why is it necessary to avoid touching jewelry during hand hygiene in certain hospital areas?

To reduce the spread of germs Signup and view all the answers

What is a recommended temperature for water when performing hand hygiene with soap and water?

Warm water to avoid skin dryness Signup and view all the answers

What should be used to moisten the sterile surgical sponge?

Running water Signup and view all the answers

How many strokes should be applied to the surface of the palm during hand scrubbing?

10 strokes Signup and view all the answers

What should be done to avoid contamination at the end of rinsing?

Dry hands with a non-sterile towel Signup and view all the answers

When should the abrasive brush side of the sponge be used during hand scrubbing?

On the nails Signup and view all the answers

What should be done once both hands and arms are complete?

Discard the sponge in a separate bin next to the scrub sink Signup and view all the answers

How should water be turned off after rinsing to avoid contamination?

Turn off with an elbow control Signup and view all the answers

Study Notes

Surgical Site Infection Prevention

Hand Hygiene is essential to decrease the incidence of surgical site infections (SSIs).
Cuts and wounds on the skin can harbor bacteria, increasing the risk of SSI.
Fingernails should not extend past fingertips before a surgical hand scrub to prevent harboring bacteria under the nails.
Acrylics and artificial nails are not allowed in the operating room because they can harbor bacteria and are difficult to clean.
Visibly soiled hands should be washed with soap and water before a surgical hand scrub.
Neck jewelry should be removed before beginning a surgical hand scrub to avoid contamination.
Soap and water should be used for hand hygiene when hands are visibly soiled, after contact with bodily fluids, or after using the restroom.
Harsh soaps and excessively hot water should be avoided during hand hygiene with soap and water to prevent skin irritation and dryness.
Wedding bands worn during patient care should be kept on during hand hygiene to avoid disrupting the skin's natural barrier and potentially exposing the band to contamination.
Excessively hot water can lead to skin damage and make hands more susceptible to bacterial growth.
Jewelry should be avoided during hand hygiene in certain hospital areas to prevent contamination and reduce the risk of cross-infection.
A recommended temperature for water when performing hand hygiene with soap and water is warm but not hot.
A sterile surgical sponge should be moistened with sterile water before beginning the hand scrub.
30 strokes should be applied to the surface of the palm during the surgical hand scrub.
Rinsing with running water while keeping your hands below elbow level should be done to avoid contamination at the end of rinsing.
The abrasive brush side of the sponge should be used for scrubbing fingernails, the spaces between fingers, and around jewelry.
Once both hands and arms are complete, rinse thoroughly and dry with a sterile towel.
Water should be turned off with a paper towel to avoid contamination after rinsing.

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Description

Learn the proper surgical hand scrub technique to decrease the incidence of surgical site infections. This video provides step-by-step instructions on the anatomical surgical hand scrub procedure using the brush stroke method.