Surgical Scrubbing Procedure
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Surgical Scrubbing Procedure

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Questions and Answers

What should you do with the nail pick after cleaning under the nails?

  • Use it to clean the fingertips
  • Discard it in the bin using a foot-pedal (correct)
  • Put it back in the package
  • Rinse it with water

    • How should you moisturize the nail brush?

  • Moisten it with water (correct)
  • Use hand sanitizer on it
  • Wipe it with a dry cloth
  • Dip it in antimicrobial solution

    • What should you do with the hands and forearms at the start of the scrubbing procedure?

  • Use hand sanitizer on them
  • Apply antimicrobial solution without water
  • Dry them completely
  • Wet them (correct)

    • How should you apply the antimicrobial solution according to the manufacturer's recommendations?

    <p>Use one downward stroke action</p> Signup and view all the answers

    What should you do in Scrubbing Procedure Step 2?

    <p>Rub the right palm over the back of the left hand</p> Signup and view all the answers

    What should you do in Scrubbing Procedure Step 5?

    <p>Perform rotational rubbing of the right thumb clasped in the left hand</p> Signup and view all the answers

    How many steps should you repeat in the second wash?

    <p>Steps 1-7</p> Signup and view all the answers

    Why should you keep your hands raised above your elbows at all times during the scrubbing procedure?

    <p>To maintain cleanliness and prevent re-contamination</p> Signup and view all the answers

    Where should the palm of the hand inside the gown sleeve face?

    <p>Upward towards the palm of the glove</p> Signup and view all the answers

    What should you hold with your thumb and index finger when putting on the glove?

    <p>The bottom edge of the glove cuff</p> Signup and view all the answers

    What should you do with the excessive glove sleeve after putting on the glove?

    <p>Pull it underneath the cuff of the glove</p> Signup and view all the answers

    Why should you keep your hands in your sleeves?

    <p>To avoid touching the glove on the outside of the gown with your bare hands</p> Signup and view all the answers

    What should you avoid touching after putting on the gloves?

    <p>Your face, mask, and hat</p> Signup and view all the answers

    How should you adjust the fingers of each glove?

    <p>Adjust them as necessary so that they fit appropriately</p> Signup and view all the answers

    What should you check after putting on both gloves?

    <p>That the gown cuffs are secured and covered completely by the cuff of the glove</p> Signup and view all the answers

    Where should you keep your hands while gloved?

    <p>Above your waist and in front of you</p> Signup and view all the answers

    When inserting your arms into the gown, what should you keep at shoulder level?

    <p>Hands and fingers</p> Signup and view all the answers

    When should you grasp the inside seam at the cuff hem?

    <p>When the fingertips are level with the proximal edge of the cuff</p> Signup and view all the answers

    Who should fasten the gown behind you?

    <p>A theatre assistant</p> Signup and view all the answers

    What is the primary reason for using skin glue and staplers instead of sutures in skin closures?

    <p>To achieve a better cosmetic outcome</p> Signup and view all the answers

    How do theatre assistants typically grasp the gown at the shoulder seam?

    <p>By grasping the inside surface of the gown</p> Signup and view all the answers

    What is the main purpose of retractors in surgical procedures?

    <p>To hold an incision open and maintain a clear surgical field</p> Signup and view all the answers

    What is the purpose of the cardboard slip holding two ties together?

    <p>To facilitate the final tie</p> Signup and view all the answers

    Which type of needle is commonly used for skin and subcuticular suturing?

    <p>Straight needle</p> Signup and view all the answers

    How do you pass the cardboard slip to the theatre assistant?

    <p>By ensuring not to make direct contact with their hand</p> Signup and view all the answers

    What is the purpose of the Deaver Retractor?

    <p>To hold back the abdominal wall</p> Signup and view all the answers

    What is the primary characteristic of the Weitlaner Retractor?

    <p>It is self-retaining</p> Signup and view all the answers

    What should you pick up with your sleeve-covered hand when gloving?

    <p>One glove by the folded cuff edge</p> Signup and view all the answers

    What is the Bookwalter Retractor anchored to?

    <p>The surgical table</p> Signup and view all the answers

    What should you open first when gloving?

    <p>The inner glove packet</p> Signup and view all the answers

    What is the primary use of a #10 Blade scalpel?

    <p>Making large skin incisions</p> Signup and view all the answers

    What is the main difference between Mayo Scissors and Metzenbaum Scissors?

    <p>One is used for cutting heavy tissue, and the other is used for cutting fine tissue</p> Signup and view all the answers

    What is the purpose of Iris Scissors?

    <p>Cutting fine suture</p> Signup and view all the answers

    What is the primary use of Tissue Forceps?

    <p>Fine handling of tissue and traction during dissection</p> Signup and view all the answers

    What is the main difference between Adson Forceps and Bonney Forceps?

    <p>One is heavy, and the other is light</p> Signup and view all the answers

    What is the primary use of DeBakey Forceps?

    <p>Atraumatic tissue grasping during dissection</p> Signup and view all the answers

    What is the purpose of Scissors in surgery?

    <p>Cutting tissue, suture, or for dissection</p> Signup and view all the answers

    What is the primary use of a #15 Blade scalpel?

    <p>Making finer incisions</p> Signup and view all the answers

    Study Notes

    Surgical Scrubbing

    • Remove the sterile nail brush and nail pick from the opened package
    • Clean under the nails with the nail pick and then discard in the bin
    • Moisten the nail brush and dispense antimicrobial solution onto the sponge-side
    • Lather the fingertips with the sponge-side of the brush, washing all four sides of the fingers
    • Scrub the spaces under the fingernails with the bristle side of the nail brush

    Scrubbing Procedure

    • Wet the hands and forearms and apply the specified amount of antimicrobial solution
    • Work the cleaning solution into the hands, palm to palm, creating a lather
    • Rub the right palm over the back of the left hand and vice versa with the fingers interlaced
    • Rub hands palm to palm, with fingers interlaced
    • Perform rotational rubbing backwards and forwards with clasped fingers
    • Perform rotational rubbing of the thumb
    • Rub the fingertips of one hand on the palm of the other hand and vice versa
    • Continue with rotating action, working to just below the elbows
    • Rinse and repeat steps 1-7, keeping hands raised above elbows at all times
    • The second wash should only cover two-thirds of the forearms to avoid compromising the cleanliness of the hands

    Gowning

    • Carefully insert your arms partway into the gown one at a time, keeping hands at shoulder level away from the body
    • Slide the arms further into the gown sleeves and when the fingertips are level with the proximal edge of the cuff, grasp the inside seam at the cuff hem using the thumb and index finger
    • A theatre assistant will fasten the gown behind you, positioning it over the shoulders by grasping the inside surface of the gown at the shoulder seam
    • The theatre assistant will then prepare to secure the gown at the neck and upper back

    Gloving

    • Open the inner glove packet that you previously dropped onto your sterile field
    • Pick up one glove by the folded cuff edge with your sleeve-covered hand
    • Place the glove on the opposite gown sleeve facing palm down, with the glove fingers pointing towards you
    • Grasp the bottom rolled cuff edge of the glove with the thumb and index finger of the hand the glove is on top of
    • Grasp the uppermost edge of the glove's cuff with the opposite hand
    • Continuing to grasp the glove, stretch the cuff of the glove over the hand
    • Using the opposite sleeve-covered hand, grasp both the glove cuff and sleeve cuff seam and pull the glove onto the hand

    Surgical Instruments

    • Scalpel: used for initial incision and cutting tissue
    • Scissors: used for cutting tissue, suture, or for dissection
    • Forceps: used for grasping tissue or objects, can be toothed or non-toothed at the tip
    • Retractors: used to hold an incision open, hold back tissues or other objects to maintain a clear surgical field, or reach other structures

    Suture and Needles

    • Suture can be made with natural or synthetic materials
    • Needle shape is important, with curved needles used in most general surgical procedures and straight needles used for skin and subcuticular suturing

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    Description

    Learn the step-by-step process of surgical scrubbing, including nail cleaning and hand washing techniques. This quiz covers the essential procedures for medical professionals.

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