Podcast
Questions and Answers
What should you do with the nail pick after cleaning under the nails?
What should you do with the nail pick after cleaning under the nails?
How should you moisturize the nail brush?
How should you moisturize the nail brush?
What should you do with the hands and forearms at the start of the scrubbing procedure?
What should you do with the hands and forearms at the start of the scrubbing procedure?
How should you apply the antimicrobial solution according to the manufacturer's recommendations?
How should you apply the antimicrobial solution according to the manufacturer's recommendations?
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What should you do in Scrubbing Procedure Step 2?
What should you do in Scrubbing Procedure Step 2?
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What should you do in Scrubbing Procedure Step 5?
What should you do in Scrubbing Procedure Step 5?
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How many steps should you repeat in the second wash?
How many steps should you repeat in the second wash?
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Why should you keep your hands raised above your elbows at all times during the scrubbing procedure?
Why should you keep your hands raised above your elbows at all times during the scrubbing procedure?
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Where should the palm of the hand inside the gown sleeve face?
Where should the palm of the hand inside the gown sleeve face?
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What should you hold with your thumb and index finger when putting on the glove?
What should you hold with your thumb and index finger when putting on the glove?
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What should you do with the excessive glove sleeve after putting on the glove?
What should you do with the excessive glove sleeve after putting on the glove?
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Why should you keep your hands in your sleeves?
Why should you keep your hands in your sleeves?
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What should you avoid touching after putting on the gloves?
What should you avoid touching after putting on the gloves?
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How should you adjust the fingers of each glove?
How should you adjust the fingers of each glove?
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What should you check after putting on both gloves?
What should you check after putting on both gloves?
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Where should you keep your hands while gloved?
Where should you keep your hands while gloved?
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When inserting your arms into the gown, what should you keep at shoulder level?
When inserting your arms into the gown, what should you keep at shoulder level?
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When should you grasp the inside seam at the cuff hem?
When should you grasp the inside seam at the cuff hem?
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Who should fasten the gown behind you?
Who should fasten the gown behind you?
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What is the primary reason for using skin glue and staplers instead of sutures in skin closures?
What is the primary reason for using skin glue and staplers instead of sutures in skin closures?
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How do theatre assistants typically grasp the gown at the shoulder seam?
How do theatre assistants typically grasp the gown at the shoulder seam?
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What is the main purpose of retractors in surgical procedures?
What is the main purpose of retractors in surgical procedures?
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What is the purpose of the cardboard slip holding two ties together?
What is the purpose of the cardboard slip holding two ties together?
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Which type of needle is commonly used for skin and subcuticular suturing?
Which type of needle is commonly used for skin and subcuticular suturing?
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How do you pass the cardboard slip to the theatre assistant?
How do you pass the cardboard slip to the theatre assistant?
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What is the purpose of the Deaver Retractor?
What is the purpose of the Deaver Retractor?
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What is the primary characteristic of the Weitlaner Retractor?
What is the primary characteristic of the Weitlaner Retractor?
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What should you pick up with your sleeve-covered hand when gloving?
What should you pick up with your sleeve-covered hand when gloving?
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What is the Bookwalter Retractor anchored to?
What is the Bookwalter Retractor anchored to?
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What should you open first when gloving?
What should you open first when gloving?
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What is the primary use of a #10 Blade scalpel?
What is the primary use of a #10 Blade scalpel?
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What is the main difference between Mayo Scissors and Metzenbaum Scissors?
What is the main difference between Mayo Scissors and Metzenbaum Scissors?
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What is the purpose of Iris Scissors?
What is the purpose of Iris Scissors?
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What is the primary use of Tissue Forceps?
What is the primary use of Tissue Forceps?
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What is the main difference between Adson Forceps and Bonney Forceps?
What is the main difference between Adson Forceps and Bonney Forceps?
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What is the primary use of DeBakey Forceps?
What is the primary use of DeBakey Forceps?
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What is the purpose of Scissors in surgery?
What is the purpose of Scissors in surgery?
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What is the primary use of a #15 Blade scalpel?
What is the primary use of a #15 Blade scalpel?
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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.