SURGICAL HAND SCRUB IN OPERATION THEATRE

SR :FOUSIA PKOT DEPARTMENTPACIFIC INTERNATIONAL HOSPITALPOR MORESBYPAPUA NEW GUINEA

INTRODUCTIONITS NOT POSIBLE TO MAKE SKIN SURFACE OF THE HAND STERILE

THERE FOR WASHING AND SCRUBBING ARE DONE TO CLEAN THA HANDS FOR PREPARATION OF DOING OR ASSISTING IN STERILE PROCEDUR OR HANDLING STERILE SUPPLY.

DEFINE SURGICAL SCRUB

SURGICAL SCRUB DEFINED AS A “PROCESS OF REMOVING OR DECREASING ,FROM THE HANDS AND THE FORARMS AS A MANY NUMBER OF BACTERIAL COUNT& RESIDENT SKIN FLORA AS POSSIBLE TO A SAFE LEVEL OF SURGICAL ACCEPTANCE BY MECHANICAL SCRUB WITH THE HELP OF SCRUB BRUSH & WITH A CHEMICAL ANTISEPTIC SOAP”.

SURGICAL SCRUB PROCESS:

SURGICAL SCRUB CONSIST OF TWO PROCESS-

1 MECHANICAL SCRUBBING PROCESS.....2 CHEMICAL PROCESS......

1, MECHANICAL SRUBBING

THIS PROCESS REMOVES MICRO-ORGANISM BY FRICTION AND REDUCE RESIDENT FLORA AND BACTERIAL COUNT FROM THE SKIN.

2 CHEMICAL PROCESS;

THIS PROCESS INACTIVATES MICRO ORGANISM WITH CHEMICAL ANTI- SEPTICS OR ANTI MICROBIAL AGENT

THIS PREVENTS THE GROWTH OF A MICRO ORGANISM BY ITS ANTI SEPTIC ACTION BUT MAY NOT KILL MICRO-ORGANISM

SCRUB FACILITY

1 SCRUB AREA 2 SCRUB SINK

3 CHEMICAL SOAP

4RUNNING ARROW WATER

5THE WATER TAP

6 SCRUB BRUSH

BEFOR SCRUBBING FOLLOWING PREPARATIONS IS NECESSARY....

NAILS ARE TO BE CUT SHORT AND SHOLUD BE FREE FROM DIRT

CHECK FOR HANDS AND FOR ARMS FOR CUT, INFECTOINS,BRUISES,LESIONS OR ABRATIONS, BURNS AND SKIN BREAK ON SKIN SURFACESS

ALL JEWELLERIES LIKE RING, WRIST WATCH,BANGLES etc ARE TO BE REMOVED..

LET’S START SCRUBBING......

DURATION OF SCRUB...

FOR MAJOR OPERATION: FOR A MAJOR OPERATION LONG SCRUB IS REQUIRED. THE DURATION OF SCRUB SHOULD BE 6-7 mins.

ONE HAND AND ONE FOREARM

A, Scrub the nails of hands- 30 strokesB, Scrub side of each fingers 20 strokesC, Scrub back of hands-20 strokesD, Scrub palm of the hands-20 strokes E, Scrub foreamrm-20 strokesREPEATE SAME STEPS FOR OTHER HAND

AFTER SCRUBBING...RINSE EACH ARM SEPERATLY, FINGERTIPS

FIRST , HOLDING HAND ABOVE THE LEVEL OF ELBOW..

USING A STERILE TOWEL, DRY THE FINGER TIPS TO 5CM ABOVE ELOBOW. USE ONE SIDE OF TOWEL TO DRY ONE HAND AND OTHER SIDE OF THE TOWEL TO DRY OTHER HAND

KEEP HAND ABOVE THE LEVEL OF THE WAIST AND DO NOT TOUCH ANYTHING BEFOR PUTTING STERILE GOWN AND GLOWES