30. Most frequent interventions in maxillofacial surgery. Steps of surgical hand wash.

Question 1

1. What are the most frequent operations in maxillofacial surgery

Answer 1

1/ Jaw fractures
2/ Nasal fractures
3/ Osteonecrosis
4/ Tumors
6/ Dysgnathie surgeries

Question 2

2. What you don’t do during surgical hand wash?

Answer 2

• do not wash with: jewellery, varnishes, artificial nails, watches
• do not: put anything on your forearm up to your elbow

Question 3

3. What do you do during surgical hand wash?

Answer 3

• press 2-3 doses of soap into the palm (can touch with palm)
• open tap with your elbow
• create foam
• wash from tips to elbows
• touch finger tips, finger gaps, and ulnar side
• wash the soap off keeping fingers higher than elbows
• close the tap with elbow
• do not shake – let the water run towards the elbow
• dry water with disposable towel

Question 4

4. How do you use disinfectant solutions (sterilium, desmanol. Skinman soft) during surgical hand wash?

Answer 4

• press detergent with elbo of the other hand
• rub into skin 5 times for 1 minute
  1. hands and entire forearms until ellbow
  2. only up to 2/3 of forearm
  3. half way to forearm
  4. 1⁄4 of forearm
  5. Wrist line

Question 5

5. What do you do after surgical hand wash?

Answer 5

1/ Rub only wet arm
2/ Don’t touch dispenser or clothes – it interrupts the process

Question 6

6. What are the basic rules of surgical hand preparation?

Answer 6

1/ Medical tap can be used with elbow or forearm
2/ Cleaning the hands and forearm until the elbow with soap and disinfectant
3/ Hand drying with disposable paper towel
4/ Rubbing in hand disinfectant and to dry hands and forearms for 5 times 1 minute (5 x 1)