Scrubbing and gowning Flashcards

1
Q

What is the main purpose of scrubbing, gowning and gloving before entering the operation theatre?

A

To maintain aseptic environment

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2
Q

What are the 3 general steps for correctly scrubbing, gowning and gloving?

A

Preparing to don PPE (scrub)

Surgical hand wash

Gowning and gloving

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3
Q

Before starting to scrub, how must you style your hair?

A

Hair must be tied up or short enough to fit inside theatre hat completely

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4
Q

Before starting to scrub, what should you wear on your head and face?

A

Theatre hat

Mask

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5
Q

Before starting to scrub, how much of your arms should be exposed?

A

Must be bare below elbows

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6
Q

Before starting to scrub, how much jewellery can you wear?

A

Must wear no jewellery

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7
Q

What type of badge must you bring to be allowed into the theatre?

A

ID badge

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8
Q

After putting on your theatre hat and becoming bare beneath the elbows, what must you prepare next?

A

Open scrub packet

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9
Q

Why must you open the scrub packet before surgical scrub wash?

A

So that the gown and gloves don’t get contaminated

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10
Q

How do you open the scrub packet so that the gown and gloves inside don’t get contaminated?

A

Peel back transparent cover then fold back edges of paper

To expose gown and packaged gloves

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11
Q

How do you open the packaged gloves so that they don’t get contaminated, and should you take out all the packaging?

A

Gloves are packaged with inner paper packaging then outer plastic packaging

Use each hand to peel back each side of the plastic wrapper and lightly drop paper package onto scrub paper

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12
Q

How should you adjust your face mask to fit securely, before scrubbing?

A

Make sure its secure around ears, flat against cheeks, use both hands to mold nose piece from bridge of nose, firmly press onto nose sides with fingers until fit is good, then extend mask down to fully cover chin

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13
Q

After you have completed the surgical scrub wash and gowning and gloving, can you adjust your theatre hat and face mask?

A

No

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14
Q

Before starting the pre-scrub wash and surgical scrub wash, what should you make sure is working?

A

Open tap and check that water temperature is appropriate, then leave running

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15
Q

After opening the water tap, what should you open before starting the pre-scrub wash and surgical scrub wash?

A

Open packaged nail brush and place open package on sink edge

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16
Q

What 3 steps are included in the pre-scrub wash?

A

Hand wash with proper technique and down to elbow

Rinse off soap with water

Scrub nails with nail brush and pick

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17
Q

Do you always need to clean your nails with the nail pick, in the pre-scrub wash?

A

No, only if nails are visibly contaminated

18
Q

In the pre-scrub wash, do you need to add anything to the nail brush first?

A

Add soap to nail brush then clean nails

19
Q

For the pre-scrub and surgical scrub washes, how do you dispense the soap properly?

A

Use elbow to press on dispenser, hold hand underneath dispenser to catch soap

20
Q

After the pre-scrub hand wash, how should you wash off the soap?

A

Flex elbows so that hands are above, then run hand under tap and move forearm through

So that water drains down hand to elbow

21
Q

How many times in the scrubbing, gowning and gloving procedure do you clean your nails with the nail brush?

A

Once, after rinsing off the pre-scrub hand wash

22
Q

After cleaning nails, do you rinse off the nails only?

A

No

Must rinse water from hands to elbow

23
Q

What are the 2 steps of the 1st surgical scrub wash?

A

Hand washing with proper technique, last step down to elbows

Rinse off from hand to elbow

24
Q

What are the 2 steps of the 2nd surgical scrub wash?

A

Hand washing with proper technique, last step down to mid forearm

Rinse off from hand to elbow

25
Q

What are the 2 steps of the 3rd surgical scrub wash?

A

Hand washing with proper technique, last step down to wrist

Rise off from hand to elbow

26
Q

After completing the 3rd surgical scrub, how should you turn off the water tap?

A

With elbow

27
Q

After cleaning your nails with the nail brush, should you immediately dispose of it?

A

Yes, immediately discard in clinical waste bin

28
Q

After completing surgical scrub wash, how should you position your arms?

A

Elbows flexed so hands are held above elbow

Keep arms away from body

29
Q

What do you use to dry your hands, forearms and elbows after the scrub wash?

A

Sterile towel included in scrub packet

30
Q

Do you rub your hands to elbows dry with the sterile towel, and where on your arm do you start?

A

Use blotting motion so that skin cells aren’t disturbed

Blot from hands down to elbows, must not retrace

31
Q

When drying hands to elbows, can you retrace back up your arm to your hands?

A

No

Can only go down arm

32
Q

When drying hands to elbows, can you use the same sterile towel for both arms?

A

No

Must use different towel for each arm

33
Q

After drying hands to elbows with the sterile towel, where do you put the dirty towel?

A

Discard immediately in clinical waste bin

34
Q

After drying hands to elbows, do you put on the gown or gloves first?

A

Gown

35
Q

For gowning, how do you pick up the gown from the scrub packet?

A

Hold each side tightly then step away from any unsterile surfaces

36
Q

After you have picked up the gown from the scrub packet, what part must you identify then let fall?

A

Identify neck area, hold then let rest of gown fall freely

37
Q

After you have let the sterile gown unfold freely, how do you insert your arms and hands?

A

Identify arms of the gown, then slide your arms in one at a time.

Keep hands inside gown cuffs, fingers must not protrude outside of elastic

38
Q

Who will tie your scrub gown at the neck and waist?

A

The circulator

39
Q

After the circulator has secured the gown ties at the neck and waist, what do you don next?

A

Gloves

40
Q

How do you don scrub gloves?

A

Open paper package and turn upside down

Put right thumb under fold of right glove then flip onto right palm, then use left hand to grab fold and pull glove onto hand

Repeat with other hand

41
Q

How do you tie the belt tie, in scrubbing gowns?

A

Hold cardboard tab and pull out left tie

Pass cardboard tab to circulator, making sure that right tie is still in tab

Rotate 360 degrees anticlockwise then take right tie

Tie left and right tie together