Surgical Scrubbing + Skin preparation

Question 2

How long should the WHO hand wash with alcohol take?

Answer 2

20-30 seconds

Question 3

When should a WHO handwash be performed?

Answer 3

At the beginning of the day
+
Repeated throughout the day, when touching + between patients + any time!

Question 4

State the 8 steps of the WHO handwash

Answer 4

1. Apply palmful of product to cupped hand - covering all surfaces
2. Rub hands palm to palm
3. Right palm over left dorsum - repeat on other side
4. Palm to palm - Interlace fingers
5. Backs of fingers to opposing palms - fingers interlocked
6. Rotational rubbing of the left thumb, clasped in right hand + vice versa
7. Rotational rubbing, backwards + forwards, with clasped fingers
8. Allow to dry

Question 5

How long does a full surgical scrub last?

Answer 5

Up to 10 minutes

Question 6

What does BBE mean?

Answer 6

Bare
Below
the
Elbows

Question 7

Why is a surgical scrub performed?

Answer 7

• To reduce the levels of both resident + transient microbes on the hands
• As it is not possible to sterilize the skin

Question 8

Where does the surgical scrub begin + end, in sequence?

Answer 8

1. Start with the little finger
2. Work across to the thumb
3. Scrub each surface of each digit
4. Scrub the forearm - of entire circumference
5. Scrub elbow, until 5cm above ebow

Question 9

What 6 pieces of equipment are required to perform the surgical srub?

Answer 9

1. A sink with elbow/knee or foot controls
2. Liquid soap
3. Skin disinfectant solution
4. Disposable organge stick - cleaning under fingernails
5. Sterile scrubbing brush (may be prepackaged with scrub solution)
6. Sterile material (paper towel) for drying hands

Question 10

What is Sterillium?

Answer 10

A highly effective hand disinfection gel with comprehensive antimicrobial activity

Question 11

Try to state the sequence of steps required to perform a surgical scrub

Answer 11

1. Turn on the tap to produce a gentle stream of water.
2. Keeping forearms higher than the elbows at all times, wet the arms and hands and apply liquid soap to all surfaces.
3. Work the soap into a lather and spread over the hands and arms to 5 cm above the elbow.
4. With the fingers under the stream of water, clean the nails with an orange stick.
5. Repeat step 3 using a surgical scrub solution.
6. Take a sterile brush, moisten it under the stream of water and apply the surgical scrub solution.
7. Scrub the nails using a straight stroke. Make sure the bristles of the brush clean under the nails.
8. Starting with the little finger, scrub each of the four planes of each finger in straight strokes. Continue to scrub the palm of the hand using a circular motion.
9. Wash the back of the hand and arm.
10. If using two brushes, discard the first brush into the sink and take the second brush in the scrubbed hand. If not, rinse the brush and add scrub solution before transferring to the other hand.
11. Repeat the process for the remaining hand and forearm.
12. Maintaining the hands above the elbows, rinse both hands thoroughly and allow the water to drain into the sink.
13. Repeat the above procedure, but this time do not include the elbows.
14. Rinse hands, then dry them using a sterile towel.
15. Using separate quarters of the towel, dry each hand and arm.