Hand hygiene Technique

Hand washing is the single most important means of preventing the spread of infection When hand hygiene done
Before touching a patient. Before clean / aseptic procedure After body fluid exposure risk After touching a patient After touching patient surroundings

How to hand rub? Duration of the entire procedure takes 20-30 seconds.

The Surgical Scrub

The process of removing as many microorganisms as possible from the hands and arms by mechanical washing and chemical antisepsis before participating in a surgical procedure.
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It last for 5 minutes.

Technique: 1. -Wet the hands and forearms 2. Apply antiseptic agent fro. 3. Wash the hands and arms thoroughly to 2 inches above the elbows, several times. Rinse thoroughly under running water with the hands upward, allowing water to drip from the flexed elbows.

4. Take a sterile brush or sponge and apply an antiseptic agent . Scrub each finger, including the nails, and the hands, a half minute for each hand.

5. Hold the brush in one hand and both hands under running water, and clean under the fingernails with nail cleaner. Again scrub each individual finger, including the nails and the hands with the brush, half a minute for each hand.

6. Be sure to keep both arms in the upright position (careful not to touch the faucet!) so that all water flows off the elbows and not back down to the freshly scrubbed hands. . Do not let water run down to hands, must drip off elbows

7. Rinse the hands and brush, and discard the brush. Reapply the antimicrobial agent and wash the hands and arms, applying friction to the elbows, for 3 minutes. 8. Reach down to the opened sterile package containing the gown, and pick up the towel. Be careful not to drip water onto the pack. 9. Open the towel full-length,. Bend slightly forward

10. Dry both hands thoroughly but independently. To dry one arm, hold the towel in the opposite hand and, using the oscillating motion of the arm, draw the towel up to the elbow. Dry the opposite arm on the unused end of the towel

Gowning
1. Reach down to the sterile package and lift the folded gown directly upward. 2. Step back away from the table into an unobstructed area to provide a wide margin of safety while gowning. 3. Holding the folded gown, carefully locate the neckline.

4. Holding the inside front of the gown just below the neckline with both hands, let the gown unfold, keeping the inside of the gown toward the body. Do not touch the outside of the gown with bare hands. 5. Holding the hands at shoulder level, slip both arms into the armholes simultaneously

6. The circulator brings the gown over the shoulders. The gown is pulled on, leaving the cuffs of the sleeves extended over the hands. The back of the gown is securely

tied at the neck and waist, touch the outside of the gown at the line of ties of the back only.

Gloving by the Closed Glove Technique 1. Using the right hand and keeping it within the cuff of the sleeve, pick up the left glove from the inner wrap of the glove package by grasping the folded cuff. 2. Extend the left forearm with the palm upward. Place the palm of the glove against the palm of the left hand, grasping in the left hand the top edge of the cuff, above the palm.

3. Grasp the back of the cuff in the left hand and turn it over the end of the left sleeve and hand.

4. Grasp the top of the left glove and underlying gown sleeve with the covered right hand. Pull the glove on over the extended right fingers until it completely covers the stockinette cuff.

5. Glove the right hand in the same manner, reversing hands. Use the gloved left hand to pull on the right glove.