Steps to Scrubbing In
Introduction
If you have the opportunity to assist in an operation, you
will need to adhere to several principles.
The “su...
Preparing to Scrub
Turn on the faucet and adjust to a comfortably warm and
adequate flow of water. Scrubbing begins at the...
Three Scrub Cycles
A surgical scrub occurs in three cycles:
1
Hands and arms
extending to two
inches above the
elbow
2
Han...
Backs of fingers to
opposing palms
with fingers
interlocked
Rotational
rubbing of right
thumb clasped in
left and vice ver...
Gowning
The gown is packed and folded
in a specific way so that the
openings of the arm sleeves are
clearly visible and ac...
Gloving
There are two main techniques used to pull on
sterile gloves: the open glove technique and the
closed glove techni...
Conclusion
This has given you insight about protecting the sterile field by demonstrating techniques for properly scrubbin...
/pti.edu /ptiedu /ptiscott
/ptiedu /ptiedu /pghtechinst
www.pti.edu
Sources: http://www.medscape.com/viewarticle/725336_7,...
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Steps to Scrubbing In

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So you’ve earned your degree in surgical technology and are just about to scrub up for your first surgery. Before you step into the “surgical field,” there are several different procedures and processes to ensure the sterility of the area. Correctly following these steps will help you to prepare for scrubbing into any surgery and keep the surgical area free of any harmful microorganisms.

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Steps to Scrubbing In

  1. 1. Steps to Scrubbing In
  2. 2. Introduction If you have the opportunity to assist in an operation, you will need to adhere to several principles. The “surgical field” is a sterile area surrounding the patient that is free from any microorganisms. To maintain this sterility, you need to correctly scrub in, put on your gown and pull on your gloves in addition to wearing your scrubs, cap and facemask.
  3. 3. Preparing to Scrub Turn on the faucet and adjust to a comfortably warm and adequate flow of water. Scrubbing begins at the fingernails, using a nail file and brush from a sterile pack.
  4. 4. Three Scrub Cycles A surgical scrub occurs in three cycles: 1 Hands and arms extending to two inches above the elbow 2 Hands and halfway up the forearms 3 Hands only
  5. 5. Backs of fingers to opposing palms with fingers interlocked Rotational rubbing of right thumb clasped in left and vice versa Rotational rubbing, backwards and forwards with clasped fingers of right hand in left palm and vice versa Three Scrub Cycles These steps ensure that all areas of the hand are cleaned thoroughly. Each cycle of the hand scrub should be repeated for each of the three washing cycles. This follows the principle of washing from a clean area (the hand) in the direction of the less clean area (the arm). Your hands should be held above the level of your elbows at all times to prevent dirty water from dripping from the upper arm onto lower sterile areas. 1 2 3 4 5 6 Palm to palm Right palm over left dorsum and left palm over right dorsum Palm to palm fingers interlaced
  6. 6. Gowning The gown is packed and folded in a specific way so that the openings of the arm sleeves are clearly visible and accessible. The image shows the steps to correct “gowning.” 1 2 3 4 5 6 7 Dry Hands Pick up gown Let gown unfold Slip arms into sleeves Hold arms out and slightly up Circulator pulls gown on Open to locate sleeves/armholes
  7. 7. Gloving There are two main techniques used to pull on sterile gloves: the open glove technique and the closed glove technique. Here the closed technique is described. At no point during this procedure should your bare hands extend beyond the gown cuffs, or touch the outside of the gloves. 1 2 3 4 5 6 Pick up one glove with thumb and forefinger Pull glove on hand Slip partially gloved hand under cuff of second glove Pull second glove over other hand and pull glove up to gowned wrist Slip fingers of completely gloved hand under cuff of first hand, pull glove to gowned wrist Gloving procedure completed
  8. 8. Conclusion This has given you insight about protecting the sterile field by demonstrating techniques for properly scrubbing in, gowning and gloving. The main aim of these meticulous procedures is patient safety and infection prevention.
  9. 9. /pti.edu /ptiedu /ptiscott /ptiedu /ptiedu /pghtechinst www.pti.edu Sources: http://www.medscape.com/viewarticle/725336_7, http://medical.tpub.com/14295/css/14295_109.htm, http://medical.tpub.com/14295/css/14295_110.htm The Pittsburgh Technical Institute has been preparing career-oriented students with professional certifications and skills training for over 65 years. Programs are tailored to suit market conditions so that students will learn skills relevant to the current needs of their chosen industry. With several programs applicable to or focused on the booming Marcellus Shale natural gas industry, PTI’s hands-on natural gas jobs training will help students in the Pittsburgh area find long-lasting energy careers. For more information about training for a career in natural gas, contact a PTI Admissions Counselor.

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