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Surgical Scrubbing and
Gowning
Presenter:- Dr. Niraj Raj
Guide - Dr. John Sir
Introduction
• Surgical scrub is a process of removing or decreasing bacterial count
and resident skin flora from hands and the forearms to a safe level of
surgical acceptance by mechanical scrub with the help of scrub brush
and a chemical antiseptic soap.
Objectives
• To remove soil and transient microbes from the hands and forearms.
• To reduce the resident microbial count to as lower level as possible.
• To inhibit rapid rebound growth of microbes.
Preparations
• All jewellery should be removed from the hands and forearms.
• Fingernails should be free of polish and trimmed short.
• Hands and forearms should be free of open lesions and breaks in skin
integrity.
• Open your gown and gloves before you scrub, so as not to
contaminate your hands.
Scrub Procedures
• Two scrub procedures are commonly used:
1. Timed anatomic scrub:- All surfaces of the hand and arm are
scrubbed for a specified length of time.
2. Counted strokes method :- Each part of the hand and arm receives a
specific number of scrub strokes .
• Duration of scrub 5 minutes
Scrubbing
• Wet the hands and forearms.
• Apply antimicrobial solution.
• Keep hands above elbows at all times.
• Rinse and repeat these steps keeping hands raised above elbows at all
times.
• The second wash should only cover two thirds of the forearms to
avoid compromising cleanliness of hands.
• Third time, repeat the steps to wrists only.
• Rinse the hands under running water, allowing the water to run from
fingertips to elbows.
Characteristics of a Surgical Scrub
1. Anti-microbial action: An ideal agent must have a broad spectrum of
anti-microbial activity.
2. Persistent activity: An agent offering persistent activity keeps the
bacterial count low under the gloves.
3. Safety: The ideal agent must be non irritating and non-sensitizing.
It must not be damaging to the skin and environment.
TAKE HOME MESSAGE:-

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Scrubbing and Gowning

  • 1. Surgical Scrubbing and Gowning Presenter:- Dr. Niraj Raj Guide - Dr. John Sir
  • 2. Introduction • Surgical scrub is a process of removing or decreasing bacterial count and resident skin flora from hands and the forearms to a safe level of surgical acceptance by mechanical scrub with the help of scrub brush and a chemical antiseptic soap.
  • 3. Objectives • To remove soil and transient microbes from the hands and forearms. • To reduce the resident microbial count to as lower level as possible. • To inhibit rapid rebound growth of microbes.
  • 4. Preparations • All jewellery should be removed from the hands and forearms. • Fingernails should be free of polish and trimmed short. • Hands and forearms should be free of open lesions and breaks in skin integrity. • Open your gown and gloves before you scrub, so as not to contaminate your hands.
  • 5. Scrub Procedures • Two scrub procedures are commonly used: 1. Timed anatomic scrub:- All surfaces of the hand and arm are scrubbed for a specified length of time. 2. Counted strokes method :- Each part of the hand and arm receives a specific number of scrub strokes . • Duration of scrub 5 minutes
  • 6. Scrubbing • Wet the hands and forearms. • Apply antimicrobial solution. • Keep hands above elbows at all times. • Rinse and repeat these steps keeping hands raised above elbows at all times.
  • 7. • The second wash should only cover two thirds of the forearms to avoid compromising cleanliness of hands. • Third time, repeat the steps to wrists only. • Rinse the hands under running water, allowing the water to run from fingertips to elbows.
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  • 9. Characteristics of a Surgical Scrub 1. Anti-microbial action: An ideal agent must have a broad spectrum of anti-microbial activity. 2. Persistent activity: An agent offering persistent activity keeps the bacterial count low under the gloves. 3. Safety: The ideal agent must be non irritating and non-sensitizing. It must not be damaging to the skin and environment.
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