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Surgical scrub

Before you start

  • Gather equipment
    • Surgical mask – put this on now (you should already have a surgical hat on)
    • Sterile gown pack (contains 2 towels and a gown)
    • Sterile gloves
    • Sterile brush/sponge (with nail pick inside)
  • Prepare equipment
    • Open outer packaging of gown pack and drop pack onto clean surface
    • Unfold the sterile inner packaging of gown pack (touching only the corners of the packet) over a surface to create a sterile field
    • Open the outer packaging of the gloves and drop them into the sterile field
  • Open the sponge packet and leave inside its container by the sink

From now on, keep your hands elevated above your elbows

Wash hands and forearms (1 minute)

  • Turn taps on
  • Rinse hands and forearms
  • Apply 3 doses of scrub solution to hands (using elbows to dispense it)
  • Wash hands and forearms for 1 minute
  • Rinse off scrub solution (keeping hands higher than elbows)

Clean nails (1 minute)

  • Apply scrub solution to hands and forearms
  • Use nail pick to clean each nail in turn (rinse pick after each nail)
  • Rinse hands and forearm
  • Apply water and scrub solution to brush (using elbows to dispense it)
  • Scrub nails
  • Rinse off scrub solution (keeping hands higher than elbows)

Wash hands and forearms again (3 minutes)

  • Apply 3 doses of scrub solution to hands (using elbows to dispense it)
  • Wash hands very thoroughly and then down to forearms (but not down as far as the first wash)
  • Rinse off scrub solution (keeping hands higher than elbows)
  • Turn off the taps using your elbows

Dry arms

  • Use a separate sterile towel for each arm (from scrub gown pack)
  • Start at fingers and work down to elbows (dabbing to dry), then discard towel

Apply gown

  • Place hands in sleeve pockets on either side of gown
  • Raise your arms high and step backward so the gown falls open in the air
  • Slide your arms into the sleeves (but ensure your hands remain inside the cuffs)
  • Hold your arms up in the air and ask a colleague to tie the back of the gown

Put on gloves

  • Open the sterile inner packaging of the gloves using the cuffs of your gown
  • Using your right hand (inside the gown cuff), place left glove over left cuff with your left palm facing upwards
  • Open your left hand into the glove leaving the cuff around your wrist (inside the glove)
  • Repeat on other side

Secure the gown

  • Hand the card attached to the gown’s right tie to a colleague
  • Ask them to hold it while you turn around 360˚ (left)
  • Pull the strap away from the card they are holding so it detaches
  • Tie the strap to the other strap in a bow to secure the gown
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