A patient presents to ED with chest pain and this trace. What would you do?
Interpretation management
Please note content is for educational purposes only and procedures should not conducted based on this information. OSCEstop and authors take no responsibility for errors or for the use of any content.
Before you start…
From now on, keep your hands elevated above your elbows…
– 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)
– 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)
– 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
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💡 Conditions
– 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
– 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
– 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
– 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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