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Hand hygiene is recommended by the Association of periOperative Registered Nurses (AORN). Clean hands with ABHR or soap and water to remove visible debris. This step prevents sleeves from becoming moist.ĥ. Ensure sleeves are at least two to three inches above the elbows. Inspect hands for sores or abrasions cover or report to supervisor as required.Ĥ. No artificial nails, extenders, or chipped nail polish should be worn in the OR.Īrtificial nails, extenders, and chipped nail polish can harbour microorganisms.ģ.
#Ati surgical asepsis skin
All skin on the forearm and hands (including cuticles) should be free from open lesions and breaks in skin integrity.Research shows that the amount of bacteria is nine times higher on rings and on the skin beneath the fingernails. Nail polish must be free from chips or cracks. Nails should be free from any nail enhancements, artificial extenders, acrylics, wraps, and tips. Hands must be free from rings, watches, and bracelets.All personnel entering the operating room (OR) or a specific sterile procedure must perform a surgical hand scrub.Checklist 11: Surgical Hand Scrub with Medicated Soap Disclaimer: Always review and follow your hospital policy regarding this specific skill. See Checklist 11 for the steps to follow when scrubbing with medicated soap. Some agencies may use an approved waterless hand scrub product. Most protocols will require a microbial soap-and-water, three- to five-minute hand scrub procedure. Surgical hand scrub techniques and supplies to clean hands will vary among health care agencies. Studies have shown that skin bacteria rapidly multiply under surgical gloves if hands are not washed with an antimicrobial soap, whereas a surgical hand scrub will inhibit growth of bacteria under gloved hands (Kennedy, 2013). A surgical hand scrub is an antiseptic surgical scrub or antiseptic hand rub that is performed prior to donning surgical attire (Perry et al., 2014) and lasts two to five minutes, depending on the product used and hospital policy. The purpose of the surgical hand scrub is to significantly reduce the number of skin bacteria found on the hands and arms of the OR staff (Kennedy, 2013). Since skin cannot be sterilized, members of the surgical team must wear sterile gloves. Skin is a major source of microorganisms and a major source of contamination in the OR setting (CDC, 2010).
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Performing a surgical hand scrub, applying sterile gloves, and preparing a sterile field are ways to prevent and minimize infection during surgeries or invasive procedures. Sterile procedures are required before and during specific patient care activities to maintain an area free from microorganisms and to prevent infection. 1.7 Sterile Procedures and Sterile Attire