SRG 140 Principles and Practices of Surgical Technology

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SRG 140Principles and Practices of Surgical
Technology

• Scrubbing, Gowning, and Gloving
• Lecture 140-1

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Alice Duer Miller

• If its very painful for you to criticize your
  friends- youre safe in doing it. But if you
  take the slightest pleasure in it, thats the
  time to hold your tongue.

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Text

• Surgical Technology for the Surgical Technologist
  Chapter 12

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Objectives

• Identify the preliminary preparation for the
  surgical scrub
• Demonstrate the steps of the surgical scrub
• Employ sterile technique during the surgical
  scrub
• Employ sterile technique when self gowning and/or
  gloving and when assisting other team members

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Attire

• OR- keep microbial counts to a minimum and
  limiting microbial spread consists of
• Scrub suit, hair cover, shoe covers
• PPE- worn to protect the team member and the
  patient from microbial contact and environmental
  hazards consists of
• - Mask, eye protection, radiation protection,
  nonsterile gloves
• Scrub- sterile gown and gloves

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Preliminary Preparations

• Remove jewelry
• Don personal protective equipment
• Inspect integrity of nails and skin

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Surgical Scrub

• Preliminary wash and subungual cleaning
• Antiseptic agents-STPP page 150
• Timed method
• Counted scrub stroke method
• No-scrub method
• Considerations
• Scrub from fingertips to elbows
• Maintain hands/wrists above the level of the
  elbow
• Avoid contact with nonsterile surfaces

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Alcohol-Based Brushless Scrub

• Hands and fingernails must be thoroughly cleansed
  prior to using the brushless scrub
• When used properly, this method is as effective
  as a standard surgical scrub
• Consult manufacturers instructions about
  recommended use

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Gowning

• Drying hands and arms
• Gowning
• Gowning of self
• Gowning of others
• Turning the back of the gown

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Gloving

• Closed gloving- self
• Open gloving
• Self- without a gown
• Self- with a gown
• Others

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Removal of Gown and Gloves

• For replacement during the procedure
• At completion of the procedure