How to Scrub In for Surgery

Surgical procedures demand the highest standards of hygiene and sterility to ensure patient safety and successful outcomes. Whether you’re a medical student, nurse, or surgical technician, learning how to scrub in for surgery is an essential skill. This article will guide you through the step-by-step process of scrubbing in for surgery.
1. Gather necessary materials
Before starting, gather all the necessary materials such as a sterile gown, gloves, surgical cap, shoe covers, and surgical mask. Make sure you have the right size of gloves and gown to ensure comfort and safety during the procedure.
2. Prepare yourself
Remove any jewelry or accessories that might harbor bacteria or interfere with the surgery. Tie your hair back if necessary and put on the disposable surgical cap to cover your hair completely. Don the shoe covers before entering the washing area.
3. Perform hand hygiene
Wash your hands thoroughly with soap and warm water for at least 20 seconds, ensuring you clean every part of your hands including under the nails and between fingers. Rinse your hands thoroughly and dry with a disposable paper towel.
4. Enter the scrub room
Walk into the designated scrub room, which is usually separate from operating rooms to minimize contamination risk. Avoid touching anything in the room with your bare hands.
5. Put on a surgical mask
Don a surgical mask, ensuring it covers both your nose and mouth securely. The mask helps prevent airborne particles from getting into the surgical field during breathing or talking.
6. Scrubbing technique
Now it’s time to begin scrubbing in. Turn on the water with your elbow or knee to avoid contaminating your freshly cleaned hands and wet them under running water. Apply antiseptic soap provided in the scrub room. Begin scrubbing your hands in a systematic manner following these guidelines:
– Start with your fingertips and move towards your wrists
– Clean under your nails with a brush
– Scrub each finger thoroughly on all sides
– Scrub your hands and wrists, ensuring every part is cleaned
– Rinse your hands under the running water, again using a finger-to-wrist motion
The total scrubbing process should last for at least five minutes.
7. Drying your hands
After rinsing your hands, hold them up with your fingers pointing toward the ceiling to prevent water from dripping onto your arms. Obtain a sterile towel from the dispenser using only one hand and carefully dry both arms, starting from the fingertips to the elbows in one sweeping motion.
8. Donning the sterile gown
With your scrubbed hands and arms still raised, ask a circulating team member to assist you in donning the sterile gown. Carefully put your arms through the sleeves without touching any non-sterile surfaces and allow the assistant to secure it at your back.
9. Putting on gloves
Using an open or closed gloving technique depending on your preference or hospital protocols, don a pair of sterile gloves. Take care not to touch any part of the glove that would come into contact with the patient or surgical instruments while putting it on.
10. Final checks
Once you’re fully gowned and gloved, verify that everything is correctly placed and secure. You should be ready to enter the operating room without touching any non-sterile surfaces or objects.
By following these steps meticulously, you can maintain surgical sterility and help ensure a safe environment for both patients and healthcare professionals during surgery. Remember, practice makes perfect; as you gain more experience, scrubbing in will become second nature.