Name: ______________________________________________ Section:____________

Supervising Clinical Instructor:___________________________ Date of Lecture Demo: _____

Surgical Scrub

Basic Concept:
Removal of as many bacteria as possible from hands and arms by mechanical washing
and chemical disinfection before taking part in surgical procedure.

Objectives:
1. To decrease number of microorganisms on skin to irreducible minimum.
2. To keep population of microorganisms minimal during operative procedure by
suppression of growth.
3. To reduce hazard of microbial contamination of operative wound by skin flora.

Materials :
Antiseptic solution (7 %) provided by the hospital
Metal or plastic stick or brush for cleaning of fingernails
Brush for cleaning the skin
Towels
Running water with foot or knee control

Preparation:
1. Nails are short, clean and free of nail polish.
2. Hands and arms should be free of cuts, abrasions and other problem
3. Cap and mask should be worn and adjust mask snugly and comfortably over nose
and mouth.
4. Nurse should be in short sleeves uniform.
5. Fingers, wrist and neck must be free from jewelries.
6. Assemble equipment
7. Running water made available
8. Regulate temperature and flow of water
9. Recall related principles

PROCEDURE RATIONALE
TWO METHODS OF SCRUB USED:

A.Brush stroke method- a prescribed number

of brush strokes, applied lengthwise of the
brush or sponge, is used for each surface of
the fingers, hands and arms.

1.Wet hands and arms.

2.Wash the hands and arms thoroughly to 2

inches (5 cm) above the elbow with an
antiseptic solution .
3.With the hands under running water, clean
the fingernails carefully with a metal or
disposable plastic nail cleaner. Discard the
cleaner after use.

4.Rinse the hands and arms thoroughly under

running water, keeping the hands up and
allowing water to drip from the elbows.

5.Take sterile brush or sponge from a

dispenser or package. Apply an antiseptic
agent to the brush or sponge (if not previously
impregnated)

6.Scrub the fingertips of one hand 20 strokes,

all sides of each finger 20 strokes, the back of
the hand 20 strokes, palm of the hand 20
strokes, the arms 20 strokes for each third
arm, to 2 inches (5cm) above the elbow.

7.Rinse the brush and add antiseptic solution.

Repeat step 6 for the other hand and arm.

8.Rinse the arms and hands thoroughly

starting from the fingertips down to the
elbow.

B. Time Method- fingers, hands, and arms are

scrubbed by allotting a prescribed amount of
time to each anatomic area of each procedure

FIVE MINUTE SCRUB

1.Wet the hands and the forearms.

2.Apply 2 to 3 ml of antiseptic agent from the

dispenser to hands.

3.Wash the hands and arms several times

thoroughly 2 inches (5cm) above the elbows.
Rinse thoroughly under running water, with
the hands upward, allowing water to drip from
flexed elbows.

4.Take a sterile brush or sponge (from a

package or dispenser) and apply antiseptic
agent (if it is not impregnated in the brush).
Scrub each individual finger, nails and hands,
and a half minute for each hand.

5.Hold the brush in one hand and both hands

under running water and clean under the
fingernails with a metal or disposable plastic
nail cleaner. Discard the cleaner after use.
6.Again scrub each individual finger, nails, and
hands with the brush a half minute for each
hand, maintaining the lather.

7.Rinse the hands and brush, and discard the

brush or sponge.

8.Reapply the antimicrobial agent, and wash

the hands and arms with friction to the elbow
for 5 minutes. Interlace the fingers to cleanse
them.

9.Rinse the hands and arm as before.

Adopted: Phillips, NancyMarie. ( 2013). Berry & Kohn’s Operating Room Technique, 12 th ed.
Name: ______________________________________________ Section:____________
Supervising Clinical Instructor:___________________________ Date of Lecture Demo: _____

Applying a Sterile Gown and Gloves (Closed Method)

Basic Concept:
Gown is worn over the scrub suit to permit the wearer to come within the sterile field.
Gloves are worn during many procedures to enable the nurse to handle sterile items freely and
to prevent clients at risk.

Objectives:
1. To enable the nurse to work close to a sterile field and handle sterile objects
freely.
2. To protect clients from becoming contaminated with microorganisms on the
nurse’s hands, arms and clothing.

Materials:
Sterile pack containing a sterile gown
Sterile gloves
Mayo stand or flat surface area above waist level

Preparation:
Review the client’s record.
Surgical scrub was properly done
Dry hands thoroughly
Determine what additional supplies are needed to perform the procedure
Recall of related principles

PROCEDURE RATIONALE
 .
1. Unwrap the sterile gown pack

2.Open the package of sterile gloves. Remove the

outer wrap from the sterile gloves and leave the
gloves in their inner sterile wrap on the sterile field

3.Wear shoe covers, cap that covers all hair, face

mask and protective eye wear (ideally) and perform
the surgical scrub.

APPLYING A STERILE GOWN

1.Dry scrubbed hands using sterile towel. Use one
towel in each of the hand and arm.

2.Apply the sterile gown. Grasp the sterile gown at

the crease near the neck, hold it away from you, and
step back away from the sterile field. Permit to
unfold freely without touching anything including
your uniform.

2.Put your hands inside the shoulders of the gown

without touching the outside of the gown. Work the
hands down the sleeves only to the beginning of the
cuffs.

3.Have a coworker grasp the neck ties without

touching the outside of the gown and pull the gown
upward to cover the neckline of your uniform in
front and back.

4. Hold the belt in front and let the circulating nurse

grab the tip of the belt and secure it.

APPLYING STERILE GLOVES (CLOSED METHOD)

1.Open the sterile glove wrapper while the hands are
still covered by the sleeves.

2.Put the glove on the dominant hand. With the

dominant hand, pick up the opposite glove with the
thumb and index finger, handling it through the
sleeve.

3.Lay the glove on the opposite gown cuff, thumb

side down, with the glove opening pointed toward
the fingers.
4.Use the nondominant hand to grasp the cuff of the
glove through the gown cuff, and firmly anchor it.

5.With the dominant hand working through its

sleeve, grasp the upper side of the glove’s cuff, and
stretch it over the cuff of the gown.

6.Pull the sleeve up to draw the cuff over the wrist as

you extend the fingers of the dominant hand into the
glove’s fingers.

7.Put the glove on the nondominant hand.

Place the fingers of the gloved hand under the cuff of
the remaining glove.

8. Extend the fingers into the glove as you pull the

glove up over the cuff of the gown.

Adopted: Kozier & Erb’s (2014).Fundamentals of Nursing Concepts, Process, and Practice, 9 th ed.