SCRUBBING

AND GOWNING
SUBGROUP 2
01
INTRODUCTION
IMPORTANCE OF STERILE TECHNIQUE AND
STERILE FIELD
Importance of Sterile Technique and
Sterile Field in Surgical Antisepsis
Purpose of a sterile field: To reduce the number of microbes
present to as few as possible.

It is used in many situations outside the operating room as well

as inside the operating room when performing surgical cases.

Sterile fields outside the operating room: inserting a Foley

catheter, an arterial line, and a central line.

Inside the operating room, sterile fields are always established,

otherwise, the patient is at risk for a hospital-acquired infection.
05
HAND
SCRUBBING
TECHNIQUE
Remove Jewelry: Take off rings,
watches, and bracelets.
Hand and Arm Prep:
● Use antimicrobial soap.
Scrubbing Technique:
● Clean subungual areas with
a nail file.
● Scrub each finger, between
fingers, and both sides of
hands for 2 minutes.
● Scrub arms, keeping hands
higher to avoid
contamination.
● Wash each arm up to 3
inches above the elbow for
1 minute.
Contamination Handling
● If hands touch anything besides the brush, extend
scrub time by 1 minute for that area.
Rinsing
● Rinse hands and arms in one direction, from
fingertips to elbow.
Moving to the Operating Room
● Hold hands above elbows while proceeding to the
operating room suite.
Adjusting Scrub Time
● If hands are grossly soiled, extend scrub time.
Avoid overly vigorous scrubbing to prevent skin
abrasion.
Entering the Operating Room
● Dry hands and arms using a sterile towel and
aseptic technique.
● Now, you're ready to don your gown and sterile
gloves.
04
GOWNING
 GOWNING

Picking up the gown

1. With one hand, pick up the entire folded gown
from the wrapper by grasping the gown through all
layers, being careful to touch only the inside top
layer which is exposed.

2. Once your hands are securely pinching the gown

in these slots, step back from the shelf and allow
the gown to drop.

3. Make sure the gown does not touch any

surrounding unsterile objects.
 GOWNING

Inserting your arms into the sleeves of

the gown
4. Grasp the inside shoulder seams and
open the gown with the armholes facing
you.

5. Carefully insert your arms part way into

the gown one at a time, keeping hands at
shoulder level away from the body.
 GOWNING

6. Slide the arms further into the gown

sleeves and when the fingertips are level with
the proximal edge of the cuff, grasp the
inside seam at the cuff hem using thumb and
index finger. Be careful that no part of the
hand protrudes from the sleeve cuff.
 GOWNING

Fastening the gown

7. A theatre assistant will fasten the gown
behind you, positioning it over the
shoulders by grasping the inside surface
of the gown at the shoulder seam. The
theatre assistant’s hands should only ever
be in contact with the inside surface of the
gown.
 GOWNING

8. The theatre assistant then prepares to

secure the gown at the neck and upper back.
Gowns differ in how they are secured, but
most with have either ties, buttons or velcro
tabs.
05
GLOVING
Objective of Gowning and Gloving:

● To prevent contamination to the surgical wound and help

● control infection via aseptic principles.

Techniques
● Assisted
● Unassisted
● Close glove
● Open glove
Unassisted Gloving procedure: Assisted Gloving Procedure :
IMPORTANT NOTES ON GLOVING

1. Check for expiration dates and use appropriate size.

2. When there was a mistake in putting the first glove, make sure to
adjust
only after when the other glove is placed already.
3. Remove hand accessories.
Removal of Gloves:
DOFFING
DOFFING THE GLOVES
DOFFING THE GOGGLES /
FACE SHIELD
DOFFING THE GOWN
DOFFING THE MASK
Wash hands
Thank you!