Adherence to Scrub Technique
The nature of the procedures performed at our organization does not necessitate the use of sterile technique. Sterile scrub, draping, gloving and technique is not used during endoscopic procedures and endoscopic instrument reprocessing. High level disinfection is used for endoscopic instrument reprocessing.
When appropriate to the level of infection control required,
full sterile technique will be utilized in the scrub
technique of the physician performing the procedure. To
reduce the possibility of contamination of the operative area
by bacteria from hands and arms, the following techniques
will be followed by all members of the surgical team during
sterile procedures. The skin of the hands and forearms are
de-germed to reduce the microbial flora in the event of glove
In non-sterile procedures, an abbreviated scrub may be
employed. Full sterile procedure requires that surgical
scrub technique as described below be followed.
PROCEDURE: Always follow manufacturer's instructions
1. The scrub procedure shall be performed under constantly
running tepid water.
2. Open sterile scrub brush. Add water and soap to make a
lather. Wash hands and arms to above elbows.
3. Clean the subungual spaces with a nail stick, being sure
to work lather under the nail rims. Rinse under running
water, being sure to keep the hands higher than the
4. Using the sterile scrub brush, add soap preparation and
water as needed to create a rich lather. Begin by
scrubbing one hand and arm, starting at the fingertips,
scrubbing the nails and each side of the finger and the
web spaces between the fingers. Proceed to scrub the
palm and the back of the hand arm on all sides up to and
including the elbow. Short strokes and circular motions
are used during the scrub procedure.
5. Rinse hands and arms thoroughly under running water.
6. If 'hands-free' levers are not available on scrub sinks,
another staff member shall be called to turn off the
water at the end of the scrub procedure.
7. With hands pointing to the ceiling and the elbows to the
floor, scrubbed team member may proceed to the gowning
and gloving area.
8. The full scrub shall be utilized prior to all invasive
Approved By Governing Board