SCRUBBING AND DRESSING FOR THEATRE GPS 380

Exhibits professional behaviour 1. 2. 3. 4. 5. 6. 7. 8. 9. Professional appearance (surgical attire, behaviour, overall conduct) Tears open sponge packet and places on side of sink (open side up) Adjusts tap water Washes hands socially Wets hands and arms Applies antimicrobial soap Starts timing Washes fingers and hands Palm to palm Preparation

First Cycle

10. Right palm over left dorsum and left palm over right dorsum

11. Palm to palm fingers interlaced

12. Backs of fingers to opposing palms with fingers interlocked

13. Rotational rubbing of right thumb clasped in left palm and visa versa 14. Rotational rubbing backwards and forwards with clasped fingers of right hand in left palm and visa versa 15. Washes arms in circular motion up to 5 cm ABOVE elbow (one way) 16. DOES NOT RINSE 17. Wets sponge under running water and apply soap 18. With fingertips together, scrubs nails for 1 minute (30 seconds each hand) 19. RINSES THOROUGHLY 20. Keeps hands above elbows at all times* Second Cycle 21. Washes fingers and hands (repeats first cycle hand wash) 22. Washes arms in circular motion up to 5cm BELOW elbow 23. Rinses thoroughly Third Cycle 24. Washes fingers and hands (repeat first cycle hand wash) 25. Washes arms in circular motion up to wrists 26. Rinses thoroughly 27. Closes tap with elbows*

Dries hands 28. Uses towel from sterile trolley to dry hands 29. Avoids water dripping on trolley 30. Keeps one arms length between trolley 31. Uses towel correctly: Lifts up at corner and let it fall open Keeps it away from unsterile attire Dries hand and arm with one half of towel (from fingers to elbow) Uses other half for other hand and arm 32. Discards towel into bucket Puts on gown 33. Holds gown at collar and let unfold 34. Gown does not touch body or trolley* 35. Does not contaminate by touching the outside of gown (regarded as sterile side)* 36. Slips arms through sleeves simultaneously 37. Asks assistance to pull on sleeves from inside without touching outside of gown* 38. Circulator assists by pulling gown up over shoulders and tying it Dons gloves 39. Opens inner glove wrapper, exposing cuffed gloves with palms up 40. Picks up first glove by folded cuff, touching only inside portion of cuff

41. While holding cuff in one hand, slips other hand (palm facing upwards) into glove

42. Picks up second glove by sliding fingers of gloved hand under cuff of second 43. Puts second glove on ungloved hand by maintaining a steady pull through cuff and unfold cuff over gown 44. Unfolds first cuff over gown as well

45. Adjusts glove fingers until gloves fit comfortably 46. Avoids touching inner surfaces of gloves* Fastens gown 47. Unties knot on gown 48. Hands paper strip to circulating nurse or technician 49. Turns around while circulator holds paper strip firmly 50. Ties knot on gown