Hello, I'm Mike from Surgtech Academy and today I am going to demonstrate the
brushless hand scrub. The brushless hand scrub is performed after we've opened
supplies and before we gown and glove and is used as an alternate to the surgical
hand scrub that I demonstrated in a previous video. We scrub our hands so
that we lower the risk of hospital-acquired infections by reducing
the number of transient and resident flora. The good news is that new
AORN standards say that the brushless hand scrub is less caustic to our skin,
less abrasive to our skin, and is as effective. So we can use this brushless
hand scrub for every scrub of the day as long as we remember to maintain our
standard of performing a basic hand wash each time. Now although we can't consider
our hand sterile after a surgical or brushless hand scrub. We can call them
surgically clean. Next I want to talk about brushless hand scrub agents. We use
two different agents here at the Surgtech Academy. We use Sterilium and Avagard
which are both alcohol-based agents.
Please note. I do not have any declared commercial affiliation with Sterillium
or Avaguard. This is not a paid endorsement. It's just simply what we use
in lab. Now the demonstration. As I just stated first we need to perform a basic
hand wash. Remember that it needs to be at least 15 seconds covering all the
areas. We do palm strokes, we do rotary strokes, we interlace strokes, wrist
strokes, nail strokes, we rinse our hands with our fingers down, and we dry our
hands with paper towels. Put the paper towels in a waste receptacle. Next we use
Avegard or in my case I'm going to use Sterilium. The standard for Steililum
is about one application which produces two milliliters of solution.
It's my experience that two milliliters of solution isn't enough to cover any
arms let alone my arms that slightly resemble those of a gorilla. So two pumps
or two applications is my standard. So I'm gonna go ahead and do that. One. Two.
Next I'm gonna dip my fingernails of the opposite hand into the solution and
push back the cuticle. Give it two good pushes. That nail area, underneath our
nails, has the greatest amount of bacteria which is why we spend a little
extra time on these. Next we apply the solution to the hand, the webbing, the
wrist, and the entire arm to two inches above the elbow. Remember, do not touch
your scrub top. Next I'm gonna put one, two applications of Sterilium, dipping my
finger tips in there, my nails, pushing back the cuticle one, two, one, two, one two,
one, two, one, two. Again fingers, hands webbing, wrists, the entire arm to two
inches above the elbow. Now, I keep my arms chicken winged. I don't want to
contaminate my elbows on my scrub top. And I like them slightly forward of my body.
Again, just to prevent contamination. Then there is a third application. We can
dispense it into either hand. One. Two. And in this application we just work it into our
hands and into our wrists. At this point we would back into the operating room,
ensure that our hands are dry before we gown and glove. We cannot use a sterile
towel to wipe off the excess solution. We have to let it dry. And there it is
folks. A brushless hand scrub. So from Mike at Surgtech Academy wishing you
a good day in surgery and reminding you to be a superstar in your O.R.