Credits to Ma'am Evangeline Teruel

1.  Scrubbing, Gowning
and Gloving
 Universal precaution
 Disinfections and
sterilization
 Physical Lay-out

3. Resident Transient
 natural habitat is the skin  CONTACTS
 gram-positive and gram-
negative bacteria
 fingernails and in the
deeper layers of the skin
(such as the hair follicles,
the sweat glands, the
sebaceous glands).

4.  PREVENT
WOUND
INFECTION

6. Antimicrobial
Action
Persistent Activity
Safety
Acceptance

7. CHG (chlorhexidine gluconate)

8. iodophor

9. PCMX (parachlorometaxylenol)

10.  PREPARATION PRIOR TO SCRUB
 Skin and nails
 Fingernails
 No fingernail polish.
 No skin abrasion
 No jewelleries.
 Wear cap and mask
 eyeglasses
 Water sink

15.  Thelength
of scrub
 LENGTH
OF varies from
SCRUBBING institution
to another.

16. TWO TYPES OF SURGICAL
SCRUB
A. TIME METHOD
 COMPLETE SCRUB- 5-7
minutes
 SHORT SCRUB- 3minutes
B. BRUSH STROKE METHOD

17. INDICATIONS of
short Scrub

18.  In the morning before the first
gowning and gloving.
 Following a clean case if the
gloves have been removed before
the gown.
 Following a clean case if glove
have had punctured.
 Following a clean case if hands
have been contaminated in any
other way.
 Before an emergency case at
anytime.

19. B. BRUSH STROKE METHOD
 NAILS-30
 SIDE OF FINGERS-20
 BACK OF THE HAND-20
 ARMS-20

20.  PROCEDURE:
1. Turn on the water faucet and get an antiseptic solution.
2. Wash hands prior to scrub.
3. Clean the fingernails under running water.
4. Scrub/lather the left hand.
5. Close-up scrubbing left fingertips.
6. Scrub the left arm.
7. Scrub the left elbow area.
8. Rinse the brush and transfer to other hands.
9. Scrub/lather the right hand.
10. Close-up scrubbing right fingertips.
11. Scrub the right arm.
12. Scrub the right elbow area.
13. Rinse the left hand and brush.
14. Rinse the left arm and elbow area.
15. Rinse the right hand.
16. Rinse the right arms and elbow area.
17. Turn the water faucet with brush if water faucet is hand
control.
19. Walk in the operating room.

22. Purpose:
to prepare hand
prior to gloving to
prevent soiling of
sterile drape

23. PROCEDURE:
 Pick up sterile towel to dry hands from gown
pack
 Unfold towel
 Place a third over right hand; two third will be
hanging toward left hand
 Dry left hand
 Dry left arm
 Transfer dry end of towel to left hand, a third
over left hand, two thirds toward right hand.
 Dry right hand
 Dry right arm
 Fold towel into thirds
 Dry right elbow area
 Transfer towel, keeping hands on underside of
towel
 Dry elbow area

25. Neckband
Sleeves
Body Cuffs
Belt

33. Types
1. Open
method
2. Closed
Method

37.  “universal precautions”
 applied to all clients
 performed whenever there is a
possibility of contact with:
 blood
 body fluids (except sweat)
 secretions
 mucus membrane
 breaks in skin

41. Sterilization
 Consists of physical
and chemical
techniques that
destroy all
microorganism
including spores.

42. freeof living
microorganis
ms, including
spores

43. absence of
disease
producing
microorganisms

44. Medical Asepsis –
procedures used to
reduce the number of
microbes and prevent
spread
Surgical Asepsis –
procedures use to
eliminate any
microorganisms
(sterile technique)

45. Theprocess of
killing the
pathogenic
microorganism

46. 1. Saturated Steam under
Pressure (3-10’)
e.g. autoclave
2. Gas Chemical
Sterilization (3-7⁰)
e.g. Sterrad, Ethylene
oxide
 Liquid Chemical Sterilization
▪ 2% activated aqueous
glutaraldehyde solution
(10⁰)
▪ ( e.g. cidex).

48. a surgical suite is
designed to promote
safe therapeutic
environment for the
patient.

49. A specialized
room where the
actual surgery
takes place

51. aroom with a double sink
that is separated from the
OR by a door and where
select clean case and
contaminated activities
take place during the
process of surgery

52.  a collection of rooms that
are used interactively
during surgical procedure
wherein each room has a
specific purpose. (e.g. OR,
substerile, scrub sink,
sterile storage.)

53. prevent
wound
infection

54. MULTI
DICIPLINARY
TEAM
APPROACH

55. 1.Number, type,
and length of the
surgical
procedure to be
performed

56. 2. Type and
distribution by
specialties of the
surgical staff and
equipment for each

57. 3. Proportion of elective
inpatient and
emergency surgical
procedures to
ambulatory patient and
minimally invasive
procedures.

58. 4.Scheduling policies
r/t the number of
hours per days per
week the suite will be
in use and staffing
needs.

59. 5. Systems and
procedures
established for the
efficient flow of
patients, personnel,
and supplies.

60. 6.Consideration of
volume changes
and need for future
expansion
capabilities.

61. 7. Technology to be
implemented and
plan for potential
technology to be
develop.

62. 8. Safetyof staff,
patients, and other
personnel during
construction or
renovation.

63. 1.Strategic
planning
ERMTERUEL 2011

64. 2. Plans for emergencies
 Power
 Communications
 Medical gases
 Vacuum system
 Waste gas scavenger
 Air handlers
 Water ERMTERUEL 2011

65. 3.Exclusion of
contamination
from outside
the suite with
sensible traffic
patterns to and
ERMTERUEL 2011
from the suite

66. 4.Noise
control
ERMTERUEL 2011

67. 4 basic Design:
1. Central Corridor, or hotel plan
2. Central core, or clean core plan
with peripheral corridor
3. Combination central core and
peripheral corridor, or racetrack
plan
4. Grouping, or cluster plan with
peripheral and central corridor

72.  Unrestricted
street clothes
 Semi-
restricted
scrub suit and
cap
 Restricted
scrub suit, cap,
shoe covers,
gloves

73. ss
SCRUB
SEMI
SCRUB
ss