How to perform surgical scrub

Recent studies have shown that using a brush to scrub hands during surgical scrub provides no greater reduction in the number of microorganisms on the hands than scrubbing with antiseptic alone. Surgical scrub may be performed using either a soft brush or sponge or an antiseptic alone. Avoid using a hard brush, which is not necessary and may irritate the skin.

Step 1
Remove all jewelry on your hands and wrists.

Step 2
Adjust the water to a warm temperature and wet your hands and forearms thoroughly.

Step 3
Clean under each fingernail with a stick or brush. It is important for all surgical staff to keep their fingernails short.

Step 4
Holding your hands up above the level of your elbow, apply the antiseptic. Using a circular motion, begin at the fingertips of one hand and lather and wash between the fingers, continuing from fingertip to elbow. Repeat this for the second hand and arm. Continue washing in this way for 3-5 minutes.

Step 5
Rinse each arm separately, fingertips first, holding your hands above the level of your elbow.

Step 6
Using a sterile towel, dry your arms--from fingertips to elbow--using a different side of the towel on each arm.

Step 7
Keep your hands above the level of your waist and do not touch anything before putting on sterile surgical gloves.

Remember:
Surgical scrub may be performed using either a soft brush or sponge or an antiseptic alone. Avoid using a hard brush, which is not necessary and may irritate the skin.

©2004 EngenderHealth