Alternative methods of surgical scrub

Although the use of antiseptic for surgical scrub is recommended, an alternative method is necessary when:

• Surgical staff members are allergic to the available antiseptic solutions
• Antiseptics are not available

Performing surgical scrub with soap and water, followed by an alcohol handrub, can be used in place of surgical scrub in these situations. To do this:

Step 1
Wash your hands with plain soap and warm, running water while following the steps of normal surgical scrub.

Step 2
Apply 3-5 mL of alcohol (or--because using alcohol alone can dry the skin--use an alcohol handrub solution made up of 2 mL glycerine, propylene glycol, or sorbital mixed with 100 mL of 60-90% alcohol).

Step 3
Rub hands together until they are dry.

High-volume settings

Ideally, surgical handscrub should be performed before every procedure. However, to prevent skin irritation from too-frequent scrubbing in high-volume settings, use 3-5 mL of an alcohol handrub solution between clients, rubbing your hands together until the alcohol dries. Then scrub every hour or after every four clients, whichever comes first.

Note:
Alcohol handrub does not remove soil or organic material such as blood. If gloves are torn or punctured, or if there is blood or other body fluids on your hands after you remove your gloves, a surgical scrub should be performed.

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