Surgical Handwashing

Gowning and Gloving, Serving Gown and

Gloves

OPERATING ROOM NURSING

An operating theater (also known as

an operating room (OR), is a facility within a
hospital where surgical operations are
Surgical handscrub /presurgical scrub refer to
carried out in an aseptic environment.
surgical hand preparation with antimicrobial soap
and water. 

SCRUB SINK
Surgical scrub suits worn by staff in
the operating room help environmental control
by containing shed skin squames and microbes

SURGICAL GOWNS

Before scrubbing:
• Procedure - surgery
hystero - uterus, ectomy – removal -
HYSTERECTOMY
• Preference of surgeon
• Personal preparations
• Patient’s needs
- chart
- talk to the client

Preparations Immediately before surgical scrubbing

1. Remove jewelries
2. Fix bonnet/headwear and mask
- Cover all hair and pierced ear studs
 3. Secure protective eyewear or face shield

Lead aprons are used in medical facilities to

protect workers and patients from unnecessary x-
ray radiation exposure from diagnostic radiology
procedures.

1. Scrub the palm and back of the hand,

the nails of the hand, all sides of each
finger, forearm up to 2 inches above
the elbow. Does the procedure for 5
Medical handwashing minutes.

Performs medical handwashing

2. Repeats the same step on the other
SURGICAL SCRUB BRUSH hand and forearm.

HAND SCRUB BRUSH DISPENSER

  Lifts the gown from the layout and stands
3. Rinses the hands and arms thoroughly on a distance far enough from the layout to
(from the fingers to the elbow give margin of safety.
 Faces the sterile field, holds gown by the
inside, top neckline and allows it to unfold.

4.
Locates the armholes, slips hands into the armholes,
holding the hands upwards at shoulder level.

BRUSHLESS/WATERLESS SURGICAL
HAND CLEANSING
Surgical handrub(bing) refers to surgical
hand preparation with a waterless, alcohol-
based handrub.
• Apply antiseptic solution

• Allow it to completely dry

• Gowning/gloving

Dries hands with sterile towel. Turns back to circulating nurse for securing
gown at neckband
Opens the pack of gloves without touching
the gloves.

Closed gloving method

Keeps gloved hands above the waistline. PREPARING FOR SURGERY
SETTING UP STERILE SUPPLIES
 • Do not hand a towel from a bloody back table
• Do not hand a towel with a contaminated glove

Open Method
Uses:
1. Donning gloves for procedures not requiring a
gown
2. When changing a glove during a surgical
procedure

Serving gown
Doctors and nurses celebrate the successful
separation rare conjoined twins (two girls)

END OF SURGERY – REMOVING GOWN