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Use an alcohol-based handrub (ABHR) product for surgical hand preparation, by carefully following the technique illustrated in Images 1 to 17, before every surgical procedure. If any residual talc or biological fluids are present when gloves are removed following the operation, handwash with soap and water.
The purpose of surgical hand scrub is to sterilize the hands prior to gowning and gloving. An ideal surgical scrub agent would have a broad spectrum of antimicrobial activity against pathogenic organisms.
Hand hygiene protects both healthcare personnel and patients. Hand hygiene means cleaning your hands with: Handwashing with water and soap (e.g., plain soap or with an antiseptic). Antiseptic hand rub (alcohol-based foam or gel hand sanitizer). Surgical hand antisepsis.
According to the CDC, hand hygiene encompasses the cleansing of your hands with soap and water, antiseptic hand washes, antiseptic hand rubs such as alcohol-based hand sanitizers, foams or gels, or surgical hand antisepsis.
It is not necessary to wash hands before handrub unless hands are visibly soiled or dirty. 562, 564 The hands of the surgical team should be clean upon entering the operating theatre by washing with a non-medicated soap (Table I.13.1).
Hand hygiene is one of the most important interventions to prevent the transmission of microorganisms on the hands of healthcare personnel. Proper hand hygiene removes those microbes and prevents exposure to patients during care delivery.
This document provides perioperative team members with evidence-based practice guidance for performing hand hygiene and surgical hand antisepsis to promote patient and personnel safety and reduce the risk for health care–associated infections, especially surgical site infections (SSIs).