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Institute of Surgical Research Surgical
Techniques A1 Practical Modul
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Asepsis and the surgeon
1. Dressing 2. Cap, mask 3. Scrubbing 4.
Gowning 5. Gloving
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• Dressing

Change to scrub suit, shoes/clogs worn
exclusively in the operating suite or wear shoe
covers
It is forbidden to wear -bracelets -rings -wr
ist-watch -nail-polish
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2. Cap and maskPositioning the
maskright wrong
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Correct position of the mask
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3. Scrubbing
Participation in a surgical intervention requires
the implementation of the complete protocol of
scrubbing and disinfection. Scrubbing has to be
made according to the accepted and generally
applied rules of the local surgical
suite. Simple scrubbing with soap is not a
disinfection!
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• The goal of scrubbing
• To reduce the number of bacteria of the transient
  and resident flora and to inhibit their activity.

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Scrubbing and disinfection

• Mechanical cleansing (3 min)
• Cut nails and clean subungual areas.
• 2. Adjust water flow and temperature.
• 3. Wash hands and forearms to the elbows
• with soap.
• 4. Rinse hands (from fingers to the elbow).
• 5. Clean nails with a sterile brush and soap.
• It is forbidden to brush other parts of the
  hand!
• 6. Rinse hands (from fingers to the elbow).
• Chemical disinfection (5 x 1 min)

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Scrubbing 1.Hand-wash with soap
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Scrubbing 2.Hand- and arm-wash with soap
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Scrubbing 3.Steps of rinsing the hands
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Taking out the brush
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Scrubbing 4. Cleansing the nails with brush
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Scrubbing 5.Steps of rinsing the hands
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Do not touch the basin!
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Disinfection 1. right wrong
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Steps of chemical disinfection 2.
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4. Gowning
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Effective sterile area
Certain parts of the gown can not be considered
sterile a. the back and the axillaries b.
lateral from the axillaries c. under the
waistline d. the sleeves from the shoulders to
10 cm distance over the elbows.
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Taking out the sterile gown right wrong
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Gowning 2.Grasping the neck of the sterile gown
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Gowning 3.Unfolding the sterile gown
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This is forbidden!
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Gowning 4.Opening the sterile gown
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Gowning 5. Position of the armsright wrong
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Gowning 6. Steps of pulling the gownover the
shoulders
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Pulling the gownright wrong
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Fixing the sterile gown
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Fixing the sterile gown 2. right wrong
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Fixing the sterile gown 3.
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This is (again) forbidden!
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Gloving of the left hand 1.
from inside!
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Glowing of the right hand 2.
from outside!
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The gloved hands
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Removing the gloves
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The operating field before the isolation of the
patient
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The operating field after the isolation of the
patient
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The position of the surgical team
2nd ASSISTANT
SURGEON
ANESTHESIA
1st ASSISTANT
SCRUB NURSE