Surgical Hand Antisepsis: An Evidence-Based Review

Graves, Peter B; Twomey, Carolyn L

doi:10.1016/j.cpen.2006.06.002

Cited by 7 publications

(4 citation statements)

References 68 publications

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“…Health care providers should adhere to the following practices: Keep fingernails short, not to exceed 1/4 inch 13 . An easy and effective way to ensure that nails are the proper length is to hold the hand vertically and look at the palmar side; nails should not extend beyond the tip of the finger (Figure 1).…”

Section: Discussionmentioning

confidence: 99%

“…Do not wear jewelry on the hands or wrists. Hand and wrist jewelry traps bacteria 3,13,15,17 Use hand lotion that is compatible with both gloves and antiseptic hand hygiene products 3,18,19 .…”

Section: Discussionmentioning

confidence: 99%

“…When using a traditional scrub‐with‐water product for surgical hand antisepsis, perioperative health care providers should complete the following steps 15 : Remove rings, watches, bracelets, and other hand jewelry. Don a surgical mask—surgical masks should be worn by all personnel at the scrub sink during hand scrub activity. Prewash hands and forearms with soap and water if they are visibly soiled. Clean under fingernails with a nail pick under running water. Rinse hands and forearms under running water. Dispense the approved antimicrobial scrub product per the manufacturer's written instructions. Apply to wet forearms and hands using a soft, nonabrasive sponge 13,35 Keeping hands elevated, methodically scrub all skin surfaces with a sponge for three to five minutes, per the manufacturer's instructions. For water conservation, turn off the faucet when it is not in use, if possible. Avoid splashing surgical attire. Discard sponges in an appropriate container. Keeping hands elevated, rinse hands and forearms from fingertips to elbows under running water (Figure 4).…”

Section: Discussionmentioning

confidence: 99%

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Implementing AORN Recommended Practices for Hand Hygiene

Patrick¹,

Wicklin²

2012

AORN Journal

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This article focuses on implementing the revised AORN "Recommended practices for hand hygiene in the perioperative setting." The content of the document has been expanded and reorganized from the previous iteration and now includes specific activity statements about water temperature, water and soap dispensing controls, the type of dispensers to use, paper towel dispenser requirements, placement of soap and rub dispensers, and regulatory requirements for products and recommendations for hand hygiene practices. A successful hand hygiene program allows end users to have input into the selection and evaluation of products and should include educating personnel about proper hand hygiene, product composition and safety, and how and when to use specific products. Measures for competency evaluation and compliance monitoring include observations, quizzes, skills labs, electronic monitoring systems, handheld device applications, and data collection forms.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Implementing AORN Recommended Practices for Hand Hygiene

Patrick¹,

Wicklin²

2012

AORN Journal

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“…Understanding the mechanism of action of each of these agents is critical to choosing the best agent for antisepsis [22] . The antibacterial action of iodophors occurs by penetration of the bacterial cell wall, allowing iodine entry.…”

Section: Skin Antisepsismentioning

confidence: 99%

Current Approaches for the Prevention of Surgical Site Infections

Florman¹,

Nichols²

2007

American J. of Infectious Diseases

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Surgical site infections (SSIs) are the most common type of nosocomial infection among surgical patients and are commonly caused by the patients' own microbial flora. The prevalence of SSI is a major concern because of the associated increase in the incidence of morbidity and mortality, length of hospitalization and cost of care for postoperative patients. Key factors that determine whether patients are at risk for developing SSI include the inherent potential contamination of the surgical site, the duration of the operation and the individual patient susceptibility. Preventive preoperative measures that can reduce the risk of SSIs include administration of antimicrobial prophylaxis, proper utilization of skin antiseptic agents for both the patient and the surgical team, proper patient preoperative hair removal and the policy of canceling elective procedures when remote skin, urinary or pulmonary infections occur. This paper will review the efficacy and safety of available antiseptic agents, as well as discuss patient-specific prevention strategies.

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Culture at the Scrub Sink—The Unintended Consequences Associated with Implementation of Rapid Hand Washes

Burdek

Clark²

2011

Journal of Surgical Education

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Surgical Hand Antisepsis: An Evidence-Based Review

Cited by 7 publications

References 68 publications

Implementing AORN Recommended Practices for Hand Hygiene

Implementing AORN Recommended Practices for Hand Hygiene

Current Approaches for the Prevention of Surgical Site Infections

Culture at the Scrub Sink—The Unintended Consequences Associated with Implementation of Rapid Hand Washes

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