SURGICAL HANDWASHING
Name: Renebeth Caye I. Buaya Grade: __________________
Year and Section: BSN II – C Date: September 15, 2021
Legend:
1- Excellent
2- Very Satisfactory
3- Satisfactory
4- Needs Improvement
5- Poor
PROCEDURE RATIONALE 1 2 3 4 5
PREPARATION
1. Deep sink with foot or knee controls for dispensing water To prevents
and soap (faucets should be high enough for hands and contamination of hands
forearms to fit comfortably by avoiding the surface
contact.
2. Antiseptic detergent/soap Used to eliminate any
microorganism present
on hand.
3. Surgical scrub brush with plastic nail and pick Used for cleaning to
reach areas especially
under the nails.
4. Mask, cap or hood To protect the face and
the head from any
external contact.
5. Sterile towel Used for drying wet
hands.
6. Scrub suit attire To protect the whole
body from any external
contact.
7. Protective eyewear (glasses or googles) To protect the eyes from
any foreign material.
ASSESSMENT
1. Consult institutional policy regarding length of time of Policy on length of time
hand wash. of hand wash depends on
the institution.
2. Be sure fingernails are short, clean and healthy. Decreases resident and
transient
Artificial nails, nail polish should be removed. microorganisms.
3. Inspect condition of cuticles, hands, and forearms for To prevent risk of
presence of abrasions, cuts, or open lesions. infection to yourself, the
patient, and the surgical
team.
4. Be sure if wearing a two-piece pants and top scrub suit Any open skin could be
that the top is secured at the waist and tucked into the pants. at risk of possible
contamination.
DIAGNOSIS
Defining characteristics from the assessment date may To ensures the proper
reveal the following nursing diagnoses for clients requiring nursing care plan is
these skills: carried out and
administered if proper
- Risk for infection assessment is done.
- Risk for injury
(Related factors are individualized based on client’s
condition or needs).
PLANNING
Expected outcomes following completion of procedure: To provide easy access
and prevents delay of
time.
Client will not develop signs of surgical wound infection
1. Prepare equipment
2. Remove watch, rings or bracelets. Accessories could be
carriers of any
microorganism.
3. Be sure sleeves are above elbows and uniform is fitted or To minimize distraction
tucked at waist. and possibility of
acquiring water from
splash that may
contaminate uniform.
IMPLEMENTATION
1. Apply surgical attire: shoe covers, cap or hood, face mask Prevents introduction of
and protective yowler. contaminants into
environment.
2. Turn on water knee or foot controls and adjust to Warm water is most
comfortable temperature. ideal for hand washing
since it removes
microorganisms
effectively.
3. Wet hands and arms under running lukewarm water and Aids in removal of
lather with detergent/soap up to 2 inches above the elbows microorganisms from
(Hands need to be held above elbows at all times). least to most dirty
4. Rinse hand and arms thoroughly under running water. Keeping hands above
Remember to keep hands above elbows. elbow prevents it from
any cross-contamination.
5. Under running water, clean under nails both handles with To prevent cross –
file. Discard after use. contamination.
6. Wet brush and apply antimicrobial detergent/soap. Reduces number of
microorganisms on
hands.
7. Scrub the nails of one hand with 15 strokes. Creates friction to
remove microorganisms
8. Holding brush perpendicular, scrub the palm, each side of Scrub the hand with the
the thumb and fingers and the posterior side of the hand with recommended number of
10 strokes each. strokes to ensure that
microbes are removed.
9. The arm is mentally divided into thirds and each is Scrub the hand with the
scrubbed 10 times. recommended number of
strokes to ensure that
microbes are removed.
10. Entire scrub should last at least 2-3 minutes. Scrubbing at least 2-3
minutes ensure that
microbes are removed.
11. Rinse brush and repeat the sequence for the other arm. Apply same technique to
other hand to remove
microbes.
12. Discard brush and rinse hands and arms thoroughly. Proper disposal of used
Turn off water with foot or knee control and back into room materials prevents
entrance with hands elevated in front of and away from the possible cross-
body. contamination on the
scrub area.
13. Bending slightly forward at the waist, use a sterile towel Dries hands from
to dry one hand thoroughly moving from fingers to elbow. cleanest to least clean
Dry in a rotating motion. Dry from cleanest to the least area.
clean area.
14. Repeat drying method for the other hand, using a To prevents any cross-
different area of the towel or a new sterile towel. contamination from the
area of the towel that
have become nonsterile.
EVALUATION:
1. Observe the client for signs of localized wound infection. Monitoring patient
(Usually occurs 2-3 days postoperative) ensures that recovery
speed is carried out.
ATTIDUE OF THE STUDENT:
21. Accept constructive suggestions and criticisms. To develop, grow and
establish opportunity for
improvement.
22. Assumes accountability. To accept and be
responsible in any
procedures being done.
Scoring:
1x ____________ = __________
2x ____________ = __________
3x ____________ = __________
4x ____________ = __________
5x ____________ = __________
Total divided by no. of items = __________
Comments:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_______________
RENEBETH CAYE I. BUAYA ____________________________________
Student’s Signature over Printed Name Clinical Instructor’s Signature and Date over Printed name
GOWNING TECHNIQUE
Name: Renebeth Caye I. Buaya Grade: __________________
Year and Section: BSN II – C Date: September 15, 2021
Legend:
1- Excellent
2- Very Satisfactory
3- Satisfactory
4- Needs Improvement
5- Poor
PROCEDURE RATIONALE 1 2 3 4 5
1. Reach down top the sterile table and grasp the whole Keeps the outside of the
gown directly upward. gown sterile.
2. Step far enough away from non-sterile area or objects. To avoid contamination.
3. Hold the neckband with both hands and gently shake the Prepares gown for
folds of the gown. application
4. Slip the hands into the armholes, holding hands upward Preserves sterility of
in the level with the shoulder. gown.
5. Swing belt to be tied at the back by the circulating nurse. Secures gown without
contaminating outer
portion
Scoring:
1x ____________ = __________
2x ____________ = __________
3x ____________ = __________
4x ____________ = __________
5x ____________ = __________
Total divided by no. of items = __________
Comments:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_________________________________________________________________
RENEBETH CAYE I. BUAYA ____________________________________
Student’s Signature over Printed Name Clinical Instructor’s Signature and Date over Printed name
CLOSED GLOVING
Name: Renebeth Caye I. Buaya Grade: __________________
Year and Section: BSN II – C Date: September 15, 2021
Legend:
1- Excellent
2- Very Satisfactory
3- Satisfactory
4- Needs Improvement
5- Poor
PROCEDURE RATIONALE 1 2 3 4 5
Using the closed-glove technique, put on the sterile gloves. Maintains sterility of the
gloves.
1. With your left hand still inside the gown, pick up the
folded edge of the right glove.
2. Hold your right hand out, with palm up still inside the Only sterile items come
sleeve. in contact with each
other to avoid
contamination.
3. Lay the right on the right hand (which is still inside the For maintaining it
sleeve). Position it with the gloved fingers printing towards sanitary
the fingertips. The thumb of the glove should be over the
thumb of your right glove.
4. Use your right hand (which is still inside the sleeve) to The sterility is
grasp the bottom fold of the cuff end of the right glove. maintained when a
sterile garment comes
You are touching sterile gown to sterile glove. into contact with
something sterile
5. With your left hand (which is still inside the gown Glove cuff seal over the
sleeve), grasp the right glove cuff by the top fold of the duff gown prevents the
end, and pull the right glove cuff up and over the right gown presence of
cuff. microorganisms on the
operating sterile area.
6. Adjust the right glove cuff over the right gown cuff as To avoid contamination.
necessary, keeping the left hand inside the gown.
7. Work your right hand down into the glove. Work on correcting the
hands if both gloves are
If the fingers are not in place, don’t worry you can on to avoid cross-
correct them when both gloves are on. contamination.
8. Pick up left glove with the gloved right hand. Prepares for application.
9. Hold your left hand, palm up, inside the gown sleeve. Prepares for application.
10. Place the left glove on the left palm (which is still inside Keep the gloves sterile
the gown), with glove fingers pointing toward the elbow and while applying them to
the cuff end pointing toward your fingertips. the cuffed hand.
Position the glove thumb over the left of your hand. Prepares for application.
11. Use your left hand (which is still inside the sleeve) to Sterile to sterile is
grasp the bottom fold of the cuff end of the left cuff. observed to keep things
sterile.
12. Grasp the top of the cuff edge with the gloved right hand Maintains sterility.
and pull the glove cuff up and over the gown cuff.
13. Work your left hand down into the left glove. Assuring that the left
glove is completely on.
14. Turn up and adjust the cuffs of both gloves. Adjusting sleeve ensures
a secure grip with gloves
and gown.
15. Pull the glove fingers out at the ends to reposition our For easy use.
fingers if necessary.
Scoring:
1x ____________ = __________
2x ____________ = __________
3x ____________ = __________
4x ____________ = __________
5x ____________ = __________
Total divided by no. of items = __________
Comments:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_______________
RENEBETH CAYE I. BUAYA ____________________________________
Student’s Signature over Printed Name Clinical Instructor’s Signature and Date over Printed name
GOWNING AND GLOVING THE SURGEON
Name: Renebeth Caye I. Buaya Grade: __________________
Year and Section: BSN II – C Date: ____________________
Legend:
1- Excellent
2- Very Satisfactory
3- Satisfactory
4- Needs Improvement
5- Poor
PROCEDURE RATIONALE 1 2 3 4 5
A. GOWNING THE SURGEON:
1. Open hand towel and hold end part for the Surgeon to To be utilized and easy
grasp the opposite end of the towel. access by surgeon.
2. Grasp the gown in one hand. To avoid contamination.
3. Shake out stretched hands holding it at the neckband. To maintain sterility.
4. Offer inside of the gown to the surgeon. Preserve a safe distance
from contamination.
5. Releasee the gown. To avoid contamination
and maintains
B. GLOVING THE SURGEON:
1. Squeeze lubricant or powder on the surgeon’s palm Gloves may be easily
inserted by using
lubrication or powder.
2. Grasp the right glove firmly with the four gingers under Always start with the
the turned back-cuff. right hand to avoid
contacting the interior of
the gloves.
3. The palm of the glove should be facing the surgeon. To allow for easy
Stretch the cuff enough to introduce his hands. insertion of the hand.
4. The surgeon place his hand into the glove. Unfold the To prevents germs from
turned back cuff of the glove over his sleeve. entering the sterile fields.
5. Repeat procedure for the left hand. To complete the process
in a sterile field.
6. Discard wrapper into the waste container. To prevent cross-
contamination
Scoring:
1x ____________ = __________
2x ____________ = __________
3x ____________ = __________
4x ____________ = __________
5x ____________ = __________
Total divided by no. of items = __________
Comments:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_______________
RENEBETH CAYE I. BUAYA ____________________________________
Student’s Signature over Printed Name Clinical Instructor’s Signature and Date over Printed name
OPEN GLOVING
Name:________________________________________________________Grade:__________________
Year and Section:____________________________ ______Date:___________________________
Legend:
1- Excellent
2- Very Satisfactory
3- Satisfactory
4- Needs Improvement
5- Poor
PROCEDURE RATIONALE 1 2 3 4 5
PREPARATION
1. Clean and flat surface To reduce microbes and
sterile gloves will not
fall because of flat
surface.
2. Mask, cap or blood To keep yourself
protected.
3. Sterile gloves Use to prevent the
spread of bacteria.
4. Scrub suit To keep yourself
protected.
ASSESSMENT
1. Check the expiration date of the sterile gloves. Different manufacturers
package gloves
differently; the
instructions will tell you
how to properly open to
avoid contamination of
the inner wrapper.
2. Sterile gloves should be sealed, free form tears and not Any moisture on the
crumpled. surface will contaminate
the gloves.
3. Fingernails should be short, clean and healthy. To avoid cross-
contamination.
4. The top portion of the scrub suit should be secured at the To have an easy access.
waist and tucked into the pants.
5. Make sure that you are not allergic to the sterile gloves. To ensure safety.
DIAGNOSIS
Defining characteristics from the assessment data my reveal Reduce the propagation
the following nursing diagnosis for clients requiring the of microbes.
skill:
Risk for Infection)
(Related factors are individualized based on the client’s
conditions and needs).
PLANNING
1. Expected outcomes following completion of the To save time and energy.
procedure:
2. Prepare the equipment. To have a smooth
procedure.
3. Sleeves should be above the elbows and uniform is fitted To avoid contamination.
or tucked at the waist.
IMPLEMENTATION
1. Do surgical handwashing To avoid cross-
contamination.
2. Open the package of the sterile gloves.
Place the package of the gloves on a clean dry To avoid cross-
surface. contamination.
Some gloves are packed in an inner as well as an Prevent the inner gloves
outer package. Open the outer package without package from
contaminating the gloves or the inner package. accidentally opening and
meeting a contaminated
object.
Remove the inner package from the outer package. To be ready for usage.
Open the inner package as above or according to Reduces the chances of
the manufacturer’s directions. Some of the contamination.
manufacturer’s provide a numbered sequence for
opening the flaps and folded tabs to grasp for
opening the flaps. If no tabs are provided, pluck the
flap so that the fingers do not touch the inner
surfaces.
Remove the envelop powder from the inside of the Touching the sterile area
right glove wrist without touching the outside of the outside of the gloves is
gloves. considered unsterile.
Powder the hands over a waste basket. The powder
that falls from the hands is no longer sterile so To avoid contamination.
powder hands away from the sterile objects.
3. Put the first glove on the dominant hand. The first glove is Always start with the
drawn with the left hand-grasping the cuff of the right glove gloves in your right hand
on the fold, pick up the glove and step back from the table. to maintain the sterility
of the field,
If the glove is packed so that they lie side by side,
grasp the glove for the dominant hand by its cuff Touching the sterile area
(on the palmar side) with the thumb and the first outside of the gloves is
finger of the non-dominant hand. Touch only the considered unsterile.
inside of the cuff.
Insert the dominant hand into the glove and pull the Allows hands to be
glove on. Keep the thumb of the inserted hand easily inserted into
against the palm of the hand during insertion.
Leave the cuff turned down. gloves.
4. Put the second glove on the non-dominant hand. Slip the Reducing the risk of
fingers of the right gloved hand under the turned back cuff infection.
of the left glove, pick it up, step back and removed from the
inside of the cuff.
Pick up the other glove with the sterile gloved To avoid contamination.
hand, inserting the gloved fingers under the cuff
and holding the gloved thumb close to the gloved
palm.
Touching the sterile area
Pull the second glove carefully. Hold the thumb of
outside of the gloves is
the first gloved hand as far as possible from the
considered unsterile.
palm.
Contamination occurs
Adjust each glove so that it fits smoothly and when gloves meet the
carefully pull the fingers under the cuffs. exposed hand.
The cuff is turned up by manipulating only the For easy use and to
sterile surfaces of the glove and not that which has avoid contamination.
come in contact with the hand.
5. Remove and dispose used gloves. To prevent
microorganisms from
spreading.
6. If a sterile gown is worn, it should be put on before the To prevent
gloves, in order that the glove cuffs maybe drawn up over its microorganisms from
sleeves. spreading.
Turn over the pleat on the cuff of the left sleeve and To avoid gloves from
hold it with the right thumb with the fingers of the microbial contamination.
right cuff of the left sleeve, avoid touching the
glove.
EVALUATION: To ensure the safety of
the client.
Observe the client for signs of localized wound infection
(usually occurs 2-3 days postoperative).
ATTIDUE OF THE STUDENT:
21. Accept constructive suggestions and criticisms. To develop, grow and
establish opportunity for
improvement.
22. Assumes accountability. To accept and be
responsible in any
procedures being done.
Scoring:
1x ____________ = __________
2x ____________ = __________
3x ____________ = __________
4x ____________ = __________
5x ____________ = __________
Total divided by no. of items = __________
Comments:
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_____________________________________________________________________________________________
_______________
RENEBETH CAYE I. BUAYA ____________________________________
Student’s Signature over Printed Name Clinical Instructor’s Signature and Date over Printed name
