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Institute of Surgical Research Surgical Techniques A1 Practical Modul

Institute of Surgical Research Surgical Techniques A1 Practical Modul. Asepsis and the surgeon. 1. Dressing 2. Cap, mask 3. Scrubbing 4. Gowning 5. Gloving. Dressing. Change to scrub suit, shoes/clogs worn exclusively in the operating suite or wear shoe covers. It is forbidden to wear:

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Institute of Surgical Research Surgical Techniques A1 Practical Modul

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  1. Institute of Surgical Research Surgical Techniques A1 Practical Modul

  2. Asepsis and the surgeon 1. Dressing 2. Cap, mask 3. Scrubbing 4. Gowning 5. Gloving

  3. Dressing Change to scrub suit, shoes/clogs worn exclusively in the operating suite or wear shoe covers It is forbidden to wear: -bracelets -rings -wrist-watch -nail-polish

  4. 2. Cap and maskPositioning the maskright wrong

  5. Correct position of the mask

  6. 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!

  7. The goal of scrubbing To reduce the number of bacteria of the transient and resident flora and to inhibit their activity.

  8. Scrubbingand 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)

  9. Scrubbing 1.Hand-wash with soap

  10. Scrubbing 2.Hand- and arm-wash with soap

  11. Scrubbing 3.Steps of rinsing the hands

  12. Taking out the brush

  13. Scrubbing 4.Cleansing the nails with brush

  14. Scrubbing 5.Steps of rinsing the hands

  15. Do not touch the basin!

  16. Disinfection 1.right wrong

  17. Steps of chemical disinfection 2.

  18. 4. Gowning

  19. 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 shouldersto 10 cm distance over the elbows.

  20. Taking out the sterile gownrightwrong

  21. Gowning 2.Grasping the neck of the sterile gown

  22. Gowning 3.Unfolding the sterile gown

  23. This is forbidden!

  24. Gowning 4.Opening the sterile gown

  25. Gowning 5.Position of the armsrightwrong

  26. Gowning 6.Steps of pulling the gownover the shoulders

  27. Pulling the gownrightwrong

  28. Fixing the sterile gown

  29. Fixing the sterile gown 2. rightwrong

  30. Fixing the sterile gown 3.

  31. This is (again) forbidden!

  32. Gloving of the left hand 1. from inside!

  33. Glowing of the right hand 2. from outside!

  34. The gloved hands

  35. Removing the gloves

  36. The operating field before the isolation of the patient

  37. The operating field after the isolation of the patient

  38. The position of the surgical team 2nd ASSISTANT SURGEON ANESTHESIA 1st ASSISTANT SCRUB NURSE

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