Guide & Quick Test
Surgical
Hand Scrub-In
Learn the essential steps used before surgery
to keep patients safe and maintain a sterile
operating environment.
Guide
Test
◫ Learning Path
Overview of Surgical hand scrub-in
Learn 3 steps from each step
Complete mini games to review the learning
Test all the steps for final review
Introduction
What is Surgical Hand Scrub-In?
Surgical hand scrub-in is a special hand cleaning procedure performed before surgery. It helps remove germs, reduce the risk of infection, and maintain a safe, sterile environment for both patients and healthcare professionals.
Learn the steps
Steps of Surgical Hand Scrub-In
9 steps for the Surgical Hand Scrub-In
✓ Preparation
- Remove Jewelry
- Wash Hands
- Clean Nails
✓ Actual Surgical Scrub
- Apply Antiseptic
- Scrub Fingers
- Scrub Forearms
✓ Finish
- Rinse
- Keep Hands Raised
- Dry Hands
Preparation
1. Remove jewelry, inspect hands, and wear protective equipment before scrubbing.
Ensure all jewelry is removed. Inspect hands and forearms for any open lesions, paronychia, or dermatitis, as these preclude scrubbing. Adjust surgical mask and eye protection before beginning the water-flow.
Preparation
2. Wash hands and forearms with soap, then rinse from fingertips to elbows.
Perform a general wash of hands and forearms with non-medicated soap and running water to remove transient flora and organic matter. Rinse thoroughly from fingertips to elbows.
Preparation
3. Use a nail cleaner to remove dirt under the nails, then rinse briefly.
Under running water, utilize a disposable nail cleaner to remove debris from the subungual area of both hands. Discard the cleaner and perform a brief rinse.
Practice with small game
ⓘ Write the numbers in the correct order.
100% correct!
You did it!
33% correct!
Let’s try it again!
Actual Surgical Scrub
1. Apply antimicrobial surgical scrub to the hands and forearms using a sterile sponge or brush.
Apply a standardized antimicrobial surgical scrub agent using a sterile sponge or brush.
Actual Surgical Scrub
2. Thoroughly scrub all finger surfaces, between the fingers, the palms, and the backs of the hands.
Divide each finger into four planes. Scrub all surfaces using a standardized stroke-count or timed method.
Actual Surgical Scrub
3. Scrub the wrists and forearms in circular motions, extending up to 5 cm above the elbows.
Proceed to scrub the wrist and forearm, moving in a circular motion toward the elbow.
Practice with small game
ⓘ Write the numbers in the correct order.
100% correct!
You did it!
33% correct!
Let’s try it again!
Finish
1. Rinse from the fingertips to the elbows in one direction without moving back through the water stream.
Rinse hands and arms by passing them through the water in one direction only, from fingertips to elbows.
Finish
2. Keep the hands above elbow level so water drains from the fingertips toward the elbows.
Once rinsed, maintain the hands in a flexed position, held above the level of the elbows and away from the scrub suit.
Finish
3. Use a sterile towel to dry each arm separately, moving from the fingertips toward the elbows.
Enter the operating room using a back-first entry. Use one half of the towel to dry one hand and arm and the other half for the opposite side.
Practice with small game
ⓘ Write the numbers in the correct order.
100% correct!
You did it!
33% correct!
Let’s try it again!
Final Assessments
Are you ready for the final test?
You will complete a final test covering all 9 steps you have learned.
Final Assessments
Put the hand scrub steps in the correct order.
ⓘ Select a card and move it to the correct position.
100% correct!
Congratulations! You passed the assessment.
You are now ready to perform the Surgical Hand Scrub-In procedure
33% correct!