Surgery Prep: Scrubbing In

Prepping for surgery is an important task for veterinary professionals. Whether scrubbing into the surgery to perform the surgery, assist, or prepping the patient for the surgery, it is important to ensure that this is done with the proper technique. Dr. Herold walks through the proper technique for a surgical scrub, gowning, and sterile closed gloving technique. This is a great review for staff members who infrequently scrub in for surgical procedures.
#veterinary #scrubin #surgery
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[@mikebee6530]

This Dr is fantastic at explaining thoroughly in a easily absorbable way, I hope I have such a great teacher

[@MerchantsOfMisery]

Fantastic video. The doctor is an excellent teacher/instructor. I really like how she explains everything in great detail.

[@tincanstincanstincan]

Thank you! Dove Lewis is amazing!

[@vetlogic]

Thank you. Essential subject yet difficult to video, well done

[@vietnamanimalvetclinic9924]

Thank you so much. You do very well!

[@music08souler]

Love it :-) will b doin this tomorrow for my surgery class .:-)

[@9290SC]

Shoutout to all Surgical Technologists!!! Great field...couldn't be done without us. :)

[@pamelademarest8069]

Thank you! So true! Doctors have even commented they could not do our job!

[@pamelademarest8069]

Also, we gown and glove in a flash!

[@umi6462]

I find these videos super cool and interesting to watch

[@mikeneale2459]

Absolutely terrific! Thank you, Doctor!

[@caro.jpeggg]

i’m not in the medical field, and i don’t plane to be. i just find these videos insanely satisfying. i just want to scrub in once to experience it.

[@tonykennedy8592]

I know what you mean. Occasionally I will get a sponge and squirt liquid soap into it. Then I "scrub in" exactly like this after using the bathroom haha

[@bolimbu2539]

Excellent! very clearly explained. Thank you Dr.!My only uneducated concern was the opening of the gloves packet once gowned up. The handling of the packet with "sterile gown" could likely be an issue. My understanding was before you do the final 3 x 6 step scrubbing of hands and gown up, you just did 6 steps hand wash and then open up the outer packaging of both the gown (and place it on the table) and the glove packet touching only the outside and leave it near the gown (but not touching)?But of course few years have passed since this content was created, so it could be a recent development.

[@cellogirl11rw55]

In regards to opening the sterile gloves with the sterile gown, it looked like she opened it with the cuffs, which would eventually end up under her gloves. So, what difference does it make to open the gloves before putting the gown on?

[@ahmedelwan6818]

Wonderful work, your brother from Egypt

[@isgromance2012]

Thank you very much for the reminder. I love been a surgical tech omg. i have to hurry!!

[@pamelademarest8069]

Yes. We are fast and furious!

[@khoado123]

just to show how critical surgery is... a simplest thing that people do everyday becomes something so major

[@matteofalduto766]

I’d loved to see the reaction of a mid-19th century surgeon to this video…

[@mohammadrezamotezarre7253]

Perfect

[@briancagordon2308]

I’m being taught 30 strokes for fingernails, 10 strokes for each plane of the fingers and palm and dorsal portion of hand 😒🤨 plus does it really matter what hand is washed first?

[@chrisstrobel3439]

I have clinical OCD .. if you need any further tips on scrubbing shoot me a PM 😉

[@ravenID429]

Ikr, this is the point I'm at now every time, I'd hate for it to be my job

[@cynthiamusondachitumbo6203]

I need the tips

[@ivangeo3319]

What kind of soap you use. Can it be applied at home.

[@wmi5914]

You're not supposed to run your hand under the water a second time going backwards

[@Drumlinegypsy247]

@@yashi273 Noob? Even Experts make mistakes, but they were pointing it out, as in practice - this should be avoided unless you want to restart the whole long scrub process.... techs / nurses can know just as much as doctors / vets in these sort of things....

[@michellestella7477]

@@yashi273 W Mi is right. And your comment makes you look immature and stupid!

[@pamelademarest8069]

@@yashi273 He is correct! You can run over your arms twice, but you must begin at the fingertips. Not back and forth.

[@pamelademarest8069]

@@Drumlinegypsy247 Yes. The surgical technologist/ surgical technician/ scrub nurse is the monitor and responsible for sterile technique during the entire procedure. Even for the doctors and surgical assistant. If there is any doubt, the item is contaminated.

[@pamelademarest8069]

@@michellestella7477 People need to understand. We never know who is commenting here. Yes, W Mi is correct.

[@CookieCrumblesify]

This is how I normally wash my hands...OCD

[@therealb888]

CookieCrumblesify Do u really use a surgical scrub solution and brush?

[@narcissaclink3653]

@@therealb888 I'm guessing they wash for 5 mins.

[@kitkit9378]

Thats not how OCD works. Lol

[@ravenID429]

@@kitkit9378 ...what?

[@pamelademarest8069]

Called Thumb to thumb method.

[@pamelademarest8069]

The towel wicks moisture. Cloth towels are normally used. As she moves up her arms, the paper towel touches an unsterile area. Therefore, her hands are completly contaminated.

[@rhiannn3416]

time stamp?

[@ishi7845]

So easy, yet so hard.

[@danikawatson9035]

Why do you go so high on your arms when your scrubbing for surgery?

[@maddyrx7157]

Why am i getting water in my mouth

[@raulvsandiego650]

Sorry you forgot to finish tieying your gown.. Will it matter if you scrub your hand one at a time?

[@suz-2050]

it would matter in theory as then you would use your clean hand to wash your dirty hand and elbow

[@heprynnrobertson8806]

What can you use to scrub with if your allergic to Iodine ??

[@fly_guy994]

Heprynn Robertson chlorohexidine

[@pamelademarest8069]

There are many solutions to choose from.

[@fingernailplays5602]

Wow the people in the grey scrubs in the back look very intrigued very exited

[@ithepreacher8309]

Does placing the scrub brush on the sink basin fashion the scrub brush counterproductive?

[@pamelademarest8069]

Not if it is still contained in the wrapper. Good point. I will check the video. If she placed the scrub brush on the sink bare, yes it should be thrown away.

[@safiy98]

My germs!

[@cellogirl11rw55]

I like to "talk with my hands" and touch things. Can I interlock my hands after I dry my hands so I'm not tempted to touch anything until I gown and glove?

[@therealb888]

Damn how much solution do they put in those scrubs?!.

[@pamelademarest8069]

Enough to get the job done!

[@mshuggabug2]

She should have explained the importance of double gloving and she should have demonstrated turning the gown after donning it.

[@pamelademarest8069]

Agree. Double glove for draping and then taking the first layer of gloves off before starting the procedure. Great point! Yes, tying and turning the gown is very important.

[@rhiannn3416]

it's pretty uncommon to double glove for routine procedures in vet med GPs, especially for castrates. Double gloving is more for the more complicated surgeries, orthopaedics, or any surgeries where it's more a specialist surgery.

[@noahlester5993]

Coming from an 18 year old who collects sterile gloves and my three main sterile glove size are 5.5, 6.0, and 6.5 the foreign lady looks cute

[@MsMOLLYKINS]

Wow

[@blackmarlin3166]

Is 5 minute scrubbing really necessary if you're going to wear gloves anyway?

[@wickedwonderland9831]

Like she explained, it’s about reducing bacteria. There are small procedures where you just put on gloves, mostly done by anaesthesiologists. It’s also about buffer room, so to speak. The gloves reach almost the middle of your forearm (not if you’re a big orthopaedic surgeon though 😂). With the hands being the cleanest, it’s nice to have that extra bit of clean buffer room. Especially when you do things like reaching inside the patient up to your elbow.... The gown is also not made out of latex, so we don’t want any of the bacteria wandering through those fibres. Some people, especially general surgeons, while also scrub past the elbow.

[@rakeshsharma6844]

Rakesh sharma

[@traffite3276]

The green girl scrub looks like izzi from greys anatomy

[@PeaceNinja007]

Do they sell that iodine soap scrub for us normies??

[@Phlayr]

Why am I watching this

[@eltoroluckypatientzero1355]

Like Grey's Anatomy?!?!

[@davidvillamil3487]

Those bacteria almost died by fire

[@orawan9642]

นักศึกษามีแต่คนหุ่นงาม555

[@bryndrson8289]

I am confused by what she means when she says excoriating your skin will bring in more bacteria? How is that even remotely true?

[@lobsterbisque0209]

Because you don’t want to have open wounds on your hands or arms when you’re scrubbing in in general, and the last thing you want is to potentially introduce a blood borne pathogen you may be carrying to the patient

[@guineveresapphire2589]

Why does she sounds like she's about to cry

[@adiabozman9635]

I really don't see how the finger tips are cleanest bc they are a pretty dirty part of your body! The dirt under your nails, the things you touch everyday, and handling other patients all with your fingers and hands!

[@maka6106]

how can they take so long to wash their hands? what if its an emergency and they have to do the surgery right away?

[@Taospark]

I think they do a full scrub earlier in the shift. Also, there's different surgical teams as medical assistance passes between the ER and the OR but each hospital is different.

[@tammyduncan1344]

Watch the Alicia Cole patient safety video on KZbin. MRSA, VRE and necrotizing fasciitis and can be life threatening.

[@RobSERVet]

+Plowbeast even with emergency surgeries there is time to perform a complete and thorough 5 minute scrub especially if you are entering the abdomen, thorax or working with exposed bone. If a patient is truly unstable then they are first stabilized with emergency care then they can be moved to surgery.

[@therealb888]

Rob S Why not do 2-3 min scrub and follow it up with a handrub/hand sanitizer that way 4%chg + alc are in full concentration. It saves time & possibly the patient too.

[@ccoop3774]

@@therealb888 I was taught your first scrub of the day should be a 5 minute scrub. After that depends on the facility. Some allow faster solutions for subsequent cases.

[@natalieeluvv7474]

Okay I loved this video but the gravely-ish voice bothered me lol I kept clearing my throat

[@askhowiknow5527]

Nataliee Luvv Sounds like reverb and the mic

[@therealb888]

Very few videos explain the logic.

[@wormwoodbush3537]

b888 that's because a lot of the logic is from practices that are 50+yrs old, like the theory that anything below the waist is considered unsterile. I learnt that in people nursing school in the early '90's and I asked why and they told me "just because it is". I've never bothered to look up if anyone has done research studies to prove or disprove this theory, as I don't do many sterile procedures on my ward, except basic dressings, where you don't often have sterile gloves on, so don't have to worry too much about it. You can reach the bottom of trolleys and grab stuff when your hands are only consider clean and not sterile. I'd be interested to know if anyone has tested that "below the waist theory" recently though.

[@cellogirl11rw55]

@@wormwoodbush3537 I believe it is to make sure you don't accidentally touch anything.

[@wormwoodbush3537]

@@cellogirl11rw55 sounds reasonable, but if still love to know if anyone has researched it

[@pamelademarest8069]

@@wormwoodbush3537 Anything below the waist is considered unsterile in the operating room. Also, anything below the surface of the surgical area is considered contaminated. We have very stringent and valid techniques in the OR. The floors have their own standards and most do not understand the sterile techniques. Your instructor was a smart ass! Wound changes can be done in a sterile manner, but you should never go to another area while changing a wound dressing. The bottom of that trolley or bed is dirty, not clean.

[@pamelademarest8069]

@@wormwoodbush3537 This theory stands. It has been tested. Please research for yourself.

[@janstrip8926]

Corona virus makes me do this

[@93jazm]

Who else is watching this during the COVID-19 pandemic

[@kh.gh7]

Don’t talk front your hands

[@PewPewFreedom]

In an actual procedure, a surgical mask would be on the face before hand scrubbing

[@Hopersz85]

The logic of this was well explainable. There was to much "um" involved within the sentences

[@bernardashton9328]

And "wanna"s

[@therealb888]

What makes ur hands the cleanest? Isn't your hands what touches everything all the time?.

[@askhowiknow5527]

b888 She isn’t saying they’re the cleanest, she saying to make them the cleanest

[@acceptyourselfbehappy1443]

It makes it reallllyyy clean for the O.R. Risk of infection and other things if they don't do this.

[@cellogirl11rw55]

Your hands aren't supposed to touch anything after you scrub.

[@pamelademarest8069]

@@acceptyourselfbehappy1443 The quality of this video is poor.

[@acceptyourselfbehappy1443]

@@pamelademarest8069 lol well they're a vet clinic not PewDiePie lol

[@tenzinrigdol5936]

hi to all the grey's anatomy fan

[@fatimafatima999]

Should wear a mask when do hand washing 🌚

[@ccoop3774]

Yes. You can't put a mask on after you've scrubbed. The mask isn't sterile.

[@pamelademarest8069]

@@ccoop3774 The mask should be in place before she scrubs. It has nothing to do with the mask not being sterile. She is spewing micro droplets of saliva on her hands and arms as she speaks. Contaminated.

[@ccoop3774]

@@pamelademarest8069 uhm....I was agreeing with the OG. Now technically, you can do your first scrub and then dry your hands. You wouldn't have to have your mask on in that case. You then put your mask on and apply the topical scrub solution approved by your facility. It doesn't matter how much you scrubbed your hands and arms. They would still be considered contaminated. That's why our sterile gowns have long sleeves. That's why we wear gloves

[@pamelademarest8069]

Who is WE?

[@pamelademarest8069]

@@ccoop3774 Do you scrub for a vet or a hospital?

[@CorrectsYou]

"Um..Uh..Uhm" Yes, I want those hesitant "What do I say?" hands in an open fucking wound fiddling vital organs for a living.

[@Taospark]

CORRECTS YOU Yes, I too prefer actors with superior enunciation operating on people or animals.

[@natalieeluvv7474]

well, she'd probably never explained it out loud before.

[@rhiannn3416]

She is explaining things out loud.Obviously when she is doing it without having to talk things are a lot smoother.

[@pamelademarest8069]

First off! She should put her mask on before she scrubs.

[@pamelademarest8069]

Even though I feel animals deserve the same application of sterile technique as humans, this demonstration would not be acceptable for any hospital operating room. AORN Standards.

[@kingyup447]

What a hassle, bring on robotic surgery.

[@pamelademarest8069]

This technique is completely flawed. Start at the fingertips and scrub in circles up to the elbows. Not back and forth.

[@therealb888]

U always need to freaking pick ur nails. Use your eyes people!. If ur nails are black then u need to clean them out REAL HARD!.

[@pamelademarest8069]

Yes, clean under the nails every time we scrub. Even if you have 10 cases a day...clean under the nails. No one showing up to work in the OR would come with black nails. There would be a question of integrity.

[@rakeshsharma6844]

Rakesh sharma

[@rakeshsharma6844]

Rakesh sharma