Water-Based and Waterless Surgical Scrub Techniques

This instructional summary outlines the principles, equipment, and procedural steps for two surgical hand preparation methods, water-based (using antimicrobial soap) and waterless (using alcohol-based hand rub). Both aim to reduce microbial load and maintain sterile conditions despite glove failure risks. The water-based technique emphasizes structured timing and sequence (“clean to dirty”) across the hands and forearms. The waterless method involves three precise aliquots of alcohol rub, each with specific coverage protocols. The article highlights the importance of standardized institutional protocols, proper attire, skin integrity checks, and the role of video-based training. It also discusses common complications like skin irritation and post-procedure care.

This instructional summary outlines the principles, equipment, and procedural steps for two surgical hand preparation methods, water-based (using antimicrobial soap) and waterless (using alcohol-based hand rub). Both aim to reduce microbial load and maintain sterile conditions despite glove failure risks. The water-based technique emphasizes structured timing and sequence (“clean to dirty”) across the hands and forearms. The waterless method involves three precise aliquots of alcohol rub, each with specific coverage protocols. The article highlights the importance of standardized institutional protocols, proper attire, skin integrity checks, and the role of video-based training. It also discusses common complications like skin irritation and post-procedure care.