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Appendix A

SUGGESTED HAND WASHING PROCEDURES

Initial Hand Washing

  • Remove all jewelry.
  • Scrub the hands, nails and forearms with a liquid germicidal soap* for 2 minutes. Rinse well.
  • Repeat process for 2 more 10 second scrubs.
  • Dry hands first with paper towels, then forearms. Use the paper towels to turn off the faucets if hand-controlled.
  • Optional: Wash with a virulent soap and rinse.

Between Nonsurgical Patients

  • Wash the hands 10 to 15 seconds under running water, rinse and dry well. Use lotion 3 or 4 times a day.

Surgery Scrub

  • Remove all jewelry
  • Clean nails with a clean plastic wood stick.
  • Scrub the hands, nails and forearms with a liquid germicidal soap and a sterilized brush or sponge for 7 minutes using multiple scrub and rinse cycles.
  • When rinsing, let the water run toward the arms, rather than the fingers.
  • Dry with sterile towels and don sterile gloves using surgical technique.

 

*Examples of Accepted Liquid Germicidal Soaps

BactoShield Chlorhexidine Gluconate Foam …………………Amsco Medical Products Div.

BactoShield Chlorhexidine Gluconate Solution………………Amsco Medical Products Div.

Betadine Surgical Scrub………………………………………Purdue Frederick Co.

Excelle Antimicrobial Skin Cleanser………………………….Cottrell, Ltd.

Hibiclens Antiseptic Antimicrobial Skin Cleanser……………Coe Laboratories, Inc.

Lurodine Iodine Scrub………………………………………..U.S. Borax and Chemical Corp.

Luroscrub Antimicrobial Skin Cleanser………………………U.S. Borax and Chemical Corp.

pHisoHex…………………………………………………….Cook-Waite Laboratories, Inc.; Winthrop Pharmaceuticals

Novoclens……………………………………………………Septodont

Sana Scrub Povidone Iodine Surgical Scrub………………..Huntington Laboratories, Inc.

Scrub-Stat IV Antimicrobial Solution………………………Huntington Laboratories, Inc.

Virucidal Scrub

Alcare 1-900-345-7995 Calgon-Vestal

TLC 1-609-429-8297 Amadent