ILIGAN MEDICAL CENTER COLLEGE

College of Nursing and Midwifery

San Miguel Village, Pala-o, Iligan City

Name of Student: _______________________________ Date Performed: ________________

Clinical Instructor: ______________________________ Grade: ________________________

MEDICAL HANDWASHING

Concept:

Purpose:

Materials: ( ) antibacterial liquid soap

( ) orange stick or toothpick
( ) clean towel or paper towels

PROCEDURE RATIONALE
1. Inspect surface of your hands for breaks or cuts in
skin or cuticles. Cover any skin lesions with a
dressing before providing care.
2. Inspect condition of nails. Natural tips need to be
less than 1/4 inch long and free of artificial nails,
extenders, or polish.
3. Push long uniform sleeves above wrists. Avoid
wearing any jewelry.
4. Stand in front of sink, keeping hands and uniform
away from sink surface.
5. Turn on water faucet. Avoid splashing water
against uniform.
6. Wet hands and wrists thoroughly under running
water. Keep hands and forearms lower than
elbows during washing.
7. Apply 3 to 5 ml of antiseptic soap and rub hands
palm to palm, lather thoroughly.
8. Wash hands using plenty of lather and friction for
at least 15-20 seconds. Interlace fingers and rub
palms and back of hands with circular motion at
least 5 times each.
9. Palm to palm with fingers interlaced. Then back of
fingers to opposing palms with fingers interlaced.
10. Perform rotational rubbing of left thumb clasped
in right palm and vice versa. Then rotational
rubbing, backward and forwards with clasped
fingers of right hand in left palm and vice versa.
11. Areas under fingernails are often soiled. Clean
them with fingernails of other hand and additional
soap with a stick.
12. Rinse hands and wrists thoroughly, keeping hands
down and elbows up.
13. Dry hands thoroughly from fingers to wrists and
forearms with a towel.
14. To turn off hand faucet, use clean towel. Avoid
touching handles with hands.
 ILIGAN MEDICAL CENTER COLLEGE
College of Nursing and Midwifery
San Miguel Village, Pala-o, Iligan City

Name of Student: _______________________________ Date Performed: ________________

Clinical Instructor: ______________________________ Grade: ________________________

SURGICAL HANDWASHING

Concept:

Purpose:

Materials: ( ) antibacterial liquid soap ( ) surgical mask

( ) surgical brush ( ) surgical cap
( ) orange stick or toothpick ( ) sterile towel

PROCEDURE RATIONALE
1. Remove bracelets, rings, and watches.
2. Be sure that fingernails are short, clean, and healthy.
Artificial nails should be removed. Natural nails
should be less than 1/4 inch long from fingertip.
3. Inspect condition of cuticles, hands, and forearms for
abrasions, cuts, or open lesions.
4. Apply surgical cap and face mask.
5. Turn on water using knee or foot controls and adjust
to comfortable temperature.
6. Rinse hands and arms thoroughly under running
water. Remember to keep hands above elbows.
7. Under running water clean under nails of both hands
with nail pick. Discard after use.
8. Surgical hand scrub with surgical brush.
9. Wet clean surgical brush and apply antimicrobial
agent. Visualize each finger, hand, and arms as
having four sides. Wash all four sides effectively.
Scrub the nails of one hand with 15 strokes. Scrub
the palm, each side of thumb and fingers, and
posterior side of hand with 10 strokes each.
10. Do the same with the other hand.
11. Divide arm mentally into thirds. Scrub the sides of
each third 10 times. Rinse brush and repeat sequence
for the other arm.
12. Discard brush. Flex arms and rinse from fingertips to
elbows in one continuous motion, allowing water to
run off at elbow.
13. Turn off water with foot or knee control, with hands
elevated in front of and away from body. Enter
sterile area by backing into room.
14. Approach sterile setup; grasp sterile towel and dry
one hand, moving from fingers to elbow in a rotating
motion.
15. Repeat drying method for other hand by carefully
reversing towel or using a new sterile towel.
16. Drop towel into linen hamper.
 ILIGAN MEDICAL CENTER COLLEGE
College of Nursing and Midwifery
San Miguel Village, Pala-o, Iligan City

Name of Student: _______________________________ Date Performed: ________________

Clinical Instructor: ______________________________ Grade: ________________________

OPEN GLOVING

Concept:

Purpose:

Materials: ( ) a pair of surgical gloves #1

PROCEDURE RATIONALE
OPEN GLOVING
1. Perform thorough medical handwashing.
2. Remove outer glove package wrapper by carefully
separating and peeling apart sides.
3. Grasp inner package and lay it on clean, flat
surface just above waist level. Open package,
keeping gloves on wrappers inside surface.
4. Identify right and left glove. Each glove has cuff
approximately 2 inches wide. Glove dominant
hand first.
5. With thumb and first two fingers of non-dominant
hand, grasp edge of cuff of glove for dominant
hand. Touch only inside surface of glove.
6. Carefully pull glove over dominant hand, leaving
cuff and being sure that it does not roll up wrist.
Be sure that thumb and fingers are in proper
spaces.
7. With gloved dominant hand, slip fingers
underneath cuff or second glove.
8. Carefully pull second glove over non-dominant
hand. Do not allow fingers and thumb of gloved
dominant hand to touch any part of exposed non-
dominant hand. Keep thumb of dominant hand
abducted back.
9. After second glove is on, interlock fingers of
gloved hands and hold away from body above
waist level until beginning procedure.
REMOVING GLOVES
10. Grasp outside of one cuff with other gloved hand;
avoid touching wrist. Pull halfway down palm of
hand. Take thumb of half-ungloved hand and place
under cuff of other glove.
11. Pull glove off, turning it inside out. Discard in
receptacle.
12. Take fingers of bare hand and tuck inside
remaining glove cuff. Peel glove off, inside out.
Discard in receptacle.