2 0 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • M A Y 2 0 1 9
are answered without disrupting the intended airflow and positive
pressure of the OR.
• Wound care. As we close abdominal cases, we apply a wound protec-
tor and flush the incision site with 2 liters of irrigation fluid. We also use
the following closing protocol: remove dirty instruments and suction
from the sterile field; retrieve a separate closing Mayo stand; re-glove and
Whether you're a new resi-
dent, a physician assistant,
a new OR staff member or a
staff member on rotation
from another facility, you
must first attend one of our
1-hour scrub classes if
you're scrubbing in on one
of our procedures.
The class describes our
scrub policy in detail and
the clinical studies that support it. After the policy review, scrub-
class students must demonstrate that they can scrub in (gown
and glove) according to our policy. Some staff members were
initially annoyed by the mandatory class — this is pretty basic
stuff, isn't it? — but they eventually they came around. In the end,
many even thanked us for the brush-up on the basics. They said
it was the first time anyone had ever taken the time to explain a
scrub policy in such detail. The class not only helps break some
bad habits that were creeping into our procedures, it also
ensures we follow standardized scrubbing protocols.
— Megan Lamoreux, BSN, RN, CNOR
Breaking Bad Habits at the Scrub Sink
• SHOW OF HANDS Everyone who scrubs in at Geisinger Health
must demonstrate basic technique before entering the OR.
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