Medical Hand Washing Purpose: To maintain hands free of visible soiling. Steps 1. Gather the necessary supplies.

Stand in front of the sink. Do not allow your clothing to touch the sink during the washing procedure. . !emove "ewellery# if possible# and secure in as safe place or allow plain wedding band to remain in place. $. Turn on water and ad"ust force. !egulate the temperature until the water is warm. %optional& '. (et the hands and wrist area. )eep hands lower than elbows to allow water to flow toward fingertips. *. +se about 1 teaspoon li,uid soap from dispenser or rinse bar of soap and lather thoroughly. -over all areas of hands with the soap product. !inse soap bar again and return to soap dish. .. (ith firm rubbing and circular motions# wash the palms and backs of the hands# each finger# the areas between the fingers# the knuckles# wrists# and forearms. (ash at least 1 inch above area of contamination. /f hands are not visibly soiled# was to 1 inch above wrist. 0. -ontinue this friction motion for at least 1* seconds. 1. +se fingernails of the opposite hand or a clean orangewood stick to clean under fingertips. 2. !inse thoroughly with water flowing towards fingertips. 13.Pat hands dry# beginning with the fingers and moving upward towards forearms# with a paper4 hand towel and discard immediately. +se another clean towel to turn off the faucet. Discard towel immediately without touching other clean hand. Source: !56 7anual 331 6dition

Principles of Asepsis 1. 8nly sterile items are used within sterile fields. 9ll articles used in an operation have been sterili:ed previously. . Persons who are sterile touch only sterile items4 areas; persons who are not sterile touch only unsterile items4 areas. $. /f in doubt about sterility of anything# consider it unsterile. '. <onsterile persons avoid reaching over a sterile field; sterile persons avoid leaning over unsterile area. *. Tables are sterile only at table levels. .. Gowns are considered sterile only from waist to shoulder level in front# and the sleeves. 0. The edge of anything that encloses sterile contents is unsterile. 1. Sterile persons keep well within sterile areas. 2. <onsterile persons keep away from sterile areas. 13.Sterile field is created as close as possible to the time of use. 11.Sterile areas are continuously kept in view. 1 .Destruction of integrity of microbial barriers results in contamination. 7oisture can cause contamination. 1$.(hen microorganisms cannot be eliminated# they must be kept to an irreducible minimum.