What is the first step in a surgical hand scrub?

The first step in a surgical hand scrub focuses on ensuring that the hands are free from visible debris and microorganisms before proceeding with the antimicrobial scrub process. By cleaning the sublingual areas of both hands with a disposable nail cleaner, the individual addresses the often-overlooked area where dirt and contaminants can accumulate. This initial cleaning is essential for reducing the microbial load and enhancing the effectiveness of the subsequent antimicrobial scrub agent.

Moving on to the next steps in the hand scrub process, while dispensing an antimicrobial scrub agent onto wet arms and forearms, washing all four sides of each finger, and ensuring complete coverage of the hands and forearms are important components, they logically follow this preliminary step of visibly cleaning the hands. Starting with a thorough cleaning of the sublingual areas sets a solid foundation for the remainder of the surgical scrub, ensuring that the process is performed effectively and in alignment with safety protocols.