Scrubbing, Gowning, Gloving, Donning and Doffing

OBGYN CLERKSHIP

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QUESTION

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What is the difference between surgical scrub technique in OR versus Labour Room?

QUESTION

What are the differences between the surgical scrubbing/gowning/gloving technique in the operating room�

VERSUS��The donning/doffing technique for an isolation room?

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Practice: STERILE TECHNIQUE

CASE 1:

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You are following Ashley Pincher, a 30 year old G1P0 in labour. She has been making excellent progress. You were in the OR for another patient’s cesarean section and notice you were paged an hour ago that Ashley is pushing.

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When you present to her labour room you see she is crowning. Ashley is exhausted but happy to see you: “I thought you were going to deliver my baby!”. Your attending gives you a stern look and says “If they can get their gloves on fast enough!”.

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• DECIDE WHAT YOU NEED TO PUT ON
• 2 STUDENTS WILL RACE AT A TIME
• YELL “TIME” WHEN YOU ARE DONE, AND FREEZE
• YOU WILL BE TIMED UNTIL THE FASTEST STUDENT IS DETERMINED
• ANY GROSS VIOLATION OF STERILE TECHNIQUE AND YOU WILL BE OUT

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Practice:

PPE

CASE 2:

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You are asked to see a patient on the ward, 42 year old G2P2 admitted with pelvic inflammatory disease (PID). You notice signs outside her room and on further inquiry her nurse tells you she is MRSA positive.

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• DECIDE WHAT YOU NEED TO DON WITH
• 2 STUDENTS WILL RACE AT A TIME
• DON AND DOFF CORRECTLY, BUT QUICKLY
• YELL “TIME” WHEN YOU ARE DONE, AND FREEZE
• YOU WILL BE TIMED UNTIL THE FASTEST STUDENT IS DETERMINED
• ANY GROSS VIOLATION OF DONNING/DOFFING STERILE TECHNIQUE AND YOU WILL BE OUT

WINNERS