Basic Surgical Skills

Indonesia 2019
 Aims
• To learn one safe way to do a surgical procedure. It
is not the only method of performing a surgical
procedure, but we endeavour to teach one safe way

• The course should be not only instructive and

educational but also enjoyable

• Acquire good habits earlier – it is difficult to unlearn

bad habits
Theatre etiquette
Mr R.K.Tandon
The night before theatre

• Read up the operation

• Cut nails and clean them
• No artificial nails
• No long nails
• MRSA is harboured under
the nails
 Shower at home on the
morning of the operation list
 Entering theatre

• Leave phones etc. with receptionist

• Lockers
• Remove everything except pants and bra
• Change to theatre clothes
• TUCK SHIRT IN
 Headgear

Various forms of caps, hoods etc.

COVER ALL HAIR
 Masks

• Over the nose and not on lip

• Talk, cough and sneeze into the
wound
• Don’t turn head away
 Eye protection

Spectacles,visors etc.
 Cuts

• Coverthem with waterproof

dressing
 Jewellery

• Earrings, necklaces, wedding

rings can be worn
• Not engagement rings
Theatre suite has 3 doors

• Anaesthetic room
• Scrub room
• Patient exit
• Enter through scrub room door
Scrub room

Equipment
Mirror
Clock
Surgical Attire
(dressing)
Scrubbing
• Follow hospital policy
• Use elbow to adjust water and collect antiseptic
solution
• Avoid splashing water
• Do not mix two solutions
• Duration of contact and not how hard you scrub
• Take 5 to 10 ml of solution
• Wash from hands towards elbow
• Must not come back to wash part again
• 2 minutes above elbow,1 minute below elbow and 2
minutes above wrist
• Keep hands up
• Rinse by rotation of forearms
• Nail brush only for nails and
hand creases

• Down strokes only

Drying hands and elbow
• Do not open paper towel
• Sponge, do not rub
• Keep towel folded for
better absorbency
Gowning
 Opening the pack

• If scrubbed touch inside

• If not scrubbed touch outside
• Hold by pinch grip
• Do not shake
• Slip hand to sleeve
• Keep hands in
 Gloving
• Closed technique
• Rarely open
• Half size larger underneath for double
gloving
• Always clean to clean if walking in theatre, dirty to
dirty
• Hands folded between nipple and umbilicus
 Removing the gown
(St Andrew’s cross)

• Grip left shoulder with right hand

• Grip right shoulder with left hand
• Don’t let go
• Straighten your elbows first and then cross
and remove so that the contaminated exterior
is inside and the clean interior is outside
 Removal of gloves
• “Dirty to dirty”
• Pinch the outside of one glove with the other gloved
hand
• Remove the glove and grasp it in the palm of the
gloved hand
• Put one finger of the ungloved hand under the cuff of
the glove and remove it so that only the interior of the
glove can be seen, with the other glove inside
 Walking in the theatre
• Clean to clean- Front to front
• Dirty to dirty- Back to back