Sister

Any treatment of the hands of a nurse involves preparation and direct decontamination (removal of contaminants). The hands of a nurse must be well-groomed, without inflammation, burrs and microcracks.

Nails should be neatly trimmed and unvarnished. The skin edge of the nail bed should not be cut due to the risk of microtrauma and inflammation. Artificial nails on the hands of a nurse are unacceptable. Before the nurse's hands are processed for manipulation, wristwatches and jewelry must be removed.

Preparing the nurse's hands for processing

• We remove watches and jewelry.
• We examine the hands for inflammation and skin damage.
• In the presence of wounds, inflammation of the skin, we inform the senior nurse.
• In the presence of small injuries and local inflammation, we seal the problem areas of the skin with adhesive tape and put on a fingertip.

Machining the hands of a nurse

Normal hand washing is carried out with liquid soap from the dispenser, and in case of its absence, with simple lumps. Manipulation rooms should be equipped with elbow-operated mixers.

After preparing the hands, we moisten them with warm water, lather the palms, the backs of the hands, the interdigital spaces and the nail beds. 

Vigorously three hands together:

1. palm on palm;
2. right palm on the back of the left hand and vice versa;
3. we interlock our hands with spread fingers and three inner surfaces of the fingers with up and down movements;
4. we fold our hand into a fist and with the back of the fingers of one hand we three palm of the other hand (repeat for each hand);
5. we clench our hand into a fist and embrace the finger of the other hand, three fingers in a circular motion - repeat with each finger on both hands;
6. three palm of one hand with the fingertips of the other, then change hands.

Each action must last at least 30 seconds. After washing, we dry our hands with a disposable towel or cloth, which is immediately removed from circulation.

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Hygienic antiseptic treatment of the hands of a nurse

1. Preparing hands for processing.
2. Washing hands with antiseptic soap.
3. Treatment of hands with water or alcohol antiseptic in accordance with the instructions for use. Drying with a towel after treatment with an antiseptic is NOT ALLOWED.

Surgical treatment of the hands of a nurse

1. Hand preparation.
2. Washing with ordinary or antiseptic soap - hands, wrists, forearms. Nails are treated with brushes.
3. Drying hands with a sterile cloth.
4. Application of an alcohol solution of a skin antiseptic, rubbing it into the skin until completely dry (water solutions of antiseptics are NOT APPLIED).
5. Repeated application and rubbing of an alcohol antiseptic, followed by drying WITHOUT DRYING WITH A TOWEL.
6. Putting on sterile gloves on dry hands.

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