Cara Cuci Tangan Bedah ( Surgical Hand Washing) | RSUD Siti Fatimah Az-Zahra Prov. Sumsel

Summary

Eki, a nurse at RSUD Siti Fatimah, demonstrates the hospital’s surgical hand-washing procedure in accordance with its standard operating procedure (SOP). The procedure combines an initial wash with antiseptic soap and a subsequent surgical hand rub. Its purpose is to clean the hands and arms before an operation while keeping the hands above the elbows afterward.

Procedure Demonstrated

1. Prepare

   • Remove all accessories.
   • Ensure fingernails are short.

2. Pre-clean with soap and water

   • Wet the hands under running water.
   • Apply antiseptic soap.
   • Wash using the six-step hand-washing technique for 40–60 seconds.
   • Rinse under running water using the same six-step technique.
   • Dry the hands with tissue.

3. Apply surgical hand rub to the first arm

   • Dispense approximately 5 mL of hand-rub solution—about three presses of the dispenser.
   • Dip the fingertips of the left hand into the solution for about 5–10 seconds.
   • Spread the solution evenly over the arm in three sections:
     • Lower third
     • Middle third
     • Upper third, up to about 5 cm above the elbow
   • Spend roughly 10 seconds per section, as shown in the demonstration.

4. Repeat on the other arm

   • Dispense another approximately 5 mL of solution.
   • Repeat the fingertip dip and three-section application on the other arm.

5. Complete the hand-rub sequence

   • Dispense a further approximately 5 mL.
   • Perform the final hand-rubbing sequence, described by the presenter as five steps. The subtitles do not clearly specify the individual movements.

6. Finish

   • Keep the hands raised above the elbows and be ready to proceed with the operation.

Speakers and Source

• Eki — Nurse in the central surgical installation at RSUD Siti Fatimah; demonstrates the procedure.
• Source — RSUD Siti Fatimah Regional Hospital, South Sumatra.