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Emergency Undocking in Robotic Surgery: A Simulation Curriculum

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Published on: May 20, 2018

Practical experience in a surgical unit when changing from scrub to rub.

A Asensio¹, L de Gregorio

¹Servicio de Medicina Preventiva, Hospital Universitario Puerta de Hierro-Majadahonda, Madrid, Spain. aasensio.hpth@salud.madrid.org

The Journal of Hospital Infection

|March 5, 2013

Summary

Alcohol-based hand rub (AHR) is perceived as more effective than antiseptic soap hand scrub (ASHS) for surgical hand disinfection (SHD). While surgeons prefer ASHS, nurses favor AHR, showing improved compliance and skin condition with AHR use.

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Area of Science:

Infection Control and Hospital Epidemiology
Surgical Hygiene Practices
Occupational Health in Healthcare

Background:

Implementation of alcohol-based hand rub (AHR) dispensers in operating theatre anterooms followed a facility move in 2008.
Routine educational sessions promoted AHR as the preferred method for surgical hand disinfection (SHD).
Tertiary care hospital in Madrid, Spain, initiated AHR use to enhance infection control protocols.

Purpose of the Study:

To evaluate surgeons' and operating room nurses' (ORNs) knowledge regarding SHD.
To assess the performance of SHD methods, specifically AHR versus antiseptic soap hand scrub (ASHS).
To investigate perceptions of AHR and ASHS use among surgical and nursing staff.

Main Methods:

An anonymous survey was distributed to surgeons, resident surgeons, and ORNs performing SHD.
Survey data collected included knowledge, performance, and perceptions of AHR and ASHS.
Statistical analysis, including odds ratios and confidence intervals, was used to compare outcomes.

Main Results:

AHR was perceived as more efficacious than disinfectant soap hand scrub (DSHS) (mean 6.5 vs 5.6; P > 0.001).
49% of personnel were AHR users; AHR use was associated with ORNs (OR: 3.4) and resident surgeons (OR: 4.1).
ORNs reported ASHS as more skin-irritating and drying compared to surgeons; nurses preferred AHR (70%) while surgeons preferred ASHS (63%).

Conclusions:

AHR use is associated with improved compliance with SHD protocols, particularly among nursing staff.
Perceptions and behaviors regarding SHD can be modified, with AHR demonstrating better adherence.
AHR offers advantages in terms of drying speed and skin condition compared to ASHS, especially for ORNs.