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Related Concept Videos

Hand hygiene01:23

Hand hygiene

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Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
Hand washing...
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Handwashing II: Pre-procedure and Initial Procedure Steps01:19

Handwashing II: Pre-procedure and Initial Procedure Steps

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The pre-procedure steps of handwashing include removing jewelry and rolling up sleeves. However, many organizations allow staff to wear wedding rings.
The hand washing procedure itself includes the following steps. First, cover cuts, if any, on hands with a waterproof dressing. Cuts and abrasions can become contaminated with bacteria hindering the ability to clean the area thoroughly. In addition, repeated hand washing can worsen an injury.  The nails must be short and clean, without nail...
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Handwashing III: During the Procedure and Post-Procedure Steps01:15

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To wash hands properly, follow these steps:
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Psychosurgery01:30

Psychosurgery

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Psychosurgery, the surgical alteration or permanent removal of brain tissue to alleviate severe psychological conditions, stands as one of the most radical and controversial treatments in the history of mental health care. Its development and application have evolved significantly, marked by dramatic shifts in scientific understanding and ethical perspectives.
Historical Development of Psychosurgery
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Standard Precaution01:26

Standard Precaution

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Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
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Handwashing I: Introduction and Types of Equipment01:18

Handwashing I: Introduction and Types of Equipment

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Handwashing is hand hygiene with plain or antimicrobial soap and water to physically remove dirt, organic material, and microorganisms. However, it may not kill all microorganisms. The handwashing procedure requires a hand wash basin, liquid soap, paper towels, a domestic waste bin, and disposable nail cleaner as optional equipment.
Hand wash basins in clinical areas should have faucets that can be turned on and off without using the hands; that is, they should be non-touch or lever-operated....
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Updated: Dec 31, 2025

A Method to Test the Efficacy of Handwashing for the Removal of Emerging Infectious Pathogens
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Environmentally Responsible Hand Surgery: Past, Present, and Future.

Dalibel Bravo1, R Glenn Gaston2, Eitan Melamed3

  • 1Department of Orthopedic Surgery, NYU Langone Orthopedic Hospital, New York, NY.

The Journal of Hand Surgery
|January 14, 2020
PubMed
Summary

Healthcare generates significant waste, with operating rooms contributing substantially. This study explores the Lean and Green initiative to reduce waste in hand surgery through various material and nonmaterial strategies.

Keywords:
Hand surgeryLean and Greensustainabilitywaste management

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Area of Science:

  • Environmental Science
  • Healthcare Management
  • Surgical Waste Reduction

Background:

  • Healthcare is a major source of environmental waste, contributing to air pollution and resource depletion.
  • Operating rooms generate a significant portion of hospital waste, with hand surgery being a high-volume contributor.
  • The environmental impact of healthcare waste poses a substantial financial burden.

Purpose of the Study:

  • To highlight the Lean and Green initiative for reducing waste in hand surgery.
  • To propose methods for decreasing material and nonmaterial waste in surgical settings.
  • To address the environmental and financial impact of waste generated by hand surgery.

Main Methods:

  • Literature review to identify waste reduction strategies.
  • Focus on the Lean and Green initiative proposed by surgical societies.
  • Analysis of material and nonmaterial waste streams in hand surgery.

Main Results:

  • Identification of key areas for waste reduction: energy consumption, sterilization, device reprocessing, patient transport, supply production, anesthesia, and sanitation.
  • The Lean and Green initiative offers a framework for sustainable practices.
  • Multiple strategies can be implemented to reduce the environmental footprint of hand surgery.

Conclusions:

  • Implementing the Lean and Green initiative can significantly reduce waste in hand surgery.
  • Addressing both material and nonmaterial waste is crucial for environmental sustainability in healthcare.
  • Sustainable practices in hand surgery can lead to both environmental and financial benefits.