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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 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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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

Handwashing III: During the Procedure and Post-Procedure Steps

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To wash hands properly, follow these steps:
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Related Experiment Video

Updated: Sep 5, 2025

An Anatomical Study of Nerves at Risk During Minimally Invasive Hallux Valgus Surgery
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Saving Money and Reducing Waste With a Tailored Hand Surgery Kit.

Katherine Velicki1, Michelle Schultz, Christopher J Dy

  • 1Department of Orthopaedic Surgery, Washington University in St Louis, Saint Louis, Missouri (Drs Velicki and Dy); and Center for Advanced Medicine-South County, Barnes-Jewish Hospital, St Louis, Missouri (Ms Schultz).

Quality Management in Health Care
|July 8, 2022
PubMed
Summary

Redesigning surgical kits for carpal tunnel release and trigger finger release significantly cut costs by 53% and reduced waste by 41%. This quality improvement initiative demonstrates a successful strategy for operating room efficiency.

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Area of Science:

  • Health Sciences
  • Surgical Innovation
  • Quality Improvement

Background:

  • Growing emphasis on cost containment and waste reduction in operating rooms.
  • Need for optimized surgical supply kits for common procedures.

Purpose of the Study:

  • To redesign the disposable supply kit for carpal tunnel release and trigger finger release.
  • To quantify cost savings and waste reduction achieved through kit redesign.

Main Methods:

  • Multidisciplinary team (surgeon, student, nurse) reviewed and recommended items for a new kit.
  • Implemented a streamlined kit over a 7-month period.
  • Calculated cost savings and waste avoidance by comparing new and standard kits.

Main Results:

  • Streamlined kit achieved 53% cost savings ($43.40 vs $92.83 per case).
  • Reduced pack weight by 41% (2.896 kg vs 4.938 kg), indicating significant waste avoidance.
  • Total savings of $2246.78 and 94 kg of waste avoided over 46 cases.

Conclusions:

  • Redesign of the local hand pack resulted in substantial cost savings and waste reduction.
  • Highlights potential for similar strategies to decrease operating room costs and environmental impact.
  • No interruptions in surgical care delivery were observed.