What is the correct sequence of steps for performing a surgical hand scrub?

The correct sequence for performing a surgical hand scrub involves inspecting the skin, followed by scrubbing the nails, fingers, and arms up to the elbows. This approach ensures that all areas that may harbor pathogens are adequately cleaned and disinfected before the surgical procedure.

The inspection of the skin is important as it allows for the identification of any visible dirt or contamination that may need to be addressed before beginning the scrub. Following this, scrubbing the nails is critical since they can harbor the most bacteria, and thorough cleaning of the fingers and arms extends the area of sterilization. Scrubbing up to the elbows is essential, as many surgical procedures require a high level of aseptic technique, necessitating the removal of bacteria from as much skin surface area as possible.

This methodical approach aligns with established surgical protocols that emphasize thoroughness and attention to detail to minimize the risk of infection during surgery.