The surgical assistant, a manual for students, practitioners, hospital internes and nurses . cal experience even the occasional assistant should givehis most conscientious attention. Thorough preliminary disinfection is only a part, but avital part, of aseptic technics. Before the scrubbing up is begun the assistant should don a rubber apron for theprotection of himself, and a mouth-mask and cap for theprotection of the patient. These latter can be fashioned froma piece of gauze stretched over the scalp, the ends beingcrossed beneath the occipital protuberance, brought forward Preparation of t
The surgical assistant, a manual for students, practitioners, hospital internes and nurses . cal experience even the occasional assistant should givehis most conscientious attention. Thorough preliminary disinfection is only a part, but avital part, of aseptic technics. Before the scrubbing up is begun the assistant should don a rubber apron for theprotection of himself, and a mouth-mask and cap for theprotection of the patient. These latter can be fashioned froma piece of gauze stretched over the scalp, the ends beingcrossed beneath the occipital protuberance, brought forward Preparation of the Assistant. 73 and spread over the nose, mouth (and beard) and tied atone side. The shirt-sleeves should be rolled up well above theelbows; and the scrubbing should also be beyond this must be deliberate, vigorous and painstaking. Hot, run-ning water is desirable and a rather stiff hand-brush, , and a nail cleaner are essential. After a brief scrub-bing of the nails these should be trimmed rather short andthen receive a preliminary treatment with the orange stick. Fig. 22. The assistant scrubbed up and ready for the operation. or other cleaner—under their edges and in the skin-foldabout their borders. After a second, more prolonged, scrub-bing, the nails should have a second cleaning with the follows a vigorous, systematic scrubbing from finger-lips to elbows—first one arm and then the other, finger byfinger, area by area. Such a scrubbing requires scarcely 74 The Surgical Assistant. less than five minutes for each extremity. Since the mouthsof the sudoriferous and sebaceous glands, which are throwninto activity by the labor of an operation, contain manymicro-organisms, Maylard suggests the following rationalprocedure: The hands are submerged for from five toten minutes in water as hot as can be conveniently effect of this is to dilate all the capillary vessels, as in-dicated by the redness of the skin, and thus excite into acti
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Keywords: ., bookcentury1900, bookdecade1900, booksubjectsurgery, bookyear1905
