Preparatory and after treatment in operative cases . a chamber contiguous to the operating writer regards the performance of this act best done in theoperating room. In private practice this is quite impossible, as CLEANSING THE HANDS 127 few, if any, extemporized operating rooms have running waterconnections. In hospitals this is, of course, provided for. Again,in some hospitals the entrance to the operating room is providedwith a swing door which permits of access without contact of thehands. However, the less possibility there is of contact with ex-trinsic substances after the clea
Preparatory and after treatment in operative cases . a chamber contiguous to the operating writer regards the performance of this act best done in theoperating room. In private practice this is quite impossible, as CLEANSING THE HANDS 127 few, if any, extemporized operating rooms have running waterconnections. In hospitals this is, of course, provided for. Again,in some hospitals the entrance to the operating room is providedwith a swing door which permits of access without contact of thehands. However, the less possibility there is of contact with ex-trinsic substances after the cleansing of the hands is begun thebetter. The basin used should be roomy and should permit ofsubmersion of the entire hands and forearms. For convenience, a table is placed beside the wash basin hold-ing a glass jar with sterile brushes, orange sticks, and a nail filesubmerged in a solution of carbolic acid 1 in 100, a jar of greensoap, and two enameled dishes, one containing chlorid of limeand the other sodium carbonate (Fig. 76). A large quantity of. Fig. 76.—Table with Material for Cleansing Hands. 1, Tray with calciumchlorid; 2, Tray with sodium carbonate; 3, Jar containing nail brushes andorange sticks; 4, Ordinary toilet soap; 5, Jar of green soap. water and a liberal amount of soap should be employed. Thenormal epidermis is most thoroughly impregnated with bacteria,and the object of the scrubbing is not to destroy the bacteria, butto remove them, and this can only be done by removing a portionof the epidermis. Consequently it is advised that the hands bepermitted to remain in warm water for a few minutes before thesoap is applied and thus the epidermis be macerated and in a con-dition favorable to removal. This manipulation should takeplace in a roomy wash basin, the supply cocks of which are ma-nipulated by the foot (Fig. 77). The illustration shows a de- 128 PREPARATION OF OPERATOR AND ASSISTANTS sirable arrangement in this regard. The two upper cocks are con-nected wit
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Keywords: ., bookcentury1900, bookdecade1910, bookpublishernewyo, bookyear1910
