b. Containers for surgical detergents are placed between each two sinks.
Foot-operated pedals attached to the containers provide a convenient method of
dispensing detergents without contaminating the hands. Scrub brushes (depending on
the type used) may be placed in dispensers, one between each two sinks. A clock
should be provided for timing the scrub procedure when required.
Section III. CLEANSING AGENTS IN USE
A number of surgical soaps are available for use in Army hospitals. Scrub
brushes are also used. A surgical scrub brush/sponge with a nail cleaner are
prepackaged, presterilized, and may be impregnated with a surgical soap. The brush is
disposable and for one time use only.
a. Standard Agents. The surgical soaps available as a standard item are
Povidone-iodine and Hibiclens. These soaps are used in a concentrated liquid form in
soap dispensers or in brushes impregnated with these detergents.
b. Desirable Properties. These agents are preferable for doing the surgical
(1) They are nonirritating to most people.
(2) They leave a minimum number of microorganisms on the skin.
(3) They have a prolonged anti-bacterial effect on the skin when used
regularly. Surgical detergents leave a film on the skin which keeps the resident bacteria
to a minimum and yet they do not interfere with the skin's natural resistance to transient
bacteria (refer to paragraphs 1-1d(1) and (2)).
(4) They will lather in either hot, cold, or hard water.
(5) The amount of detergent needed for a scrub is small (about 8 ml).
Adding more water produces more lather.
ALTERNATIVES IN THE FIELD
a. Povidone-iodine and Hibiclens are two types of surgical soaps that are
available as standard items. These soaps are in liquid form.