b. When surgical soaps are not available, the surgical scrub should be
performed according to local standard policy.
Section IV. THE SURGICAL SCRUB
a. Requirements for Performance of a Complete Scrub. The specialist is
to perform a scrub in the following instances:
(1) Before the first case in the morning.
(2) Between cases.
b. Methods. As local policy prescribes, the specialist will scrub by one of the
(1) Time method. Using a clock or some other timing device to measure
brushing time, the length of the scrub varies from one institution to another. This
method has been most frequently used in the past.
(2) Brush-stroke method. A prescribed number of brush-strokes, applied
lengthwise of the brush or sponge, is used for each surface of the fingers, hands, and
The specialist should follow certain principles when performing the surgical
scrub (see Table 1-1).
Is not to be included in the total scrub time if the timed
method is to be used.
Should not be touched once the scrub procedure has
Entire scrub procedure
Must be repeated if an unsterile object is touched.
Same scrub procedure
Should be utilized for every scrub, whether it is the first or
last one of the day.
May specify the time lengths and brush strokes for scrub
procedures between cases.
Table 1-1. Surgical scrub principles.