The head nurse is orienting a new nurse to the operating room (OR). Which action by the new nurse during the surgical hand antisepsis would cause the head nurse to be concerned?
a. The nurse removes her wedding band.
b. The nurse cleanses debris from underneath artificial fingernails.
c. The nurse cleanses the hands for 3 minutes.
d. The nurse uses an alcohol-based surgical hand scrub persistently.
ANS: B
Artificial fingernails are prohibited in the hospital setting for health care personnel who work directly with patients; they especially would be forbidden in the OR, where the risk of infection should be as small as possible.
The nurse should remove any jewelry and should cleanse the hands for 2 to 6 minutes.
An alcohol-based surgical hand scrub may be used if it is used according to the manufacturer's directions.
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