The female scrub nurse cannot remove her wedding ring for the surgical scrub. Which should the nurse implement?
1. Put on a double layer of sterile gloves.
2. Tell charge nurse she cannot remove ring.
3. Cover with a wide piece of adhesive tape.
4. Scrub hand with the ring 10 minutes extra.
2
2. The nurse's only recourse is to notify the charge nurse that the ring will not come off and that the nurse needs a few extra minutes to remove the ring. The nurse should try a small amount of lubrication on the finger and the ring; in fact, lukewarm water and liquid hand wash usually work well.
1, 3, and 4. Double gloving, covering the ring with adhesive tape, and extending the surgical scrub time are insufficient means of resolving this problem. The Association of Operating Room Nurses endorses the removal of all jewelry to reduce the risk of infection because the jewelry often contains tiny etchings, crevices, and joints har-boring microorganisms.
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