The following changes have been made to the Surgical Hand Antisepsis in Clinical settings literature review.

What is the correct technique to ensure that all surfaces of the hands are covered during surgical hand antisepsis?

Removal of bullet point

• At this point local policy may advise repeating the steps above but to the mid-arms only, rinsing as described above when complete.

Inclusion of new bullet points 3 and 4

• Rinse hands by passing them through the water in one direction only, from fingertips to elbow. Do not move the arm back and forth through the water
• Put antimicrobial soap into the palm of your left hand using the elbow of the right arm to operate the dispenser.

Discussion updated:
What is the correct technique to ensure that all surfaces of the hands are covered during surgical hand antisepsis?

Removal of text ‘and this is current practice in NHSScotland’ from bullet point 8.