A total of 216 students were interviewed, from which 196 provided complete information. Of the 196 students, 96 (48.7%) were males and 101 (51.3%) were females. Of these, 80 (40.8%) were students living off-campus, and 116 (59.2%) were living on-campus, at the hospital’s hostel buildings.
Our results showed that almost all the participants had good knowledge regarding the major components of surgical scrubs including surgical scrub suit (95.9%), shoe covers (95.4%), head covers (94.9%), and masks (93.9%). In terms of surgical scrub usage, a proportion of respondents were knowledgeable as shown below:
Surgical scrubs: 52.8% were able to correctly identify the areas where surgical scrubs were permissible; 82.7% knew that surgical scrubs were not permissible to be worn off-campus
Protective gowns: 81.3% of the students knew that protective gowns need to be worn over surgical scrubs before leaving the operating room; and 78.7% of the students were aware of the correct method of using a protective gown (i.e tied at 3 ends).
Laundering: 78.2% of the students knew that surgical scrubs should be laundered through hospital designated laundry services.
Shoe Covers: 80.2% of students knew the appropriate colors of outside shoe covers while 92.3% of students knew to change the shoe covers immediately after surgery if contaminated.
Masks: Most students (92.4%) students knew that masks must be discarded and not dangle in the neck.
The percentage of students reporting correct practices regarding important components of surgical scrubs are shown in table 1 (see Table 1). The percentage of students reporting correct practices was lower than the percentage of students reporting correct knowledge. Gaps between knowledge and practice of medical students regarding surgical scrubs are depicted in figure 1 (see figure 1). Practices were most deficient in the cover gown and shoe cover usage. Among the 80% of students who do wear the cover gown when leaving the OR (vs those who do not), only 13.2% of them wear it in the proper way (tied at back and waist). While 80% of the students reported being able to correctly differentiate between white outside shoe covers and blue inside shoe covers, only 39% were appropriately switching between the two and utilizing the outside shoe covers. Out of 35.5% of students who used the surgical scrubs as nightwear, 9.6% did not change into a new pair of scrubs before entering the Operating Room.
The results depicted that 57.1% of students reported not having received formal training regarding surgical scrub use. Only 12.7% of students read up on proper guidelines regarding surgical scrub detailed in the student handbook or institution’s Dress code policy regarding operating room attire. 52% of the participants reported that they have neither received formal training nor have read up on the rules and procedures in the handbook. Students who said that they received formal education had higher correct responses for the correct use of protective over-gown (P-value=0.038) and shoe covers (P-value of 0.016).
Area of residence and the “Receipt of Formal Education regarding scrub etiquette” was significant for unsafe practices using Chi-Square analysis. On-campus students were 14.2% more likely to use scrubs as nightwear compared to students living off-campus (P-value=0.04). Off-campus students were 17.7% more likely to use surgical scrubs off-campus when compared to those who reside in the hostel (P-value= 0.005).
With regards to the reasons for gaps in knowledge and practice, the major reasons reported were inconvenience (66.9%), lack of appropriate scrub sizes (63.3%), and the risk of theft from changing rooms (83.7%) contributed to unsafe practices by the students. ext for this Chapter[2,3].