so we all saw me sit up our trolley when I come I'd wash my hands and remember if your starid yelling it's not just that's not enough you need to do your thumbs your butt's your pieces I see you and I would have already come to the patient and ask them what their pain was I would have had a look to see what equipment I needed so now I'm here and I'm about to start a procedure so you want to open your pack and then you'll notice that there's a little talons piece so you're going to pull it and you'll see that it doesn't want to lay straight for me either but you'll notice that I'm just touching the back side you know I'm going to unpick and I like to unpick in the order in which I will be using things okay remembering that I've got that five centimeter border around the edge that is not clean now but my saline in and I would just go there okay and now I'm going to put my gloves on or I before I do that I could put this down so we'll do that first so this is just clean so once you pick it up off your sterile area you can use your hands this is an NK sheet just to protect the meat can I get you to lift your arm up we thank you and to pratik the lemon then you're going to put your gloves on and you'll notice that I've got my trolley position like that and I'm standing in this little gate okay then what I'm going to do is I'm going to lift up all the tape first and then you want to roll the dressing up so that you can Taney any of the infection you're going to hear a little clip lock and then to remove your gloves this is like a pro done all right now I'm going to wash my hands again and then this time I want to place the sterile field down so you'll notice I tuned it over I looked for the corner pull the corner now this extends my clean area from my trolley to the patient okay and then for the procedure well it just means that when you transfer to the duty or your your small will stay clean you're not passing it over Duty area before you put it on to the wound so it just all stays a bit cleaner and you can see that look even I have trouble with these gloves we know our hands are not properly dry yeah I'm going to hook up my faucets down this is my clean hand this is my not cleaned so I'm going to lift up with this one into my say then dry it off a little bit over and I want to clean from the top so that on an arm that will be the elbow to the wrist and I'm going to okay this way so one down the middle when down each side so really if you're doing this sort of dressing the minimum number you'll probably use is three and then we're going to dry so when we dry we just dry the outside and we do a dipping motion and we're still doing that rolling so it's Deb Deb Deb and roll at the same time and then essentially that is done now these tips have been on the duty patient so I want to put those set of forceps and that full five centimeter region and these tips are still clean so I'm going to put those down onto my dressing trolley with justice of Duty but and the five centimeters I'm going to reach down here I'm gonna grab my ruler and you can see how duty these are so these do not touch the patient you just hover them over and you measure and I go like four centimeters by one and now my hand my gloves are duty so I don't want to continue to use those so I'm going to remove them wash my hands one more time I'm going to pick my forceps up using my same technique of clean and duty hand and I want to use to make how much tape I'm going to need you can see how I've got that wrinkle so I would tape the side first then I would capture that side was my tape and pull it out straight okay and mm-hmm now essentially everything's finished so now I would clean up [Applause] so my patient is okay I finished my procedure before I leave the room I wash my hands all right I go back to the dressing