Skin Preparation

Term
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Mechanical cleansing/bathing/showering
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Terms in this set (30)
Mechanical cleansing/bathing/showering
bathing with an anti-microbial soap reduces many transient microorganisms from the skin
Hair Removal
Generally not removed from the surgical site without surgeon orders, as close as possible to time of surgery (before draped), considered personal property, collect and send with patient.
Shaving Technique
Small abrasions create portals for microorganisms. Increase risk of SSI. Unbroken skin is the body's primary defense against infection. Stroke same direction of hair growth and performed immediately before surgery.
Discard disposable razors in ?
sharp box
clipper technique can be done up to ___ before case?
24 hours
Blades must be disassembled & cleaned
Sensitivity test must be done that takes a minimum of _____?
12 hours
Depilatory technique can't be used on the ?
eyes or genitalia
Mechanical cleansing
pressure (not friction) plus the antiseptic agent is basis for effective prep
Pressure
use enough pressure to remove dirt. Tissue suspected to be cancerous must be prepped gently.
Supplies
sterile prep tray is placed near the patient on a small table, wrapper is used to create a sterile field.
All surgical prep supplies are ?sterilegauzenot to be x-ray detectable or countedspongesused holding "wing" to avoid touching pt. skincotton tip swabs (q-tips)provided in prep tray & used to clean umbilicus (belly button)scrub brushfor debridementsponge stickvaginal procedurespads are used to collect ?excess prep solution and placed at junction of the patient and operating table to avoid risk of chemical burn due to solution pooling under patient.Eyes should be ?lubricated with ointment before preppingChlorhexidine Gluconate (hibiclens)not a rapid reduction of microbes but residual activity for 5-6 hours. avoid using on ears, eyes, large wounds, or burnsIodine, iodophors (betadine)low irritant, color helps see prep areas, should be on skin 2 min. to be effective, can't use on patients allergic to shellfish. Most common type of antiseptic used in the operation room for surgical prep.Iodine should be on skin for ___ to be effective?2 minutesIodine can't be used on patients allergic to?shellfishAlcoholprovides a rapid and significant reduction in microbes, not for open wounds.Alcohol is ...Flammable; sources of ignition cautery pencil, oxygen, light cords. Must be completely dry prior to draping.Hexachlorophene (pHisoHex)effective antimicrobial, must not be used around eyes, can cause blindnessif an ostomy bag is present the -ostomy is prepped ___ the other areas have been prepped?afterConsideration/Documentation: Skin conditionprior to prepConsideration/Documentation: Hair removalif any was removed and how it was removedConsideration/Documentation: prepwhat solution was usedConsideration/Documentation: person performingwho did the prep and who assisted in doing the prep if applicable