Exam (elaborations)
Chapter 20_ Surgical Skin Prep and Draping (1)
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- Population & Wildlife Post
Chapter 20_ Surgical Skin Prep and Draping (1)
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Chapter 20: Surgical Skin Prep andDraping
Chemical agent approved for use on the skin that inhibits the growth and reproduction
of microorganisms. - ANS-Antiseptic
The removal of devitalized tissue, debris, and foreign objects from a wound.
Debridement is performed on trauma injuries, burns, and infected wounds either before
surgery or as part of the surgical procedure. - ANS-Debridement
A sterile body sheet with a hole or "window" (fenestration) that exposes the incision site.
The fenestrated drape is positioned after other drapes and towels have been placed in
keeping with the procedure. Fenestrated drapes are differentiated by type (e.g.,
laparotomy, thyroid, kidney, eye, ear, and extremity drapes). - ANS-Fenestrated drape
Waterproof - ANS-Impervious
A plastic adhesive drape that is positioned over the incision site after the surgical skin
prep. The incise drape creates a sterile surface over the skin. - ANS-Incise drape
The antimicrobial action of an antiseptic or a disinfectant that continues after the
solution has dried. - ANS-Residual activity
A type of urinary catheter that remains in place. Also called an indwelling or Foley
catheter. - ANS-Retention catheter
Any liquid antiseptic combined with water. - ANS-Solution
Also called a paint prep. The skin prep is performed using only antiseptic solution, which
is painted on the skin at the operative site. - ANS-Single-stage prep
A nonretention urinary catheter used to drain the bladder one time (sometimes called a
or Robinson catheter). - ANS-Straight catheter
Postoperative infection of the surgical wound, most commonly caused by the normal
bacteria found on the patient's skin or shed from the skin or hair of members of the
surgical team. - ANS-Surgical site infection (SSI)
, Any liquid antiseptic combined with alcohol. - ANS-Tincture
- ANS-Labeling: Anterior head and neck
- ANS-Labeling: Anterior shoulder
The flank and back areas are prepped in the same manner as the abdomen, starting at
the incision site and moving outward. - ANS-Labeling: Back
- ANS-Labeling: Abdomen
The prep begins at the glans.
3. Using soft sponges or cotton balls and forceps, prep the external urethral meatus first
and then extend the prep to the circumference of the penis to the base. This step is
repeated with fresh cotton balls. Once the penis has been prepped, replace the foreskin
to its normal position.
4. Prep the scrotum, ensuring that prep solution enters all folds and skin crevices.
5. The thighs and inguinal area are prepped beginning at each side of the groin, moving
outward. The pelvis is prepped separately, beginning at the lower margin of the pubic
bone and extending to the iliac crest bilaterally. - ANS-Labeling: Inguinal area
At least 1 day before surgery, the patient is instructed to bathe twice with chlorhexidine
gluconate (CHG). It is important because it reduces the number of resident and
transient microbes. - ANS-What is the protocol for patient hygiene before surgery? Why
is it important?
- containers for the antiseptic or saline
- foley catheter
- gauze prep sponges
- antiseptic solution (water-based)
- sterile lubricant
- sterile gloves
- 10-mL syringe prefilled with water
- Perineal drape
- Forceps
- Cotton balls
- Drainage tubing and a urine collection unit - ANS-List the supplies needed for urinary
catherization.
1) position the patient
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