Allergy or sensitivity to prep solutions and latex
-verify the patients allergies
Chemical burn (severe blistering and skin loss)
-occurs when solution pools under the patient
Fire
-may occur with alcohol-based solutions
Thermal burn
-can occur when iodine is heated in a closed container - ANS-Patient safety considerations
An opening created in a hollow organ and sutured to the skin to drain the organs contents
The surrounding area is prepped first and the stoma is prepped last. Using principles of clean to
dirty - ANS-Stomas
Aqueous providone iodine - used most often - ANS-Betadine
As close to surgery as possible; 2 hours at most - ANS-Hair must be removed
Base of neck, shoulder, scapula, chest to midline, and circumference of upper arm down to
elbow - ANS-Shoulder
Bathe twice in chlorhexidine gluconate antiseptic soap.
Provides resistance against resident and transient microbes
If the procedure is head or scalp related, shampoo twice with CHG
Avoid using hair products after shampooing - ANS-The day before surgery the patient is
instructed to
Bladder protection - to prevent distinction during long procedures.
, Decompress (collapse) the bladder - in surgeries of the lower abdomen and pelvic cavity to
prevent injury
Monitor urine output - to assess function - ANS-reasons to catheterize
Breast prep - Chin to the umbilicus and includes lateral thorax on each side; biopsy
Mastectomy - much wider prep area
Lesions in upper lateral quadrant or breast - prep extended into the axilla - ANS-Chest and
breast skin prep
Combination of 70% alcohol and chlorhexidine gluconate - ANS-ChloraPrep
Containers for the antiseptic or saline.
Foley catheter
Gauze prep sponges
Antiseptic solution
Sterile lubricant
Sterile gloves
10 lm syringe refilled with water
Perineal drape
Forceps
Cotton balls
Drainage tubing and a urine collection unit - ANS-Necessary supplies for urinary catheterization
Contaminate areas - prepped last - ANS-Vagina , perianal and anus
Contaminated areas - prepped last - ANS-Non-intact skin, sinus tracts, ulcers
Disposed in a biohazard container - ANS-Single use clippers are
Done in 2 steps
Pelvis, labia, perineum, anus and thighs
Vagina is prepped separately - ANS-Vaginal skin prep
Draping - ANS-This is done after the patient is positioned and immediately before surgery starts
Entire arm shoulder, axilla, and hand - ANS-Arm
Expose area to be prepped
Apply sterile gloves and place absorbent barrier
Wet sponges with prep solution
Scrub skin - incision site - outward
--scrub from clean to dirty areas
Discard sponge
Repeat using clean sponges
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