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Outpatient Surgery E-Weekly

Contact Congress Over Drug Shortage Issues

A Kentucky congressman is urging surgical facilities to contact their members of Congress and request that they sign his letter demanding changes to...

N.J. Posts ASC Inspection Reports Online

State and federal inspection reports of New Jersey's ASCs are now available online, giving patients an opportunity to make more informed choices abo...

Are Opioids Necessary?

While it's not always practical, or even possible, to eliminate opioids from your post-op pain management regiment, reducing their use in favor of n...

Archive > February, 2008 Vol. IX, No. 2

How We Standardized Our Ortho Skin Prepping Practices

The benefits are many when everyone in the OR understands the rationale behind your skin prep routine.

Barbara Robinson

No two of our orthopedic skin preps were the same. I know this because I observed the skin prep practices of our orthopedic surgery teams as part of a project to standardize our prepping practices. We'd scrub some patients before painting, but not all. Sometimes we'd wear gloves and use positioning devices and drapes, sometimes not. We'd use betadine on one patient, alcohol and iodine povacrylex on the next. Even who performed the prep varied, with the circulator, attending, scrub tech and fellow each taking a turn.

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Categories: Infection Control, Orthopedics
Keywords:
Our standard routine; One-two punch; Adhere; Alike Over; Apply; Base; Case; Clean; Data; Drip Pad/U-Drape Prep? YesNo Observed Case; Friction; Gloves Observed Case; Gloves On? No GlovesSterile Gloves Observed Case; GlovesSterile Gloves Observed Case; Gluconate Observed Case; Hand; HeldLimb Holder Observed Case; Holder Observed Case; Nurses HeldLimb Holder Observed Case; ORs; On? No GlovesSterile Gloves Observed Case; Pad/U-Drape Prep? YesNo Observed Case; Paint; Painting? YesNo Observed Case; Perform; Performed; Performed Gloves On? No GlovesSterile Gloves Observed Case; Performed Painting? Ye... show all keywords
Our standard routine; One-two punch; Adhere; Alike Over; Apply; Base; Case; Clean; Data; Drip Pad/U-Drape Prep? YesNo Observed Case; Friction; Gloves Observed Case; Gloves On? No GlovesSterile Gloves Observed Case; GlovesSterile Gloves Observed Case; Gluconate Observed Case; Hand; HeldLimb Holder Observed Case; Holder Observed Case; Nurses HeldLimb Holder Observed Case; ORs; On? No GlovesSterile Gloves Observed Case; Pad/U-Drape Prep? YesNo Observed Case; Paint; Painting? YesNo Observed Case; Perform; Performed; Performed Gloves On? No GlovesSterile Gloves Observed Case; Performed Painting? YesNo Observed Case; Povacrylex Observed Case; Pre-op; Prep Performed Gloves On? No GlovesSterile Gloves Observed Case; Prep Performed Painting? YesNo Observed Case; Prep? CirculatorAttendingScrubFellow Observed Case; Prep? YesNo Observed Case; Prepare; Preps Alike Over; Prevent; Removing; Scrub; Scrub Used? Scrub; ScrubIodine Povacrylex Observed Case; SinkChlorhexidine Gluconate Observed Case; Skin Preps Alike Over; Stay; Surgical Prep Performed Painting? YesNo Observed Case; Used? Betadine Paint; Used? Scrub; Wash; accepted; actors; actual; addition; agent; agents; agreed; alcohol; antimicrobial; antiseptic; antiseptics; application; applicators; apply; applying; area; argue; asked; beneath; betadine; broad; brought; buzz; camera; care; case; chairman; change; changing; chemical; choice; circulator; clarify; clean; cleansing; clearer; collaborative; common; comparing; contamination; control; counts; created; creating; current; data; day; debris; decreasing; delivering; department; devices; directed; directions; disinfecting; dispersive; documented; documenting; draped; draping; effective; electrodes; electrosurgical; eliminated; encourage; enlisted; entire; established; evidence-based; fellow; finger; fingernail; follow; forearms; found; free; fun; gathering; germicidal; gloves; gowned; group; hand; hold; home; hoped; immediately; improve; increased; indirect; infection; information; initiative; insist; instrument; integrity; involve; iodine; kit; knowledgeable; launch; left; leg; limited; literature; made; make; manner; manufacturer's; member; methodology; methods; microbes; microbial; minimize; minutes; not-so-standard; nursing; observed; open; opening; opposed; organic; orthopedic; packs; pads; part; patient; patients; payors; people; performed; performing; perioperative; place; pneumatic; pointing; pooling; portrayed; positioning; povacrylex; practice; pre-op; prep; preparation; prepare; prepped; prepping; preps; present; presentation; preserves; prevented; prevents; primary; process; produced; products; project; proper; published; quality; range; rationale; real; reality; rebound; reduce; removing; research; resistance; results; risk; routine; scrub; scrubbed; securing; short; show; showed; showing; side; simply; site; skilled; skin; soil; staff; standard; standardize; standards; started; sterile; study; suggests; superficial; supplies; support; supported; supports; surgeon; surgeons; surgery; surgical; surrounding; taking; team; tech; techniques; things; tourniquet; transient; two-week; un-gowned; unanimously; understands; uniform; unit; vendor; video; videotape; wear; working; wound; written

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