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Archive Infection Control 2013

3 Sure-Fire Steps to Standardized Preps

How we secured frontline buy-in and ensure continued compliance.

Sharon Butler, MSN, RN


iodine-based prepping TOO MANY OPTIONS With iodine-based prepping, nurses at Stanford University Hospital and Clinics were too often conjuring cocktails that had little basis in best practices.

You know there's trouble with your skin prepping protocols when nurses act more like bartenders than caregivers, mixing 1%, 2% or 3% iodines with alcohol for surgeons who don't use single-use chlorhexidine and povidone-iodine products. That's the reality we faced before surgeons and nurses partnered to limit available prepping options to 3 products, which resulted in lower infection rates and increased satisfaction across the front line. Let's look at how you can standardize patient skin prepping as part of a surgical site infection process improvement project.

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