Exam (elaborations)
CH 19 surgical skin prep (1)
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CH 19 surgical skin prep (1)
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CH 19 surgical skin prepDraping - ANS-This is done after the patient is positioned and immediately before surgery starts
Surgical site - ANS-Create the center of the sterile field
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
Urinary catheterization - ANS-And invasive procedure requiring physicians orders. It is a sterile
procedure.
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
Used when continuous drainage is needed; has a small inflatable balloon at tip, keeps catheter
in place - ANS-Retention
Retention catheter for continuous drainage - ANS-What's a foley
Aka in and out. Used when continuous is not needed - ANS-Straight
Straight, used for quick urine withdrawel - ANS-What's a red Robinson or metal cath
Most often performed immediately before the surgical skin prep. Performed by the circulator
only after anesthesia indicates its safe - ANS-catheterization
Age size and gender - ANS-Catheter selected based on patients...
Female 14 to 16 Fr ; Men 16-18 Fr - ANS-Catheter size for woman and men
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
Trauma and infection - ANS-2 primary risks
Uti - ANS-Escherichia coli infection
Razor clippers depilatory cream. - ANS-Hair removed with
As close to surgery as possible; 2 hours at most - ANS-Hair must be removed
Disposed in a biohazard container - ANS-Single use clippers are
Skin marking for wrong site - ANS-The joint commission require
Surgeon - ANS-Who has to mark the skin
Alcohol.
Chlorhexidine gluconate - hibiclens.
ChloraPrep
Beta dine
Iodophor
Triclosan
PCMX - Parachlorometaxylenol (chloroxylenol)
Hexachlorophene - ANS-Prepping
Isopropyl alcohol 70%
95% effective on gram+, bacteria, mycrobacteria, fungi and viruses
Highly flammable
Kills by dessication - ANS-Alcohol
Used for preop bathing after the pot has bathed normally. Accidental use on ears can cause
hearing loss. - ANS-Chlorhexidine gluconate - hibiclens
Combination of 70% alcohol and chlorhexidine gluconate - ANS-ChloraPrep
Aqueous providone iodine - used most often - ANS-Betadine
Iodine povacrylex and isopropyl alcohol - ANS-Duraprep -
Iodine + povidone (synthetic dispersing agent )
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