Outpatient Surgery Magazine

The Great Prepping Debate - December 2012 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Page 148 of 159

OSE_1212_part3_Layout 1 12/5/12 9:34 AM Page 149 SAFETY MODERN ART Piercings are a unique form of expression, but pose dangers in the OR. adamant about keeping piercings in throughout the procedure, discuss his reasons for wanting to. Include the surgeon and anesthesia provider in the conversation. Hopefully, you'll be able to impress upon him the safety reasons behind your policy and talk him into having the piercings removed. Inform patients who are afraid of losing fresh piercings if jewelry is removed that their piercer can insert plastic or quartz (inert substances that are safe for the OR) retainers in the holes to keep the wounds from closing. Remove carefully Patients are continually showing up for surgery with jewelry in place, despite being warned not to, so your staff may have to remove some pieces. Always lubricate jewelry before removal so it slides out easier and won't stick in the fistula. If you see a tube of white scar tissue coming out with the jewelry, apply more lubricant. Before removing any piece of jewelry, use sterile gauze or a sterile cotton swab to wipe the area around the piercing with dynarex benzalkonium chloride (BZK) antiseptic solution. Do your absolute best to avoid damaging jewelry during removal, but don't be overly concerned if pieces get bent or slightly damaged, especially if patients were warned about having piercings removed before arriving (their safety is more important than their jewelry). Your policy should state that no item can be kept in the body that might conduct electricity, and your facility isn't responsible for any damage that might occur D E C E M B E R 2012 | O U T PAT I E N T S U R G E R Y M A G A Z I N E O N L I N E 1 4 9

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