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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OSE_1212_part2_Layout 1 12/5/12 9:49 AM Page 64 S U R G I C A L S K I N A N T I S E P S I S "One potential advantage of all-in-one applicators is that everything is sterile out of the package," says Ms. Pettis. "It's just another potential assurance." Although all-in-one products can be more costly on an individual basis, clinicians may find that they're cost-effective in the long run, because appropriate application and product use are keys to the effectiveness of the prepping process. Whatever you choose, remove any wet items after prepping, and let the solution dry to maximize efficacy. And don't let preps collect on or pool underneath the skin, especially when using alcohol-based products. This lets any vapors dissipate before applying surgical drapes, using electrodes or lasers, or activating a fiber-optic light cable, which helps prevent fire, says Ms. Pettis. "Avoid getting the prep too close to the patient's hair, as hair damp from prep solution can be flammable, too." Finally, use an approved site marker to ensure the surgical site isn't damaged or sensitized by this key step before the procedure begins, says Ms. Pettis. 6. When should patients be instructed to shower post-op? Although there's no standard regarding post-op showering, instruct patients to gently remove the prep solution around the incision site with warm water or saline solution, says Ms. Greene. "Care must be taken to keep the incisional area dry for the period instructed by the physician. 6 4 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 | D E C E M B E R 2012

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