1 2
S U P P L E M E N T T O O U T P AT 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 | M AY 2 0 1 4
cialists.
For example, CHG shouldn't be used in the ears or near the eyes, and
although the American Congress of Obstetricians and Gynecologists recom-
mends the off-label use of 4% CHG as a safe and effective alternative for vaginal
preparation when povidone-iodine is contraindicated, manufacturers recom-
mend against using it in the genital area. At the same time, povidone-iodine can
be problematic for patients with thyroid issues. So a facility that's doing primari-
ly one type of procedure on a specific patient population might profit from stan-
dardizing its approach and using only 1 or 2 skin-prep solutions, but another
facility might need a variety of products to meet all the needs of a diverse
patient population. Input from team members can be very helpful in reviewing
research, clinical guidelines and literature published by manufacturers.
Clinical confidence
The new AORN Recommended Practices for Preoperative Patient Skin
Antisepsis cite 168 sources. Perioperative RNs should feel confident when they
follow the guidelines, knowing that they're not only evidence-based, but also
based on a through search and appraisal of the literature, and a careful rating of
the collective body of evidence applied to each recommendation.
OSM
Ms. Van Wicklin (
sva nwick lin@a orn.org
) is a perioperative nursing specialist with
the Association of periOperative Registered Nurses in Denver, Colo.
S K I N P R E P P I N G
© 2014 Clorox Professional Products Company. NI-24691
*Association of periOperative Registered Nurses (AORN) Recommended Practices for Preoperative
Patient Skin Antisepsis (2012) Perioperative Standards and Recommended Practices: 445-463.
AORN does not endorse any commercial company's products or services.
AORN says
2 CHG showers.
Aplicare says
DONE.
USE 1:
Night before procedure
USE 2:
Day of procedure
2 single-use packs attached by a
perforated seal ... everything needed for
2 cleanses
Designed to meet AORN guidelines for
pre-procedural skin cleansing*
Bilingual waterproof
instructions encourage
patient compliance
Convenient tray included
for soaking cloths
introduces the 2-in-1 CHG skin cleansing kit.
Get a free sample at www.AplicareCleansingKit.com.
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