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Surgical Smoke Nearly Killed Me - Subscribe to Outpatient Surgery Magazine - February 2018

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 40 of 128

ically considered the best. The leading infection prevention authori- ties, including the Association of periOperative Registered Nurses (AORN), don't recommend using either chlorhexidine gluconate (CHG) or povidone-iodine for all of your cases (osmag.net/G7TnHe). However, in its updated Guideline for Prevention of Surgical Site Infection, released in 2017 (osmag.net/9okZGA), the Centers for Disease Control and Prevention (CDC) notes that "skin preparation in the operating room should be performed using an alcohol-based agent, unless contraindicated." In its recommendations for preventing surgical site infections, the World Health Organization (WHO) also recommends using "alcohol-based antiseptic solutions based on CHG for surgical site skin preparation in patients undergoing surgical pro- cedures," noting that moderate quality evidence supports the recom- mendation of using alcohol-based antiseptic solutions compared with aqueous solutions (osmag.net/TwPQ4q). 2. True or false: You should avoid clipping a patient's hair before surgery, but if clipping is needed, then it should take place in the OR. False. Both the CDC's and AORN's evidence-based practice guidelines recommend that staff not remove a patient's hair before surgery unless it will impede the procedure. Removing hair could be associat- ed with an increase in surgical site infections because when the hair is removed, there is potential for trauma to the skin. If you absolutely need to remove hair before surgery, then AORN says it should be done outside the OR and that you should use a clipper or depilatory. Make sure to also instruct patients not to shave pre-opera- tively at home. Finally, AORN notes that when removing hair, it should be done in a way that prevents its dispersal, either by wet clipping or using a clipper that has a suction function to catch the loose hair. F E B R U A R U Y 2 0 1 8 • O U T PA T I E N TS U R G E R Y. N E T • 4 1

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