AST+ Alexander's Skin Prep

study guide 1-2, 21-35

The principles and objectives of skin prep are to remove ___________ from the skin, ____________ as much as possible in the shortest time possible and with the least amount of tissue irritation, and to prevent __________ of microbes

dirt and transient microbes, reduce resident microbial counts, rapid rebound growth

Factors to be considered in skin disinfection are _______ of the involved area, number and kinds of _______, ________ of the skin to be disinfected, and _________

condition, contaminants, characteristics, general physical condition of the patient

Living human tissue ________

cannot be sterilized

These six procedures must be carried out prior to performing the surgical skin prep:

anesthesia, catheterization, positioning, exposure of the surgical site, hair removal, and skin marking

The accumulation of prep fluids adjacent to or under the patient may cause __________ and increases the risk of ___________

chemical irritation/burns, electrosurgical/laser burns

The _______ membranes, _______, _______ skin, and _______ tracts should be prepped last with separate sponges due to increased level of contamination

mucous, stomas, non-intact, sinus

The prep begins at the incision site and and is carried out towards the periphery using a __________ motion

widening circular

_________ provides a rapid and significant reduction in skin microbial counts

alcohol

__________ are less likely to cause skin irritation and do not need to be removed

iodophors

_________ does not provide as rapid a reduction in skin microbial counts as alcohol but provides a longer residual effect (five to six hours)

chlorhexidine

The choice of agent should be based on the patient’s _______, ________, and the _______

skin sensitivity, allergies, surgical site

Single use prep solutions should be allowed to dry to prevent _______

ignition of the alcohol fumes

Prep solution can ____ the delicate tissues of the eyes, as well as the mucosa of the _____, _____ and the back of the _____

burn, nares, mouth, throat

chlorhexidine gluconate is _______ and can cause ________

ototoxic, sensorineural deafness

A ________ is placed under the extremities during prep to collect any excess solution that may ______

moisture-proof pad, drip

Sponges should be _____ after going over the anus

discarded

The vagina is considered a ________ area

contaminated