Surgical skin preparation and draping

chapter 17

pre surgical skin prep and draping procedure

methods used to prevent surgical site infection ( SSI)

disposal drapes esposes

only the surgical site and create a sterile field

body’s primary defense against infection

skin

skin can not be sterilized but bacterial load can?

be reduced with antiseptic cleansing or a coating of antiseptic on the skin

what is/are generally not removed from the surgical patient but will require a surgeon’s order if it needs to be done?

hair

where should never be removed by other means because they fail to regrow or may grow abnormally after removal

eyebrows and eyelashes

patients undergoing urological surgery or other surgery requires what type of catheter

Foley catheter

catheters inserted through prolonged surgery should be removed when?

PACU - post anesthesia care unit

catheterization requires an order from?

the surgeon

most common method of continuous drainage is

foley urinary catheter ( retention catheter )

what are approved for use on skin and may be used for the surgical skin prep

antiseptics (like chlorhexidine and iodine)

drapes used whenever laser surgery is planned

aluminum-coated

if an area of the drape is suspected of being contaminated, the are may be

covered with another impervious drape

uncontrolled or monitored systems create a risk of

thermal burn

surgical preps agents can cause skin irritation, rash, or other

chemical burns

serious ____ can occur when prep solutions are allowed to pool under the patient during surgery.

chemical burns

_____ is a type of tissue that is removed from one site on the patient and grafted to another site.

autograft

wounds that are almost contaminated because they are caused by external forces and often occur in environments that are mildly or grossly contaminated

trauma

a retention catheter with a small, inflatable balloon at the tip is called a _________ catheter

foley

catheterization of a female surgical patient requires the _______ position

Knees slightly flexed

the right sterile technique when placing a foley catheter

the dominant hand is to remain sterile while the non-dominant hand is non sterile