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    Skin Preparation For Caesarean Section

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    Gemmalene Pacleb
    This document provides guidelines for skin preparation prior to caesarean section. It outlines that the skin must be mechanically cleansed and treated with an antiseptic solution to reduce microbes and risk of postoperative infection. Hair should be removed as close to surgery as possible without contaminating the operating room. Acceptable antiseptics include chlorhexidine, iodine, or alcohol solutions. Proper documentation of the skin condition and preparation method is also required.

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    Skin Preparation For Caesarean Section

    Uploaded by

    Gemmalene Pacleb
    49 views16 pages
    This document provides guidelines for skin preparation prior to caesarean section. It outlines that the skin must be mechanically cleansed and treated with an antiseptic solution to reduce microbes and risk of postoperative infection. Hair should be removed as close to surgery as possible without contaminating the operating room. Acceptable antiseptics include chlorhexidine, iodine, or alcohol solutions. Proper documentation of the skin condition and preparation method is also required.

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    This document provides guidelines for skin preparation prior to caesarean section. It outlines that the skin must be mechanically cleansed and treated with an antiseptic solution to reduce microbes and risk of postoperative infection. Hair should be removed as close to surgery as possible without contaminating the operating room. Acceptable antiseptics include chlorhexidine, iodine, or alcohol solutions. Proper documentation of the skin condition and preparation method is also required.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    49 views16 pages

    Skin Preparation For Caesarean Section

    Uploaded by

    Gemmalene Pacleb
    This document provides guidelines for skin preparation prior to caesarean section. It outlines that the skin must be mechanically cleansed and treated with an antiseptic solution to reduce microbes and risk of postoperative infection. Hair should be removed as close to surgery as possible without contaminating the operating room. Acceptable antiseptics include chlorhexidine, iodine, or alcohol solutions. Proper documentation of the skin condition and preparation method is also required.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 16

    SKIN PREPARATION FOR

    CAESAREAN SECTION
    SKIN PREPARATION 
    the skin of the operative site and an
    extensive area round the site
    is mechanically cleansed again with an
    antiseptic solution prior to draping.
    PURPOSES
    To reduce the resident and transient microbial counts
    at the surgical site immediately prior to making the
    surgical incision.
    To minimize rebound microbial growth during the
    intraoperative and postoperative period.
    To reduce the risk of post surgical site infection.
     To prevent injury to the patient during surgical skin
    preparation.
    GUIDELINES
    • The surgical skin prep shall be performed using an
    Infection Prevention and Control Program approved
    antiseptic agent. Whenever possible the
    recommendation is for use of a Chlorhexidine-Alcohol
    prepping solution; however factors to be considered in
    the selection of a preoperative skin antiseptic agent
    include:
    Patient allergies
     Condition of involved area
     Number and/or types of contaminants
    The characteristics of the skin to be
    cleansed/disinfected
     General physical condition of the patient
    The written review of the manufacturer’s information
     The surgeon’s preference
    The agent should be non-irritating, non-toxic, easily
    COMPONENTS

    1. Mechanical cleansing
    bathing the evening/ morning before surgery with
    an antimicrobial soap.
    Note: abnormal skin irritation, infection or
    abrasion near the operative site may be a
    contraindication to the performance of the
    surgical procedure.
    2. HAIR REMOVAL

    Breaks in the skin permit in the entry and


    colonization of microorganisms, a potential source of
    infection
    Hair removal should take place as close to the time of
    surgery as possible, but not in the OR suite so as to
    minimize environmental contamination of the room.
    An order for hair removal should be written in the
    DR’s order
    Removal technique include:
    Shaving
    Clippers
    Depilatory cream
    SKIN PREP

    Mechanical cleansing
    Pressure
    Friction
    Chemical antisepsis
    Antiseptic agents shall:
     have any unused portion of opened bottles, not
    containing preservative (ie. 4% alcohol) immediately
    discarded after use
     be dated if containing preservative . Bottles shall be
    discarded after 30 days or per manufacturer’s
    recommendations
     not be warmed (unless recommended by manufacturer),
    as this may alter the chemical properties and equilibrium
    of the solution causing burns;
    be applied by non-scrubbed personnel
    be applied in a manner to prevent pooling:
    - in skin creases
    - under the patient
    - around/below a tourniquet
    -under an electrosurgical dispersive electrode
    - near EKG electrodes
     not remove surgical site markings when surgical
    skin prep is performed.
    COMMON PREPPING SOLUTION

    1.Chlorhexidine gluconate
    - hibiclense
    - hibitane tincture
    2. Iodine and iodophors
    - povidone iodine- betadine
    note: do not use on patients with sensitivity to shellfish,
    may cause irritation/ burn to skin if warmed
    3. Alcohol
    - isopropyl 70%
    note: it is flammable, do not allow to pool,
    especially with ESU and laser cases.
    4. Hexachlorophine
    - phisohex
    - phisoderm
    Prior to performing the surgical skin prep:
     ensure that the antiseptic agent is compatible with the site to
    be prepped
    perform a preoperative skin assessment of the area to be
    prepped including any areas where solution may pool
    assess patient for allergy or sensitivity to antiseptic agent
     remove all body jewelry. Areas of skin that were pierced by
    the jewelry and are situated in the area to be prepped shall
    have the pierced site cleansed with alcohol and allowed to dry.
    The following should be documented in the patient’s
    health record:
    condition of the skin at the operative site pre and post
    operatively
    method of hair removal, if used
     name and concentration of antiseptic agent(s) used
    any skin reaction that occurred
     name of person performing the skin preparation

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