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Preoperative Skin Preparation Practices

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Preoperative Skin Preparation Practices
Michael V. Smith
Western Governors University

Perioperative Skin Preparation Practices
A. Select a perioperative procedure (e.g., routine shaving of the surgical site) that you would commonly find on a surgical floor.
1. Describe the process or procedure you have chosen and why you think it needs change. Surgical site infection accounts for forty percent of all hospital-acquired infection (Griffin, 2005). The Association of Operating Room Nurses (AORN) recommendations provide guidelines for achieving skin preparation of the surgical site. These are practices are achievable and represent what is believed to be an optimal level of practice (Association of Operating Room Nurses, 2002). Variation of the area where the surgical procedure is to be performed may occur, but the recommended procedures for this preoperative skin preparation remains the same. The AORN has recommended seven practices that should be followed for skin preparation prior to surgery.
Recommended Practices for Skin Preparation of Patients (Association of Operating Room Nurses, 2002). I. The surgical site should be assessed before skin preparation. II. Whenever possible, hair should be left at the surgical site. I it is determined that hair should be removed; removal should be performed according to policies and procedures in the practice setting. III. The surgical site and surrounding areas should be clean. IV. When indicated, the surgical site and surrounding area should be prepared with an antiseptic agent. V. Personnel who are knowledgeable about the patient and skilled in skin preparation techniques should prepare the surgical site in a manner that preserves skin integrity and prevents injury to the skin. VI. Patient skin preparation should be documented in the patient record according to AORN’s “Recommended…...

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