Skin Prep 101
Types of Skin Prep
Crazy Circumstances
Hair Removal
100

When prepping a patient, it is important to start  ________ .

What is start at the incision and prep outward. (Highest contaminated place should be prepped last)

100

The proper way to prep with a Chloraprep stick is... 

What is scrub in a back and forth motion for 30 seconds, moving from clean to dirty

100

The patient is having a Laparoscopic Vaginal Hysterectomy. Which order should the prep occur??

What is prep the pubic area first, then the abdomen, with the last swipe used to meet at the boarder of the pubic prep?

100
AORN recommends that we remove hair on a patient......
What is Only when necessary
200

Timmy is getting ready to Chloraprep a patients abdomen. He knows that the typical dry-time for this solution is..

What is 3 minutes, or until dry

200

What is the proper way to prep with a Duraprep stick?

What is paint the solution from incision site out towards periphery

200
John Doe is having a Right Total Knee Arthroplasy. What would be the process of preforming an extremity prep??
What is start at the incision site and work to the periphery. Do highest microbial concentration last.
200

If it is deemed a person needs hair removal to proper tool to use would be

What is a clipper.. why?

300
Lucy is prepping her patient with an alcohol based prep. After she finishes her last swipe on the side she realizes she missed a spot above the umbilicus. She should...
What is get a new prep stick and re prep that area. Why?
300

True or false. We should always blot dry Betadine PAINT.

What is False!

300

Patient is brought directly to the OR for an emergency surgery. What prep would be best suited for this patient??

What is need more information. Depends on amount of time. If need to go immediately betadine paint. If have time ChloraPrep

300
The proper place to remove hair would be
What is outside of the procedural room......why?
400

According to DCH policy, the person performing the prep must hold the sterile limb for a minimum of 3 minutes, or until prep solution is dry. True or false?

What is false? Our DCH policy allows the person performing the prep to drop the limb on a sterile drape. Case cannot begin until prep has dried.

400

What kind of preps are most likely to cause a surgical fire if not used correctly?

What is alcohol based prep solutions?

400

Patient is coming into the OR with an open fracture. What is the best prep solution for this patient?

What is Betadine paint for open fracture? However, you can use any solution for the rest of the limb.

400

What is the correct method of clipping hair?

What is stretch the skin, rest the clipping blade flat on the skin and clip against the grain of the hair.

500

Jane is about to prep a patient for a tracheostomy. The surgeon has requested that Chloraprep be used. Jane's best course of action would be, based on DCH policy... 

Talk to surgeon about DCH policy, cannot use 26mL prep sticks for head and neck surgeries, recommend Betadine be used. 

500

What is the proper way to prep a patient when the surgeon has asked for Betadine scrub and paint?

What is start with scrub from incision site (or cleanest area) to periphery, continue for 5 minutes according to IFU, use sterile towel to blot dry and remove scrub solution.  Then use paint from clean to dirty, do this twice using 2 separate sterile applicators. DO NOT blot paint, allow solution to dry for 2 minutes

500

Rebecca's patient is having a crani preformed today. The surgical team is prepping the patient, where they removed hair at the incision site. However, they have prepped beyond the incision site with a prep solution that contains alcohol. What is the dry time in this scenario?

What is 3 min- an hour?

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