Best Practices
What new item should be used for clipping every patient
What is... a New Clipper head
What tool should be used to remove hair
What is...a Clipper (Never use a razor)
Where should you shave for a Shoulder Replacement
What is...Mid center front and back, below nipple line, sternal bone around to mid back including axilla (under arm) hair and middle of arm (below the biceps muscle, almost to the elbow)
A patient says " I want to take my phone to pre op with me" What would you do
What is...If they have family or a visitor with them that could take it once they go into the OR they can defiantly bring their phone down if not it should stay on the floor in their room or it will be sent to security
How should a patient be sent to Preop/OR
What is...In Only in a gown and non slip socks
What is tape used for during a skin prep
What is... picking up hair on body and linens
What should be used to pick up loose hair
What is... tape
Where should you Shave for a Carotid stent
What is...a pair of shorts (lower abdomen, both groins, and upper thighs)
A patient is covered in sticky residue from the leads and they are having a CABG done today. What would you do?
What is...Try to remove as much residue as possible
Where should you avoid using CHG wipes?
What is...Avoid CHG on Face, Head, Genitals, Breasts if breast feeding, or pregnant for c-sections
What technique is best to prevent skin from being abraded during the prep
What is...Gental, Sweeping technique
What can be used to keep hair from going into the OR with a patient
What is...a sheet to protect the bed or blue chucks
Where should you shave for a Abdominal Aortic Aneurysm (AAA)
What is...Nipple to knees (Abdomen, Both groins, Thighs)
A patient says " I Am not removing my Underwear" What do you do?
What is...Explain that Underwear is not allowed in the OR. Bring in an outside article of clothing can increase the risk of bring bacteria into a sterile environment.
Why should Jewerly be removed
What is...The presence of jewelry or body piercings may lead to surgical site infection, pressure injury, electrocautery, and accidental removal when positioning
Why should you never use a stright razor to do a skin prep
What is... It can cause nicks or cuts to the skin at the surgical site
If your patient has sensitive skin to tapes or adhesives what type of ECG electrode should be used
What is...sensitive skin ECG electrodes
Where should you shave for a Hip Replacement?
What is...from naval to the groin and continue to the knee, from naval around to center back, from mid back across the mid buttocks to the posterior knee
A Patient Asks" Why do i need to remove my jewelry?" What would you do
What is...Explain the risk of wearing it into the OR. If cauterization is used during the procured it can spark to meatal on the body and potently cause a burn to the skin. Also, if rings are not removed and there is any risk of swelling, they could be cut off in the OR
What's one things you learned or found the most interesting about our presentation
What is...
Why should a patient be clipped before going to the OR?
What is so the hair does not contaminate the sterile surgical field
What should be used to remove residue left from leads
What is...Adhesive skin remover
Where should you shave for a CABG or Valve replacement (AVR, MVR)
What is...Chin to ankles (Chest, Abdomen, Groins, and legs)
A patient has requested to shave themselves, what would you do?
What is...inform them that unfortunately that is not able to happen. We do not let people or family members shave if there is a Knick or cut at the surgical site it could potently cancel the surgery. also it is better that we do it so we know it is done correctly and no hair gets missed
What should never be done during a surgical Prep
What is...allowing the patient to clip themselves