Outpatient Surgery Magazine

Manager's Guide to Patient Skin Preparation - February 2014

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://magazine.outpatientsurgery.net/i/249910

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Page 30 of 30

Patient Skin Preparation_Layout 1 1/28/14 11:37 AM Page 31 S U R G I C A L S K I N A N T I S E P S I S resistant organisms, so consistently review commercially available preps to ensure your SSI reduction efforts remain current. OSM Ms. Butler (sbutler@stanfordmed.org) is a clinical nurse IV and the chairperson of the perioperative research council at Stanford University Hospital and Clinics in Stanford, Calif. AT-HOME PREPPING 3 Tips for Reinforcing CHG Wipe Use A in the 2 days leading up to surgery, and that they s part of our change in surgi- don't use them above the neck or on cal skin prepping, we also any exposed membranes (female geni- began giving all patients talia, for example). chlorhexidine-gluconate-impregnated 2. Don't use the 4% product for wipes to use at home before the day of patients who aren't high-risk. We start- surgery. Current literature doesn't yet ed giving those to patients, then discov- show efficacy specific to these wipes, ered that doing so required a physician but we know that CHG has lasting effec- order. So we dropped back to the 2% tiveness, and it can't hurt. Here are formulation, which the nurses could some tips for integrating take-home hand out without orders or complication. CHG wipes into your skin-prepping pro- We use the 4% only for select cases. 3. Add the issuing and use of CHG tocols. 1. Ensure that surgeons educate wipes to the nursing documentation. On patients in the pre-op clinic about the the surgical day, pre-op nurses should importance of using the wipes ask patients, "Did you use this product once a day twice before you came to the hospital?" Infection control administrators can then track compliance and whether usage correlates to SSI rates. — Sharon L. Butler, MSN, RN M O N T H 2014 | S U P P L E M E N T TO O U T PAT I E N T S U R G E R Y M A G A Z I N E O N L I N E 3 1

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