[RNOTODAY]

How do your residents prep?
I work in a large teaching hospital, so the residents, or the attendings do their own prep. But I have noticed, that, NONE of them, do it like it is supposed to be done,( how I was taught).that is, from the middle out to the periphery...they just go up and down and across any old way!!!!! Anybody ever see this?

[ortess1971]

At my hospital, usually the circulator preps- we do have a few docs that do their own prep and I've seen a couple do the up and down thing. One told me that there was a study that proved it had benefits over the other way(periphery method) I think the periphery method is the best and I'm pretty sure thats what AORN recommends. If I can find out where he got that study from, I'll post it

[HowardB]

The company that markets Chloraprep (Chlorahexadine with alcohol) prep sticks instructs to do a back and forth friction rub 2 minute prep. Many studies that do suggest the circular prep to periphery not evidence based more effective.