I've read several articles talking about how bad betadine is and while I don't buy into it completly it does make me question its use in some situations.
I've recently started doing something I'm not sure is good. I dread having to strait cath patients after delivery. They are already soar and many of them are very swollen makeing it hard to cath them which cuases even more pain. A few weeks ago I was setting up my stuff to cath a patient and I did'nt do the betadine prep. It always stings them and I did'nt want to do that to her. I still use it for cath's before delivery but havent been after delivery. I still do the sterile set up and use dry swabs from the kit to clean off the opening of the urethra.
I've been going back and forth on weather or not I'm doing the right thing. on one hand people self cath useing clean technique and do just fine. On the other I was always taught to use betadine in school. I also bought a bottle of pepermint oil to put in the bedpan so mabey I wont have to cath as many patients.
Please share you opinion
Mar 28, '03
WOW, how disgusting and unnecessary Mark.
We use hibiclens for peri-prep immediately before delivery, if anything. Like stated above, deliveries are NOT sterile and unless there is gross contamination (e.g. poop) there, I just rinse with sterile water right before birth. Otherwise, I keep the perineal area very clean, removing contamination in the least invasive way possible. The fewer chemicals we expose people to, the better in my opinion. As far as PP caths go, I RARELY have to EVER do these. I do all I can to help women void on their own postpartum, including using oil of peppermint/spearmint and warm water. If I do have to cath them, I do use the straight-cath kits and the betadine swab that comes with them to accomplish sterile cath technique. I think this is important to avoid a UTI and have seen NOTHING in writing contraindicating this in cath procedures.
Last edit by SmilingBluEyes on Mar 28, '03