Contaminated areas within prepping area

  1. 0
    question: how do you handle more contaminated areas within your prepping area? the following are specific subquestions:

    1. do you prep the umbilicus first or last in an abdominal prep?
    2. do you prep the vagina first or last for a perineal prep?
    3. what do you think about the need to change into new sterile gloves after a vaginal prep and before inserting a foley?

    i think aorn recommends prepping contaminated areas last but this is not how i was taught and i never saw anyone do it. any thoughts?

    thanks!

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  2. 3 Comments...

  3. 0
    1. Our prep trays come with Q-tips that we use to clean out the belly button...then we get a sponge and prep as usual from inside out.

    2. For perineal preps I do the inner thighs and pubic area and then move in to do the vagina. The very last thing I do is a swipe over the anus.

    3. I haven't ever thought about this, actually. I guess I've never seen anyone change their gloves because you only touch the sponge stick when prepping a vagina and I can usually keep it sterile. Maybe not a bad idea though...I would be interested in hearing others' thoughts.
  4. 0
    i don't change my gloves after a vaginal prep- gloves are still steril. also i was tought to always prep belly button first then move out.
  5. 0
    1. Do you prep the umbilicus first or last in an abdominal prep?
    I usually start with dropping a little prep fluid in the umbilicus, sort of letting it soak. Let's face it, some belly buttons
    need more help than others. I swear I've discovered new life forms in there at times!!!

    2. Do you prep the vagina first or last for a perineal prep?
    Last. I tend to do the legs, groin, etc first with my last swipes over the anus. Then, with a sponge stick, the vagina.

    3. What do you think about the need to change into new sterile gloves after a vaginal prep and before inserting a Foley?
    I do no, unless I feel that I've contaminated my gloves prepping, especially considering the anus prep.

    Mike


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