Hi, I've been an OR nurse for a year and a half now, and just when I think I know how to do something, I won't get a case like it in months and then by the time I go to do it in a case, someone tells me I do it wrong.
You prep clean to dirty. An infected wound is dirty. AORN articles I've found are vague.
I don't know where to start with a nasty infected wound. And what if it's on the arm - you've got the dirty wound, then you've got the armpit... so frustrating....
And of course when I have a more experienced person showing me, I'm under pressure because her arm's getting tired holding a big fat leg, and the surgeon is standing there waiting. So I retain nothing.
What source can I go to for definitive answers and not vague ones?
p.s. I think that one reason we starting prepping the foot at the amputation site (then continuing up the leg to the knee) could be that, since I'll be holding this leg by myself with no help, I have no choice but to prep that way... ? I hate for that to be acceptable, if this is why someone just told me to do that today.