Prep

[tiredfeet2]

Just wanted to send this out and if anyone can tell me, please do. I was just wondering what the standard at your hospital is for prepping total joints. It's 10 minutes at our hospital with betadine scrub and solution. There are some of my co-workers who are trying to get the surgeons to use betadine prep gel. In this case, they are saying that as long as it dries on the skin the time should not matter. Help!!! All opinions and any information is welcome. Thanks C:)

[backhurts47]

We are using Chloraprep as well. Interestingly, since switching from DuraPrep, we have had only one infection in i believe 9 months. It was right after we made the switch. Also, our infection control manager mandated the switch which didnt sit well with some of the docs. Alot of the ortho docs were set on using Duraprep and the ioban, but when Robin-icp- provided the evidence that the impregnated drapes had no effect on infection and the chloroprep was more effective than duraprep they accepted the change.

the new AORN guidelines have a nice table on preps as well.

-T

[RacheloneRN]

Hearing yall mention a 10 minute prep is shocking. I could only imagine the crap I would get from my surgeons if I prepped for 10 minutes, I feel rushed while using chloraprep sometimes, and these docs have low infection rates. For total joints, with Chloraprep in our facility, we do 30 strokes at the incision site (the knee for example), then continue the rest of the extremity, continuing down the leg, then the foot. Once the foot is prepped, we raise it, crack a new prep, start back at the incision site, and get the front and back of the leg with the 2nd stick. I don't think I would be able to hold most patients legs for 10 minutes...