How do you prep

[umakemesmile]

I'm currently precepting 2 new nurses' to our OR. I haven't had time to watch the periop-101 videos but they have told told that the video tells them to make small circles starting from incision point outward. Hard to expalin here but what they show does not make sense. Instead of starting at incision point and gradually going to bigger circles and not going back, they are making small circles which means they indeed go back in toward incision. Has the thinking changed and I missed it?

Also I'd like to hear how abd./lady partsl preps are being done. 2 seprate preps? Abd. first then lady partsl? AORN is suggesting vag. first then abd.

What happened to "clean to dirty"

I'm getting old i guess.

[RNOTODAY, BSN, RN]

well, imagine this one... where I began my OR training, the residents did all the preps, and they just painted any old way, up down, across, up again , down again, .... nothing like the way we were taught!!!! Supposedly there is evidence that it doesnt matter.....

[CIRQL8]

Duraprep (Chloraprep, too, I guess): Circumfrentially. Start center at or about incision site, overlap your last swiped area by about 1/4 width of the prep sponge, work outward until sufficient area is prepped. (I do more square prep that circular - just goes easier for me...). Best practice is to wear sterile gloves. Do I all the time - no - but I should.

Vag prep - if you do vag portion first, use a new prep kit and new gloves for the abdomen. The thought is, the vag prep can aerisolize (forgive all my spelling!!) and contaminate the abdominal prep, so if you do abdominal first, keep it covered w/ a sterile towel while you do the vag prep portion.

[crackerjack]

Duraprep (Chloraprep, too, I guess): Circumfrentially. Start center at or about incision site, overlap your last swiped area by about 1/4 width of the prep sponge, work outward until sufficient area is prepped. (I do more square prep that circular - just goes easier for me...). Best practice is to wear sterile gloves. Do I all the time - no - but I should.

Vag prep - if you do vag portion first, use a new prep kit and new gloves for the abdomen. The thought is, the vag prep can aerisolize (forgive all my spelling!!) and contaminate the abdominal prep, so if you do abdominal first, keep it covered w/ a sterile towel while you do the vag prep portion.

:yeahthat:

[heather2084, BSN]

I watched some AORN videos as part of my training and it showed to go in small circles; however, when I started actually learning about preps, I was told to disregard that, and do it a different way. Typically I do squares myself unless a circle is easier. For abd preps, i was definitely told to do it by squaring off.

No one has mentioned doing vag or abd preps before the other; i noticed one dr has specified he wants vag done first, but the others have no mention