Cystoscope skin prep

Specialties Operating Room

Published

I am curious how other nurses are doing a skin prep for cystoscopy cases for females. I have been in the O.R. for 11 years and was trained on the job. I have never prepped the lady parts for a basic cystoscope case but I have moved to a new job where they prep the lady parts. However, when I ask people about it I get the feeling that this is just how they have always done it. I have dug through all the books and cannot find an answer. Is a lady partsl prep necessary for a cystoscopy case? What is everyone else doing?

i've been an OR nurse for about a year, wish i had the experience you did! i've seen it done both ways. First, cystosocpy and most urology procedures are clean contaminated and the skin is never going to be sterile. For both males and females, i've seen it starting from right outside the genital area below the belly, and i've also seen ppl prep from teh member. i've also seen ppl start from the thigh. and work their way in, with the anal area being the last, and that's just my preference i've seen ppl prep the lady parts and some don't. the main urologist i work with says everything should be prepped including lady parts, whih is my preference as well (Wide prep). however, i only use betadine sticks for the lady parts.

Specializes in OR, Nursing Professional Development.
First, cystosocpy and most urology procedures are clean contaminated

No, cystoscopies are not clean contaminated. If there is no incision, the wound class is N/A.

We do not do a lady partsl prep. We do include the labia in the prep.

Specializes in Peri-Op.

Are you saying no prep at all or just no internal lady partsl swab sticks?

I have always seen prep done, just no swabs for the internal lady partsl canal. Sometimes the urethra is a little deeper and I'd try to prep to the opening where your sticking the scope in... otherwise why prep at all.

at our facility, we dont' have N/A. not sure why, but everyone classifies it as clean-contaminated.

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