PREPARATION Amy R. Diyal, RM Davao Regional Medical Center OB COMPLEX Operating Room Perform Hand Hygiene
Assemble all materials for skin preparation:
>sterile gloves > sterile sponges > Small sterile basin > 2 or more clean towels > Kick bucket (trash bin) > skin disinfectant (cutasept in a spray bottle) STEPS: After the patient Expose the skin area by folding back is anesthetized and positioned the patient’s gown at dorsal Place clean towels on either both decubitus, sides of the patient. To prevent the prepare the pt. solution from dripping on the patient’s for pre operative side and then the other towel on the abdominal skin patient lap. preparation. Don the surgical gloves using open technique. Hold the cutasept spray with your non- dominant hand then start spraying evenly on the abdominal surface STEPS: extending from nipples to mid thigh. Using the sterile sponge, scrub the skin. Starting from the umbilicus in a circular motion, in an even widening circle to the other portion of the exposed area. You must use sufficient friction to remove dirt and microorganism from skin Scrub with a separate sponge for each round for a minimum of 5 rounds. Spray cutasept evenly on the patient’s abdomen particularly on the surgical site Leave it for a minimum of a 2 minutes (valid exposure time for skin areas rich in sebaceous glands is a minimum of 2 mins Discard used gloves, soiled sponges, wrapper in STEPS a kick bucket. Perform hand hygiene. PERINEAL HYGIENE URINARY CATHETERIZATION