Skin prep boundaries

Question 1

Abdominal and Thoraco abdominal Prep

Answer 1

Most common
– Prep boundaries
. Mid chest to bilateral thighs
– Umbilicus is cleaned first
– Prepped up to/ near the
level of the table edge

Question 2

Chest and Breast

Answer 2

. Arm of the affected
side is elevated
. Areas :
– shoulders
– Upper arm
– Elbow
– Axilla
– Neck, lower jaw
– Chest up to table line

Question 3

Eyes, Ears, Face and Nose

Answer 3

. Use eye protection
. Plastic eye shields
are preferred
. Prep should always
extent to the hairline

Question 4

Extremities

Answer 4

. An assistant should
elevate the limb with
a sterile gloves
. Extremity is prepped
around its entire
circumference

Question 5

Prep boundaries: Foot and ankle procedures

Answer 5

– Foot and entire leg from ankle to knee

Question 6

Prep boundaries: Bilateral leg procedures

Answer 6

– Both legs from toes to waist

Question 7

Prep boundaries: Hip procedures

Answer 7

– Abdomen of affected side, entire leg and foot,
buttocks groin and pubis

Question 8

Prep boundaries: Hand procedures

Answer 8

– Hand and arm to 3
inches above the elbow

Question 9

Prep boundaries: Shoulder procedures

Answer 9

– Base of the neck,
shoulder scapula, chest
to midline and
circumference of upper
arm down to the elbow

Question 10

Prep boundaries: Arm procedures

Answer 10

– Entire arm, shoulder and
axilla including hand with
fingers

Question 11

Perineal and Vaginal Prep

Answer 11

. Should begin in the
pubic area towards
the genitalia and
perineum
. Sponges should be
discarded after going
into the anus
. 2 prep sets are used
for abdominal
perineal procedures