Surgical Patient Prep Flashcards
Clipping pre-GA advantages (4)
Shorter GA time Improved asepsis - loose hairs shed prior to sx Able to carry out initial skin prep Improved efficiency
Clipping pre-GA disadvantages (5)
Uncooperative patient
Requires restraint (more people)
Increase risk of skin trauma and infection
Clipping too early May increase skin bacteria
Stressful for patient
Clipping UGA advantages (4)
Faster
Fewer people
No stress for patient
Advantageous for fractious animals and painful/inaccessible sites
Clipping UGA disadvantages (2)
Increase GA length
Decreased asepsis
- difficult to remove all loose hair
Ideal properties of sx scrub solution (6)
Wide spectrum of AM activity
Fast application
Able to decrease microbial population rapidly
Long residual effect
Remains active and effective in presence of organic matter
Does not cause skin irritation
Sx prep of eyes and mms (6)
Dilute povidone-iodine solution
Minimal/no clipping
Water soluble gel applied to hair and eye prior to clip
Eyes irrigated with saline, then P/I after clip
Sterile cotton buds to clean inside eyelids
Surrounding skin also cleaned
Reasons for not clipping around eyes (2)
What can be done instead
Irritation and damage
Self-trauma on recovery
Use of adhesive drape
Properties of adhesive barrier drape (3)
How are they used (3)
Sterile
Transparent
Water-resistant
Standard drapes applied first
Adhesive drape to cover entire fenestration
Incision made through drape
Advantages of disposable drapes (5)
Labour saving Less laundry Pre-sterilised Water repellent Consistent good quality
Disadvantages of disposable drapes (3)
Initial cost more expensive
Cheaper may have low/varying quality
Large stock required
Advantage of re-usable drapes (1)
Cheaper
Disadvantages of re-usable drapes (4)
Porous to fluid - May lead to break in asepsis and lowering patient body temp Washing/folding time consuming Risk of loose thread contamination Quality decreases with use
