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Best Practices: Clip, Prep, Drape

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? 3M 2011. All Rights Reserved.

Topic:

Welcome!

Best Practices: Clip, Prep, Drape

Facilitators: DeAnn Hammer

Speaker:

Maret Millard Jodi Lippert

Housekeeping

? Questions ? Mute feature (*7 = unmute; *6 = mute) ? "Chat" feature

? Technical difficulties ? Post session follow-up

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Disclosure Statement

Maret Millard and Jodi Lippert

3M Technical Service Specialists 3M Infection Prevention Division

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How do I get a CE Certificate?

Next week, all of today's meeting participants will be sent an email containing instructions for obtaining a CE Certificate for today's meeting.

The email will be sent to the email address you provided when you logged-in to today's meeting. If there are others listening with you today who did not log-on, you may forward the CE certificate email to them.

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Objectives

? Participants will be able to:

Discuss the clinical benefits of hair removal by means of clipping versus shaving

Identify the properties of effective surgical skin preparation agents

Describe the principles of draping as they relate to prevention of infection

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Brief History

? Early 19th Century surgeon "operated in a Prince Albert coat and used the same sponges for every patient treated."

? Mid 19th century protection of surgical wound

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Surgical Conscience

? No Compromise ? Mental discipline ? Inspection and regulation

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Developing the Surgical Conscience

? Is this the best practice? ? Do I have everything necessary for the

procedure? ? Have I done all I can do to provide a

safe,therapeutic environment for the patient?

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Precision Counts!

? Aseptic Technique

? Prevention of microbial contamination in the environment

? Sterile Technique:

? Creation of and working in a sterile field

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Hair Removal

What is the first line of defense against infection?

? According to the CDC Guidelines for Prevention of Surgical Site Infections (SSI), for most SSIs, the source of pathogens is the endogenous flora of the patient's skin, mucous membranes or hollow viscera

? When mucous membranes or skin is incised,the exposed tissues are at risk for contamination with endogenous flora

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Hair Removal Methods

Shaving (Razor)

Clipping

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Chemical Depilatory

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1. Alexander, Wesley et al, "The Influence of Hair Removal Methods on Wound Infections," Archives of Surgery, 1983; 118:347?352.

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2012 AORN Recommendation #III

? The patient's skin condition should be assessed for the presence of lesions or other tissue conditions at the surgical site before skin preparation begins. Unintentional removal of lesions (eg, nevi) traumatizes the skin on the surgical site and provides and opportunity for wound colonization by microorganisms.

? The presence of excessive hair that may interfere with the surgical procedure should be identified.

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