Surgical Preparation of the Skin and Urinary Catheterization

Question 1

Ortho/nephrectomy/routine times

Answer 1

10 min

5 min

5 min

Question 2

Why do we catheterize?

Answer 2

bladder out of the way

monitor output

Question 3

What is the body’s first line of defense?

Answer 3

epidermis: transient bacteria (environment)-mechanical friction
dermis: resident bacteria-chemical process-antiseptic

Question 4

Purpose of skin prep

Answer 4

reduce # of microorganisms and infection

surgically clean

Question 5

Hair removal requires… and timing

Answer 5

doctor’s order

as close to time of surgery as possible

not in OR

Question 6

Shaving
Clipping
Depilatory Cream

Answer 6

with growth of hair

against growth of hair, preferred

patch test

Question 7

Iodine/iodophor

Answer 7

agent of choice

brown

contraindicated in people with seafood allergies

Question 8

Plastic surgery

Answer 8

colorless soln. for prep

alcohol

Question 9

Do not use … during washoff

Answer 9

4x4-sponge count radio pegged

Question 10

Skin graft

Answer 10

wash donor first

Question 11

Catheters

Answer 11

adult 16fr foley w/ 5ml balloon fill 10ml water

straight-pull our then release pressure on abdomen

inflate balloon after urine flow

need’s doctor’s order

Question 12

Schiller’s test

Answer 12

abnormal cells of cervix

1. alkalol-mucous solvent
2. Lugol’s-stain’s normal cells brown

Question 13

Chlorhexidine gluconate

Answer 13

ototoxic

hibiclens

Question 14

Wash off procedure

Answer 14

nipple to pubis

umbilicus first

incision to periphery

stomas last

anus last

peel towel

gentle on cancer

report pustules to surgeon