Surgical Care at the District Hospital
Part 1 2 3 4 5 6 Primary Trauma Care Manual
Organizing the District Hospital Surgical Service
Organizational and management of the district surgical service
The District Hospital
Leadership, team skills and management
Ethics
Education
Record Keeping
Evaluation
Disaster and trauma planning
The surgical domain: creating the envioronment for surgery
Infection control and asepsis
Equipment
Operating room
Cleaning, sterilization and disinfection
Waste disposal
Operating Room
 


> SPONGE AND INSTRUMENT COUNTS
> SCRUBBING AND GOWNING
> SKIN PREPARATION
> DRAPING



SKIN PREPARATION

The patient should bathe the night before an elective operation. Hair in the operative site should not be removed unless it will interfere with the surgical procedure. Shaving can damage the skin so clipping is better if hair removal is required; it should be done in the operating room.
Just before the operation, wash the operation site and the area surrounding it with soap and water. Prepare the skin with antiseptic solution, starting in the centre and moving out to the periphery (Figure 2.7). This area should be large enough to include the entire incision and an adjacent working area, so that you can manoeuvre during the operation without touching unprepared skin. Chlorhexidine gluconate and iodine are preferable to alcohol and are less irritating to the skin. The solution should remain wet on the skin for at least two minutes.

Figure 2.7
Figure 2.7

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> SPONGE AND INSTRUMENT COUNTS
> SCRUBBING AND GOWNING
> SKIN PREPARATION
> DRAPING