Pre-operative preparation

Pre-Induction

  • Identify patient, operation, site, side, starved, allergies
  • Check blood available
  • Check investigations
  • Check imaging 

 

Removal of body hair

  • Remove from operative field
  • Allow for clear surface for application of dressings
  • Perform on morning of surgery
  • Care to avoid cuts/abrasions

Skin preparation

  • Apply to operative field with wide margin (in case need to extend incision)
  • Start at focus and move around
  1. Chlorhexidine (0.5%)
  2. Alcoholic betadine (1% povidine in 70% alcohol)

Field Draping

  • Sterile linen drapes
  • Disposable fabrics (impermeable and waterproof), expensive
  • Polyurethane incisible drapes (clear stuff) used in orthopaedics/vascular, general surgery - limited by cost