St.

Michael’s College
College of Nursing
Iligan City

Name: Vanny Vien M. Juanillo Group :A

Clinical Instructor: Ann Scarlet Panares RN MN Date: November 17,2021

SURGICAL SKIN PREPARATION

Concept: Surgical skin preparation is a intraoperative procedure to clean and disinfect the patients skin prior to surgery.
Purpose To hinder the growth of microbes during the surgical procedure.

Oral
Performed
Rationale
Preparation Written Rationale
Not
Yes No Done
Done

1. Assessment:
1. Check the hospital policy that describes what
area and how the skin is prepared before
various operations
2. Verify if hair removal must be done only as
necessary.
3. Carefully inspect the prospective surgical
area for growths, moles, rashes, pustules,
irritations, exudates, abrasions, bruises, or
any broken or ischemic areas. These should
be recommended and reported to the
surgeon.
4. Determine whether the clients is allergic to
any of the solutions used in the skin
preparation, eg. Iodine in the antiseptic.
-to understand the procedure to
performed and prepare the
patient
-to ensure that there is consent
from the patient or significant
others and if the person does not
allows to cut put the hair sideways
or halfway.
-to note for the skin condition and
report it to the surgeon.
-to know if the patient has allergic
reaction to any product.

2. Planning: -to remove transient

1. Wash your hands with top water and betadine microorganisms before
soap starting the procedure
2. Assemble all the materials/ equipment
needed as well as special items related to -to save time and effort
individual needs
 Sterile drape
 Topical antimicrobial
 Tape dressing
 Clipper
 Sterile gauze
3. Choose the appropriate location in performing -to provide comfort and
the procedure privacy to patient.

3. Implementation:
-to gain patients
 Explain the procedure to the client and cooperation and avoid
provide privacy as possible.
BEFORE CLIPPING confusion.
 Drape the client. Expose only the area to -to provide privacy to
be clipped at one time.
patient.
CLIPPING:
 Make sure the area is dry -to prevent from grown up
 Remove hairs with clippers immediately of microbes and making
moist
 prior to surgery but do not apply pressure. -to avoid hair from interfering
Hair should only be removed when it the incision.
interferes with the incision site.
• Clipping the hair leaving about 1 to 2 mm in
length on the skin. Move the drape, and -to prevent it from interfering
continue clipping until the entire proposed the procedure
skin area designed for operation is clipped.
AFTER CLIPPING
• Check the skin for abrasions made by the -to ensure no abrasions
clippers or razor. present caused by clippers or
• Remove the waterproof towel and bath razor
blanket carefully so as not to spill the clipped -to prevent from
hairs onto the bed. contamination.
CLEANING AND DISINFECTING
• Clean any crevices of the body, such as the
-to removes dirt, skin
umbilicus, nails and ear canals, with
secretions such as sweat and
applicators and solutions. Dry with swabs.
sebum
• Disinfect the incision site, as well as its
extensive surrounding area using a topical
-to ensure that
anti microbrial agent immediately prior to
microorganisms in skin folds
draping, after the patient has been
and sebaceous glands are
anesthetized and positioned on the operating
treated
table.
• Apply skin prep in concentric circles starting
at the incision site moving toward the -to remove debris and
periphery making sure the prep area should transient skin flora
be large enough to extend the incision, create -to remove dead tissue from
new incisions or drain sites. a wound
• Leave it for the designated time allowing it to
dry and then covered with sterile gauze and -to ensure that the incision is
tape dressing . well covered after the
procedure to prevent from
any infection.
3. -to document the procedure
Evaluation: done to patient and note for
Do after care and document the skin preparation and abnormal condition of the
appropriate findings on the clients chart. skin.