Improper Use of Antiseptics/Surgical Preps prior to an operative procedure will result in a deficient practice under “The hospital implements its infection prevention and control plan” area. Please review your processes in this area.
From the field:
Deficient Practice Statement: Failure to follow manufacturer’s instructions for use for skin antiseptics may create several types of risks
Failure to use surgical and/or skin preparation products and antiseptics in a manner consistent with manufacturer’s instructions for use as evidenced by:
- The skin prep product used was expired.
- The staff member prepped more than the maximum area that the applicator will cover.
- Instructions for the skin prep stated that it should be applied using a back-and-forth motion for 2 minutes in moist areas such as the inguinal fold or armpit. The product was applied to the groin using back-and-forth motion for only 30 seconds.
- Product was applied in a location (for example, ears, eyes, mucous membrane) contraindicated by the manufacturer’s instructions for use.
- The staff member applied the antiseptic and then blew on and fanned the site to promote drying.
- Staff in the neonatal intensive care unit were unaware that the chosen antiseptic was associated with increased risk of irritation and chemical burns in infants under 2 months of age.
All processes in surgical areas are under intense scrutiny, please ensure staff are competent and understand the implications for the patient as well as compliance.