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Improper Use of Antiseptics/Surgical Preps prior to an operative procedure

By November 12, 2019C&A Blog

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

Observations noted:

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.

James Ballard

Author James Ballard

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