Subject: Re: The Young Lady Followed The Procedure Manual
Author: old med staff
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] Date Posted:12:00:22 10/30/09 Fri In reply to:
Barbara
's message, "The Young Lady Followed The Procedure Manual" on 17:06:03 10/29/09 Thu
I agree with Barbara. I used to be an orderly in the early 1970s & had to do the preps for all of the male patients. I still remember a few of them. The abdominal prep (mentioned by Barbara) was from the nipples to mid-thigh. The chest prep was from top of neck to start of pubic hair. The pelvic prep was from belly button to mid-thigh including scrotum. The rectal prep was from the small of the back to mid-thigh including all hair around the anus (rough going if the patient had hemorrhoids protruding outside.) There was a TUR prep that was the pelvic and the rectal prep combined. Then, there were bone preps that not only included shaving, but also washing are with anti-bacterial soap, drying with steril towels, and then wrapping the are with sterile towels. Shaving of the head for brain surgery was done in the O.R. at time of surgery. Anything different from above had to be part of the doctor's prep order. For example, the doc may order only an area the size of a half-dollar be shaved around a cyst on the side of the head.
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[> [> [> [> Subject: Thanks For Confirming What I Said About Preps
Date Posted:12:16:51 10/30/09 Fri
old med Staff, I appreciate your taking the time to confirm for the doubters what I said about how preps are ordered.
Maybe, with two of us describing how it works, they will accept what we both independently said.
You also confirmed what I said about the fact that the manual's prescribed method can be adjusted if the surgeon
takes the time to specify something different. It works both ways. Sometimes a surgeon wants less of a prep than the manual dictates, but sometimes the surgeon wants more.
There was a surgeon I recall who wanted the entire body shaved, except for the head, not just the chest prep, for any of his thoracic operations.
The doctor who told the man that "someone got carried away"
was the one who made the error. The surgeon should have changed the prep order if she wanted less than the full abdominal prep of the patient. The girl did the standard abdominal prep. She was not told anything different.
