Vaginal prep

Vaginal prep

posted by Samaria Braman on Aug 10, 2017 9:27 pm

Can someone tell me the correct AORN standard of vaginal prepping? 

Re: Vaginal prep

posted by Sheryl Eder on Aug 14, 2017 11:15 am

This information is extracted from the AORN Guideline for Preoperative Patient Skin Asepsis:
1. Follow manufacturer instructions for use.
2. Use aseptic technique
3. Prep in begun from the point of incision outward without moving the prep swab or sponge back to the previously prepped area. Discard each swab or sponge and begin the prep again.
4. When the incision or operative site site is more highly contaminated than the surrounding skin (such as the vagina or rectum), the area with a lower bacterial count should be prepped first, followed by the area of higher contamination, as opposed to working from the incision toward the periphery.

As an aside note, detergents are not approved for use on mucus membranes, so the external skin around the vaginal area may be cleansed with iodine soap, but soap should not be used on the mucus membranes. For the introitus and vagina, only povidone solution should be used. For patients allergic to iodine, this becomes more complicated. CHG is not approved for use on mucus membranes however the American College of Obstetrics and Gynecology has recommendations for it's limited use. https://www.acog.org/Resources-And-Publications/Committee-Opinions/Committee-on-Gynecologic-Practice/Solutions-for-Surgical-Preparation-of-the-Vagina
 

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