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General Surgery Chapter 14 Prepping (Nicola)

front 1

Patient is supine. Area includes breast line to upper 3rd of thighs from table line right to table line left. Shaded areas shows anatomic areas to be cleansed with antiseptic, and direction of skin preparation

back 1

Abdominal preparation

front 2

Patient is supine. The areas to be prepped include the shoulder, upper arm extending down to the elbow, axilla, and chest to the table line and to the shoulder opposite from the affected side

If the patient is lateral, back is prepped also

back 2

Chest and Breast preparation

front 3

Abdomen on affected side, entire leg (per text book) and foot, buttocks to the table line, groin, and pubis

back 3

Hip preparation

front 4

Area includes entire circumference of effected leg and extends from front to upper part of thigh. Upper extremity is prepped in the same manner

back 4

Knee and lower leg

front 5

Patient is in lateral position. Area includes axilla, chest, abdomen from neck to iliac crest. Area extends beyond midline, anteriorly and posteriorly

back 5

Lateral Thoracoabdominal

front 6

The pubis, vulva, labia, perineum, and anus are prepped, including the upper thighs. Inner aspects of the vagina are prepped after the external vulva is prepped. The anus is prepped last, and each sponge must be discarded after going over the anus.

back 6

Rectoperineal and Vaginal

front 7

What position would be used for a patient that is having surgery on: chest/breast, abdomen, pelvis, anterior lower extremity

back 7

Supine position

front 8

What position would be used for a patient that is having surgery on: pelvis, lower abdomen

back 8

Trendelenburg position

front 9

What position would be used for a patient that is having surgery on: upper abdomen, head and neck

back 9

Reverse trendelenburg

front 10

What position would be used for a patient that is having surgery on: breast, head, neck, shoulder

back 10

Fowlers position

front 11

What position would be used for a patient that is having surgery on: head, chest/breast

back 11

Sitting position

front 12

What position would be used for a patient that is having surgery on: vagina, urethra, perineum, anus and rectum

back 12

Lithotomy position

front 13

What position would be used for a patient that is having surgery on: anus, pilonidal

back 13

Kraske (jack knife)

front 14

What position would be used for a patient that is having surgery on: posterior cranium, dorsal body surface, spine, posterior lower extremity

back 14

Prone position

front 15

What position would be used for a patient that is having surgery on: retroperitoneal space, hip, hemithorax

back 15

Lateral position

front 16

What position would be used for a patient that is having surgery on: retroperitoneal space

back 16

Kidney position