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Re: Preps From: Anna Meenan, MD (annam@uic.edu) Tue Apr 5 10:42:22 2005 Messages sorted by: [ date ][ thread ][ subject ][ author ] Next message: Lynn D. Montgomery, M.D.: "Re: Preps" Previous message: Barborza@aol.com: "Re: Preps" In reply to: Dr. Ainsworth: "Preps" Next in thread: Lynn D. Montgomery, M.D.: "Re: Preps" I don't do preps, and very seldom do episiotomies. I do put a sterile drape under the buttocks, mainly because we now have these drapes with a big plastic pocket that catches all the wet stuff and keeps it off my feet. I don't do betadine preps for circs either. We wash the the area with some kind of soap (can't recall name). I don't like betadine anyway. It stains and I worry about undiagnosed iodine allergies. Your nursing staff have a hard time "remembering" to do the prep because they are too busy doing all the mandatory charting and paperwork. Interesting that mandatory IV's are "long gone" at your hospital. Ours still requires them for any delivery done by a resident. (but they don't do a betadine prep for the IV either). -- Anna Meenan, MD At Tue, 5 Apr 2005, Dr. Ainsworth wrote: > >How many of you are still doing perineal preps with betadine or other >soaps? It is one of the few rituals left from residency that I still try >to get nursing staff to do routinely. Long gone are the enemas,shaves >and routine IVs, but if I'm going to do a vaginal delivery W or W/O an >episiotomy, W or W/O vacuum or forceps, I still feel better if the >perineum is stained with betadine with a sterile drape under the >buttocks. I realize that vaginal deliveries are far from the sterile >procedures done in the OR, but it is hard to give it up. It is also >hard to get the nursing staff to "remember" to do it without asking >every time. Part of that difficulty is because the CNMs don't require a >prep and I think some of the physicians don't either. One certainly >wouldn't do a circumcision w/o a betadine prep or even start an IV, how >did they fall out of vogue for vaginal deliveries?? Next message: Lynn D. Montgomery, M.D.: "Re: Preps" Previous message: Barborza@aol.com: "Re: Preps" In reply to: Dr. Ainsworth: "Preps" Next in thread: Lynn D. Montgomery, M.D.: "Re: Preps"

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