1. PATIENT PREPARATION

2. Clip after patient has been stabilized under anesthesia
Hair Removal
Clip after patient has been stabilized under anesthesia
Appearance of the clip
Clipping at a 90° angle gives a sharp, straight edge
2 clipper blade widths in every direction

3. Hair Removal Proper hand position Use a #40 blade and
hold in a pencil grip
Consult the doctor for clipping margins
General rule of thumb for orthopedic procedures is to shave one joint above and one joint below the proposed incision site.

4. Next Steps
Vacuum hair
Express bladder

5. Surgical Site Preparation
Antiseptics-The skin of the patient cannot be “sterilized”
Scrub product: A soap or detergent base
Povidone-iodine – bactericidal, virucidal, fungicidal, fungistatic
Diluted 50:50 with tap water
Low tissue toxicity
Inexpensive
Stains
Chlorhexidine gluconate-bactericidal, virucidal, fungicidal
Diluted 60:40 with tap water
More expensive
Does not stain
Residual activity

6. Surgical Site Preparation
Rinsing agents – remove the detergents
Common agent is 70% isopropyl alcohol
Alcohol coagulates proteins so is contraindicated in open wounds and mucous membranes
Inexpensive, readily available
Increases residual activity of chlorhexidine
Contributes to hypothermia
Sterile water or sterile saline can be used as an alternative
No antibacterial effects
Applicators
Gauze, cotton-tipped applicators, cotton balls, spray bottle

7. Surgical Site Preparation
Special Male dog preparation
Dilute povidone-
Iodine solution
1:9
Dilute chlorhexidine 1:20

8. Patterns for Scrubbing
Target
Create a small contact surface with the gauze square
Start at the incision site and work outward in a circle until the hair is reached
Alternate between chlorhexidine and alcohol at least 3 cycles
Orthopedic
Perineal
Possible reactions: clipper and chemical

9. Secure Patient to Table
Sturdy, flexible cord
Four stays on surgical table

10. Secure Patient to Table
Abdominal surgery

11. Secure Patient to Table
Castration in a dog
Dorsal recumbency
Or modified
Dosal recumbency

12. Secure Patient to Table
Castration in a cat

13. Secure Patient to Table
Orthopedic and extremity surgery

14. Secure Patient to Table
Tail and perianal surgery

15. Secure Patient to Table
Back surgery
General rule
for shaving for
back surgery
is 2 vertebrae above
and 2 vertebrae below
the proposed incision
site

16. Final (Sterile) Surgical Site Preparation
Solutions (Paint)