Anesthesia/Sedation Preoperative Care and Preparation Clinical Pathway, Inpatient and Emergency Department

Bathing Recommendations for Inpatients with Scheduled OR Procedure

Review Bathing Recommendations for Reducing Central Line Associated Bloodstream and Surgical Site Infections Job Aid for a list of CHG contraindications, age exceptions (37-48 wks) and alternate bathing products.

Night Prior for All Procedures	Soap and water bath/shower and A CHG treatment within 1 hr of bath, or approved alternative, if required in list below and Surgery on the head or neck (not involving mucous membranes) shampoo or no-rinse shampoo spray to hair Clean bed linens and gown
Procedures That Require CHG on Night Prior and Day of Procedure	All neurosurgery Spinal fusions Growing rods, VEPTR Placement, expansions, revisions Endo prosthetics Placement, revisions Total joint replacements Tissue expanders Placement, revisions Craniofacial surgery with hardware Breast procedures Central line insertion Vascular surgeries Vascular bypass, vascular trauma, popliteal artery entrapment release, median arcuate ligament release NUSS procedures
Night Prior to Procedure	Soap and water bath/shower and A CHG treatment, or approved alternative, if required in list above and Surgery on the head or neck (not involving mucous membranes) shampoo or no-rinse shampoo spray to hair Clean bed linens and gown
Day of All Procedures	Second CHG treatment as indicated Add-ons Aim to complete CHG treatment by 6 a.m. or once identified as an add on ED Discuss with PACU charge RN appropriate location for bathing based on patient status and OR availability Remove Jewelry Piercings Home undergarments Contact lenses False eyelashes Tampons are not permitted, menstruating females can wear a maxi pad with disposable underwear Pull hair away from the face, remove metal hair accessories
Refrain from Use After Bathing	Alcohol-based hair or skin products Deodorant when axilla will be in sterile field Lotions Emollients Cosmetics

If you have questions about any of the clinical pathways or about the process of creating a clinical pathway, please contact us.

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The clinical pathways are based upon publicly available medical evidence and/or a consensus of medical practitioners at The Children’s Hospital of Philadelphia (“CHOP”) and are current at the time of publication. These clinical pathways are intended to be a guide for practitioners and may need to be adapted for each specific patient based on the practitioner’s professional judgment, consideration of any unique circumstances, the needs of each patient and their family, and/or the availability of various resources at the health care institution where the patient is located.

Accordingly, these clinical pathways are not intended to constitute medical advice or treatment, or to create a doctor-patient relationship between/among The Children’s Hospital of Philadelphia (“CHOP”), its physicians and the individual patients in question. CHOP does not represent or warrant that the clinical pathways are in every respect accurate or complete, or that one or more of them apply to a particular patient or medical condition. CHOP is not responsible for any errors or omissions in the clinical pathways, or for any outcomes a patient might experience where a clinician consulted one or more such pathways in connection with providing care for that patient.

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Anesthesia/Sedation Preoperative Care and Preparation Clinical Pathway, Inpatient and Emergency Department – Bathing Recommendations

Anesthesia/Sedation Preoperative Care and Preparation Clinical Pathway, Inpatient and Emergency Department

Bathing Recommendations for Inpatients with Scheduled OR Procedure