Melanie Schendell,an experienced perioperative nurse,was precepting a new perioperative nurse in the circulating role.Melanie watched and coached as the new nurse prepared to perform the skin prep on a patient for closure of a colostomy.The new nurse had never had the opportunity to prep a patient with an existing colostomy and was concerned about the potential for her actions contributing to a surgical site infection (SSI) .After the successful prep and the onset of the procedure,Melanie and the new nurse had an opportunity to discuss SSIs in this patient population and preventive measures.What combinations of topics should they have discussed?
A) Preoperative antibiotics,ostomy care before surgery,and bowel prep
B) Documentation of preoperative shower,hair removal at the incision site,prep solutions
C) Order of prep scrub at the incision site (e.g.,ostomy or incision first) ,wound classification
D) Documentation of preoperative shower,hair removal at the incision site,prep solutions and order of prep scrub at the incision site (e.g.,ostomy or incision first) ,wound classification
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