The neurosurgical perioperative nurse is the circulating nurse on a cranial procedure.She is helping a new surgical resident on his first day with the neurosurgical surgery service.She observes and coaches him carefully as he removes the patient's hair from the intended incision site with the clippers and then combs the remaining hair away from the incision,holding it back with prepping solution.When the resident asks the scrub person for methylene blue and a sterile cotton-tipped applicator on a wood stick,the nurse intervenes and offers him a gentian violet surgical skin marker.What was the nurse's rationale for not using methylene blue as a skin marker?

Question

Quizplus · Accepted Answer

Many neurosurgeons mark the incision line with a marking pen or a marking solution and wooden stick.If a marking solution is used,indigo carmine,gentian violet,or brilliant green is recommended.Methylene blue should never be present in a neurosurgical operating room (OR)because it produces an inflammatory reaction in CNS tissue.

The Neurosurgical Perioperative Nurse Is the Circulating Nurse on a Cranial