Tracey,the neurosurgical perioperative nurse,is the circulating nurse on a cranial procedure with a new surgical resident on his first day on the neurosurgical surgery service.She has observed and coached 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 asked the scrub person for methylene blue and a sterile cotton-tipped applicator on a wood stick,Tracey intervened and offered him an indigo carmine surgical skin marker.What was Tracey's rationale for not using methylene blue as a skin marker?

Question

Quizplus · Accepted Answer

Methylene blue should never be found in a neurosurgical OR because it produces an inflammatory reaction in CNS tissue.Many neurosurgeons mark the incision line with a sterile marking pen or a sterile marking solution and wooden stick.If a marking solution is used,indigo carmine,gentian violet,or brilliant green is recommended.Because the markings tend to wash off during the prep,some surgeons may scratch the scalp along the planned incision with a sharp sterile needle.

Tracey,the Neurosurgical Perioperative Nurse,is the Circulating Nurse on a Cranial