Standards for Female and Male Sterilization Services - STATE ...

Standards for female and male Sterilization servicesc)d)On the morning of the surgery, she must empty her bowels. Before enteringthe OT, she must empty her bladder and also remove her glasses, contact lenses,dentures, jewellery, and lipstick, if she is wearing any of these items.A responsible adult must be available to accompany the client back home afterthe surgery.1.4.6. Part Preparationi)ii)iii)iv)v)vi)vii)The operative area should not be shaved. The hair can be trimmed, if necessary.The operative site should be prepared immediately preoperatively with anantiseptic solution, such as iodophor (Povidone iodine) or chlorhexidine gluconate(Cetavalone).Alcohol preparation should not be applied to the sensitive genitalia. Iodophorand chlorhexidine are safe to use on mucous membranes and can be used tocleanse the vagina and cervix.Iodophor requires 1 to 2 minutes to work because a certain amount of time isneeded for the release of free iodine, which inactivates the micro-organisms.Antiseptic solutions should be applied liberally at least two times on and aroundthe operative site, which should be thoroughly cleansed by gentle scrubbing.The antiseptic solution should be applied in a circular motion, beginning at thesite of incision and working out for several inches. This inhibits the immediatere-contamination of the site with local skin bacteria.The excess antiseptic solution should not be permitted to drip and gather beneaththe client’s body as this may cause irritation.viii) After preparing the operative site, the area should be covered with a steriledrape.1.4.7. Premedication/Anaesthesia/Analgesiaa)b)Premedication: Reassurance and proper explanation of the procedure go a longway in allaying the anxiety and apprehension of the client. However, if needed,Tablet Alprazolam (0.25 to 0.50 mg) or Tablet Diazepam (5 to 10 mg) can begiven right before the operation.Anaesthesia/Analgesia: Local anaesthesia is the preferred choice fora tubectomy operation. On the day of the operation, drugs for sedation andanalgesia are to be given as shown in Table A.