HOSPITAL PREOP
PREOPERATIVE CLINIC
INTRAOPERATIVE
Labs (Albumin, HgbA1C, MRSA)
PACU
Antibiotics*
Skin Antiseptic
*Antibiotics:
Selection: Administer
antimicrobial prophylaxis
according to evidence-based
standards and guidelines
Dosing: Weight-based dosing,
specifically in obese patients
Timing: Begin administration
within 1 hour before incision
(within 2 hours for
vancomycin and
fluoroquinolones)
Re-dosing: If procedure
duration >2x antibiotic half-
life, or if EBL >1500 mL
Duration: Antimicrobial
within 24h post-surgery,
even in the presence of
drains
Fluid Management
Hair Removal (clippers)
Normothermia
(active warming, core 36.0
C)
Education (Smoking cessation, nutrition, exercise)
Preoperative Bathing (Soap or CHG)