What is the first step to perform during a skin prep for a bunionectomy?

• A. Use an impervious drape to protect the tourniquet
• B. Start at the incision site
• C. Prop the foot to allow ample access
• D. Move up the leg starting from the toes

Answer: (C)

The initial step in performing a skin prep for a bunionectomy is to prop the foot to allow ample access. Proper positioning and accessibility are essential for an effective and thorough skin preparation. By propping the foot, the surgical team can easily access the entire area that will be prepped, ensuring no part is overlooked. This positioning not only enhances visibility but also allows for more comfortable and efficient application of the antiseptic solution used during the prep.

Starting the skin prep directly at the incision site can be effective, but it is more crucial to ensure that the entire foot is accessible first. Protecting the tourniquet with an impervious drape or moving up the leg from the toes are considerations that come into play after the foot has been adequately positioned and prepped. Thus, propping the foot is vital as it sets the foundation for the successful execution of the skin preparation process.