Incision and Drainage (I&D) of Abscess

An abcess is a pocket of pus. The treatment is to open it up and allow the pus to drain.

In advance (Huddle)

• MA to confirm supplies needed with provider.

PPE

• Sterile gloves
• Gown
• Eye protection
• Surgical mask

Setup (MA)

• Complete demographics portion of consent form.
• Verify if allergy to iodine or Betadine.
• Ensure all supplies are available and in procedure room.

For sterile field

MA will get supplies. Provider will then prep sterile field, unless MA is trained to do so.

• Derm Procedure Pack
  • Tissue forceps
  • Straight Kelly forceps
  • Straight mosquito forceps
  • Curved mosquito forceps
  • Iris scissors
  • Needle holder
  • Fenestrated sterile drape
  • Gauze 4x4s (sterile)
• Scalpel (type above)

Prepped on non-sterile counter

• Consent form (demographics completed)
• PPE (see above)
• Chux (procedure underpad)
• Alcohol wipes
• Syringe 5mL with needle, 18 g x 1” (for drawing medicine)
• Needle, 27 g x 1” (for administering)
• Lidocaine (type above)
• Betadine swabs
  • Substitute Chloraprep swabs if allergic to iodine or Betadine.
• Iodoform gauze (1/4” and 1/2”)
• Dressing supplies
  • Bacitracin
  • Sterile Telfa dressing to cover wound
  • Gauze for over Telfa
  • Tape
  • Bandage scissors

On request

• Saline (and container)
• Large syringe for irrigation

Procedure (Provider)

Before

• After reviewing procedure with patient, have patient sign consent form.
• Using sterile technique, place appropriate items on sterile field.
• Confirm allergies.
• Perform time out immediately before procedure.

After

• Remove all sharps from work stand and place in sharps container.
  • Do not delegate this task.

Dressing (MA or Provider)

• Dress wound.
• Give patient after-care instructions.