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Release Notes:
Data Element
Version 2010A1

Data Element Name: Preoperative Hair Removal
Collected For: SCIP-Inf-6,
Definition:The method of surgical site hair removal performed in the hospital prior to the principal procedure.
Suggested Data Collection Question:What method of surgical site hair removal was performed prior to the principal procedure?
Allowable Values:

Select all that apply:
1   No documented hair removal or no hair removal performed
2   Razor
3   Clippers
4   Depilatory
5   Other
6   Patient performed their own hair removal
7   Unable to determine method

Notes for Abstraction:
  • If hair removal was not required for the procedure and there is no documentation of hair removal, select 1: “No documented hair removal or no hair removal performed.”
  • If “shaved” is documented as the method of hair removal, select “2.” However, if the surgeon documents in the operative note that the patient was “shaved and prepped in the usual fashion,” do not collect as documentation of actual hair removal.
  • If more than one method is documented, select the methods that are documented. Abstractors have the opportunity to select one or more of the allowable values. No value should be recorded more than once. If a value of 1 or 7 is selected, no other selections should be recorded.
    • The preoperative record has documentation of hair removal by clippers. The intraoperative record has “N/A” documented for hair removal. Select only “3- Clippers” because the value of “1” cannot be combined with another value.
    • The preoperative record has documentation of a “shave prep” and the intraoperative record has “clippers” documented. Select “2-Razors” AND “3-Clippers” as both methods are documented in the medical record.
  • Select 5: “Other” if the method of hair removal is not listed in the Allowable Values.
  • If there is documentation that scissors are used to remove hair, select “3.”
  • Examples:
    • The patient is an 80-year-old male who had surgery for a cancerous tumor in the abdomen. Hair removal was performed by using clippers in the holding area immediately prior to surgery; select 3: “Clippers.”
    • The patient shaved the night before surgery; select 6: “Patient performed their own hair removal.”
Suggested Data Sources:

Surgical site hair removal should only be abstracted from data sources that document actual hair removal.

  • Nursing notes
  • Operating room record
  • OR nurses record
  • Preoperative checklist
  • Preoperative report
  • Surgical checklist
Additional Notes:
Guidelines for Abstraction:
Inclusion Exclusion
Examples of depilatories:
  • Nair™
  • Neet™
  • One Touch Hair Removal™
  • Other brands of depilatory not mentioned above
  • Surgi-Lotion Hair Removal™

  • Hair removal not at surgical site
  • Hair removal involved in daily hygiene

Preoperative Hair Removal
Specifications Manual for Joint Commission National Quality Core Measures (2010A1)
Discharges 04-01-10 (2Q10) through 09-30-10 (3Q10)