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Why no nail polish in surgery?

Published in Surgical Safety 2 mins read

Nail polish is not allowed in surgery because it interferes with the accuracy of pulse oximeters, crucial devices for monitoring a patient's oxygen levels.

The Importance of Pulse Oximetry in Surgery

  • A pulse oximeter is a device that clips onto a finger or earlobe.
  • It uses light to measure the amount of oxygen in your blood.
  • This information is vital for ensuring patients are receiving enough oxygen during surgery.

How Nail Polish Affects Pulse Oximeters

  • Nail polish can block or distort the light from the pulse oximeter.
  • This interference can cause inaccurate readings of blood oxygen levels.
  • Inaccurate readings could lead to:
    • A delay in identifying low oxygen levels
    • Incorrect medical interventions

The Risk of False Readings

Factor Risk
Nail polish Interferes with pulse oximeter light
False Readings May hide critical low oxygen levels
Consequences Delay in treatment or incorrect interventions

Practical Considerations

  • Patients are asked to remove nail polish before surgery.
  • This is a standard safety procedure.
  • This precaution is necessary to ensure accurate oxygen monitoring.
  • Alternative monitoring sites can be considered in limited circumstances, but it’s best to remove nail polish if possible.

In summary, nail polish can compromise a critical aspect of patient monitoring, and its removal is a necessary safety measure before surgery.