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* 1. Are you aware of the 14 point plan for aseptic technique during breast reconstruction surgery with implants?

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* 2. Do you use intravenous antibiotic prophylaxis at the time of anaesthetic induction?

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* 3. Do you avoid periareolar incisions?

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* 4. Do you use nipple shields?

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* 5. Do you perform careful atraumatic dissection?

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* 6. Do you perform careful haemostasis?

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* 7. Do you avoid dissection into the breast parenchyma in cosmetic procedures?

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* 8. Do you use a dual-plane pocket in cosmetic procedures?

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* 9. Do you perform pocket irrigation with correct proven triple antibiotic solution or Betadine?

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* 10. Do you minimise skin-implant contamination?

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* 11. Do you minimise the time of implant opening, repositioning and replacement of implant or sizers?

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* 12. Do you change surgical gloves prior to handling implant, and use new or cleaned instruments?

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* 13. Do you avoid using a draining tube where possible?

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* 14. Do you use a layered closure?

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* 15. Do you use antibiotic prophylaxis to cover subsequent procedures that breach skin or mucosa?

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* 16. Do you supervise junior trainees during implant based reconstructions?

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* 17. Do you oversee trainees' scrubbing and gowning technique?

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