1. Wash hands. Use gloves. Prepare a clean work surface.
  2. NOTE: Perform this step only if instructed by MD or RN. This is not routine. 
    Using sterile swabs with a solution of one-half hydrogen peroxide and one-half normal saline, pull back the skin around the pins and clean vigorously two times a day. (You should use approximately 1 teaspoonful (5cc) of normal saline and hydrogen peroxide).
  3. Wrap normal saline damp gauze sponges around the base of the pin.
  4. Call the orthopaedic nurse if there is excessive redness, swelling, tenting (skin sticks to the pins and forms a tepee around the pin), increased drainage, or fever over 101.5 degrees Fahrenheit.