Outpatient Surgery Magazine - Subscribers

3-Minute Turnover - Outpatient Surgery Magazine - December 2018

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://magazine.outpatientsurgery.net/i/1059719

Contents of this Issue


Page 58 of 146

who suffer post-op infections are 5 times more likely to be re-hospital- ized and 2 times more likely to die after surgery. So while the CDC's findings are certainly encouraging, there's still plenty we can do to help stop the spread of antibiotic-resistant bacteria. 1. Go back to basics Lowering HAI rates demands building your infection prevention pro- gram on a foundation of the fundamentals. • Patient warming. Use active warming methods to prevent hypothermia in patients before, during and after surgery. Patients who are normothermic throughout their surgical stay are less likely to suf- fer post-op infections. • Instrument care. Wipe visible tissue and blood from soiled instru- ments immediately after use and soak the tools in enzymatic deter- gent to prevent bioburden from forming in lumens and grooves. Your immediate-use cleaning efforts in the OR will make the decontamina- tion process much easier in central sterile. • Hair removal. Remove hair around the surgical site only as needed based on surgeon preference. Use clippers instead of razors and remove hair outside of the OR in pre-op. Loose hair fibers carry microorganisms that can colonize the surgical incision. Adhesive tape and sticky mitts are ineffective at collecting the fibers and time-consuming to use, so opt instead for surgical clippers with a vacuum-assisted device. • Traffic control. Limit the number of staff in ORs to essential mem- bers of the surgical team and have needed equipment on hand to elim- inate the need for circulators to leave the room during cases to hunt down missing items. Also keep door openings to a minimum. • Surgical attire. Did you know you shed about 10 million particles from your skin each day and about 10% of them carry viable microor- D E C E M B E R 2 0 1 8 • O U T PA T I E N T S U R G E R Y. N E T • 5 9

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