Outpatient Surgery Magazine

Special Outpatient Surgery Edition - Infection Control - May 2019

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

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bd.com AORN is the registered trademark of AORN, Inc. © 2018 BD. BD, the BD logo and ClipVac are trademarks of Becton, Dickinson and Company. SU9360 (0418) Advertisement Microbial reduction and time savings demonstrated with ClipVac ™ vacuum-assisted surgical clipping system Significantly less total clipping and cleanup time with ClipVac 3 Chest Groin Time (minutes) 6 5 4 3 2 1 0 P < .001 Tape cleanup ClipVac P < .001 5.3 3.2 4.2 2.7 36% mean time savings with ClipVac 40% mean time savings with ClipVac Results showed that ClipVac required a significantly (P < .001) shorter time for clipping and clean up of hair than SSC—reducing mean time to clip and clean up chest and groin sites by 40% and 36%, respectively. ClipVac eliminated the need to physically remove dispersed hairs from within the operative field. 3 Significantly less microbial contamination from hair left behind with ClipVac 3 Chest Groin Log 10 [colony-formimg units] microbial contamination 1.40 1.20 1.00 0.80 0.60 0.40 0.20 0.00 -0.20 -0.40 P < .001 1.10 0.17 0.83 0.00 Tape cleanup ClipVac Use of ClipVac resulted in a significant (P < .001) reduction in both residual hair and microbial contamination within the operative field compared with SSC. The microbial burden recovered from residual hair during clean up in the SSC group was 3.9 log 10 CFU and 4.6 log 10 CFU from the chest and groin areas, respectively. 3 ClipVac—a small, portable vacuum with a single-use nozzle and filtered reservoir that attaches exclusively to the BD surgical clippers—uses innovative technology to create a complete hair-removal system. The filter captures an average of 99% of hair and airborne contaminants generated in the clipping process, down to 0.3 μm,* and is disposed of after each use. This technology saves valuable time by eliminating the entire secondary step of clean up and the need for adhesive-based cleanup products that can be bacteria-laden, damage skin layers and potentially cause adverse reactions. Notes AORN does not endorse any commercial company's products or services. * Data on file from a pilot study conducted by Bioscience Laboratories on behalf of Surgical Site Solutions, Inc. References 1 Association of periOperative Registered Nurses (AORN). Recommended practices for preoperative patient skin antisepsis. In: Perioperative Standards and Recommended Practices. Denver, CO: AORN; 2014:e57-e80. https://www.r2library.com/Resource/Title/1888460830. Accessed May 9, 2017. 2 Mangram AJ, Horan TC, Pearson ML, Silver LC, Jarvis WR. Guideline for prevention of surgical site infection, 1999. Centers for Disease Control and Prevention (CDC) Hospital Infection Control Practices Advisory Committee. Am J Infect Control. 1999;27(2):97- 132. 3 Edmiston CE Jr, Griggs RK, Tanner J, Spencer M, Seabrook GR, Leaper D. Perioperative hair removal in the 21st century: utilizing an innovative vacuum-assisted technology to safely expedite hair removal before surgery. Am J Infect Control. 2016;44(12):1639-1644. 4 Redelmeier DA, Livesley NJ. Adhesive tape and intravascular-catheter-associated infections. J Gen Intern Med. 1999;14(6):373-375. 5 Berkowitz DM, Lee WS, Pazin GJ, Yee RB, Ho M. Adhesive tape: potential source of nosocomial bacteria. Appl Microbial. 1974;28(4):651-654. 6 Harris PN, Ashhurst-Smith C, Berenger SJ, Shoobert A, Ferguson JK. Adhesive tape in the health care setting: another high-risk foamite? Med J Aust. 2012;196(1):34. Learn more, request a demo, or download the ClipVac Value Committee Dossier at bd.com/BD-ClipVac-Clean e operative field. 3 ee n Presurgical hair clipping is a common practice when hair interferes with the procedural field. 1,2 However, airborne particles and hair clippings can harbor potentially pathogenic bacteria. When left behind on the patient, linens or floor, hair clippings can contaminate the surgical environment. Many OR nurses agree that the current cleanup practice of using adhesive tape is time consuming, 3 and the reuse of tape rolls represents a cross-contamination risk. 4,5,6 Recently published data demonstrated that BD surgical clippers fitted with the exclusive ClipVac™ vacuum-assisted hair-collection device eliminates these issues. 3 In this study, ClipVac was compared with standard surgical clippers (SSC) and adhesive tape clean up. 3

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