Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.
Issue link: http://outpatientsurgery.uberflip.com/i/124399
S U R G I C A L S K I N A N T I S E P S I S research team to examine the literature for best practices (as you know, 3S ure Sta -Fir nda e S rdiz tep ed s to Pre ps TOO MANY OPTIONS With iodine-based prepping, nurses at Stanford University Hospital and Clinics were too often conjuring cocktails that had little basis in best practices. most surgeons SELECT FEW Nurses aren't the only ones who want prepping options limited to a few effective choices. base their clinical decisions on peerreviewed research). Our team found that ADDED BENEFITS A fter standardizing our preps, the space need- chlorhexidine glu- Streamlined, Sterile Supplies conate (CHG) com- ucts was greatly reduced, as was the manpower required to stock the bined with alcohol supplies. We've tried to determine whether there was a realizable cost appears to be most savings, but our tracking system makes this nearly impossible. I can tell effective for skin you that we've saved loads of space, because the prep sticks go directly ed to store prepping prod- How we secured frontline buy-in and ensure continued compliance. options to 3 products, which resulted in asepsis, followed in our specialty packs now. The only prepping agent taking up shelf space lower infection rates and increased satis- by povidone-iodine is the povidone-iodine for scrub and paint, so materials management is Sharon L. Butler, MSN, RN | Stanford, Calif. faction across the front line. Let's look at and alcohol in clearly happy with the efficiency of both stocking and picking for cases. how you can standardize patient skin cases where CHG Y Infection control leaders like that the single-use products are sterile ou know there's trouble with prepping as part of a surgical site infection is inappropriate and come with other sterile supplies. Sterile manufacturing of antiseptic your skin prepping protocols process improvement project. (such as around products is an issue the FDA keeps revisiting (although it's not yet decid- open wounds, the ed to take action), so we feel as if we're ahead of the curve there. Finally, eyes or mouth). nurses and surgeons alike have expressed satisfaction. Nurses like that During one of prepping is a much simpler process — no more being asked to whip up when nurses act more like bar- tenders than caregivers, mixing 1%, 2% or 1. Convince with data 3% iodines with alcohol for surgeons who Surgeons have 1 of 2 attitudes toward don't use single-use chlorhexidine and prepping: They're ritualistic and convinced your regular educa- cocktails in the OR — and surgeons like that there's no imposition on the povidone-iodine products. That's the reali- change will end in disaster, or they don't tion sessions rest of their routines. Even for those who still insist on iodine, we didn't ty we faced before surgeons and nurses think it makes any difference whatsoever. attended by nurses, take it away; it's just in a standardized, consistent formula. partnered to limit available prepping To dispel both notions, form a staff surgeons and anes- 1 7 SUPPLEMENT TO O U T PAT I E N T S U R G E R Y M A G A Z I N E | M AY 2013 — Sharon L. Butler, MSN, RN M AY 2013 | S U P P L E M E N T TO O U T PAT I E N T S U R G E R Y M A G A Z I N E 1 8