Outpatient Surgery Magazine - Subscribers

Worth of Every Penny - January 2021 - Outpatient Surgery Magazine

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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W hen Stamford Health (Conn.) discovered a lack of standardi- zation in its skin antisepsis pro- tocols, the OR leaders at the facility knew they had act. After all, inconsistency is the enemy of an effective prepping process. Although Stamford did have a policy in place for skin antisepsis, pre-op practices needed to be updated and improved upon. "There was no way of identifying if patients were in compliance with our requirements because there was no uniform policy for documenting it, and no way to validate the process if it was completed," says Racquel Swaby, BSN, BN, CPAN, nurse manager of perioperative services at Stamford Health. "We had long-estab- lished pre-op prepping protocols for cardiac patients where every patient would come in, have their hair clipped around the surgical site and receive CHG wipes." But the inconsistency involved in applying the pre-op protocols to other patients was a major problem. The health system wanted to follow AORN recommendations and ensure that every patient received some form of skin antisepsis before entering the OR, says Ms. Swaby. With the gap in its skin prep protocols uncovered, Stamford got to work and fixed the problem. First, it changed its policy and required pre-op assessments to include confirmation that all patients prepped their skin at home with either antibacterial soap or 2% chlorhexidine gluconate (CHG) wipes. (The 4 2 • O U T P A T I E N T S U R G E R Y M A G A Z I N E • J A N U A R Y 2 0 2 1 The Skinny on Skin Prep Standardization Consistency in tracking can prevent complacency and bad habits from sneaking into your processes. APPLICATION PROCESS Surgical teams must let prepping solutions dry fully before making incisions. Jared Bilski | Managing Editor David Reidy/CHOC

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