Outpatient Surgery Magazine

Manager's Guide to Patient Skin Preparation - February 2014

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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Patient Skin Preparation_Layout 1 1/28/14 11:37 AM Page 27 S U R G I C A L S K I N A N T I S E P S I S Sharon L. Butler, MSN, RN Stanford, Calif. 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. How we secured frontline buy-in and ensure continued compliance. Y resulted in lower infection rates and increased satisfaction ou know there's trou- across the front line. Let's look at how ble with your skin- you can standardize patient skin prep- prepping protocols ping as part of a surgical site infection when nurses act more process improvement project. like bartenders than caregivers, mixing 1%, 2% or 3% 1. Convince with data 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 con- povidone-iodine products. That's the vinced change will end in disaster, or reality we faced before surgeons and they don't think it makes any differ- nurses partnered to limit available ence whatsoever. To dispel both prepping options to 3 products, which notions, form a staff research team to M O N T H 2014 | 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 O N L I N E 2 7

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