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The Art of the IV Start - December 2014 - Subscribe to 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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1 8 O U T P AT 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 | D E C E M B E R 2 0 1 4 SURGEONS' Lounge THE P henelle Segal, RN, CIC, president of Infection Control Consulting Services, shares her thoughts on the optimal timing of pre-op antibi- otics: • 1 or 2 hours? SCIP measures say you should start prophylactic antibi- otics within 1 hour before incision and within 2 hours for vancomycin and quinolones. But what is the definition of "within 1 or 2 hours," and what about cases that aren't ready for IV infusion 2 hours beforehand? Many times, 1 hour is stretching it depending on the type of procedure. I refer to the SCIP guideline tool developed by Quality Net/CMS to inter- pret this measure. "For antibiotics with less than 1-hour infusion times, anesthesia will start the antibiotic in the OR. The longer-infusing antibi- otics (vancomycin and quinolones) may be started in same-day surgery (2-hour timeframe to incision)." : When's It Best to Administer Antibiotics? ANTIBIOTIC PROPHYLAXIS ANTIBIOTIC USE Ensuring the proper timing of antibiotic pro- phylaxis is increasingly complex in out- patient surgery.

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