M A Y 2 0 1 5 O U T P A T I E N TS U R G E R Y. N E T 5
M a y 2 0 1 5 | w w w . o u t p a t i e n t s u r g e r y . n e t
I n f e c t i o n C o n t r o l
C O N T E N T S
6 Inside the Deadly
Duodenoscope Outbreaks
Is enough being done to protect
your patients from dangerous infections?
Daniel Cook | Executive Editor
17 Can You Pass This
Surface Disinfection Quiz?
Test your knowledge on the best way to
keep your ORs clean and free from infection.
Donna Nucci, RN, BSN, CIC
27 What's Your Double-Gloving Policy?
Our survey shows that while double-gloving
is catching on, there's still work to be done.
Kendal Gapinski | Associate Editor
33 Can You Spell SSI With IUSS?
Yes, but only if you do it backwards. Here's how
to get immediate-use steam sterilization right.
Dan O'Connor | Editor-in-Chief
38 Decontamination Begins in the OR
How you care for and clean instruments in the OR
plays a big role in their safe and speedy return.
Rose E. Seavey, MBA, BS, RN, CNOR, CRCST, CSPDT
45 The Lowdown on
Low-Temp Sterilization
Take the time to ensure your
delicate items are reprocessed correctly.
Donna Swenson, BS, CRCST, CHL, ACE
50 Get Straight on Skin Prepping
Pre-op antisepsis is hardly complex,
but questions remain.
Feroze Sidhwa, MD, MPH
57 Do You Wear Your Scrubs Home?
Cleaning surgical attire in your washing machine
puts patients and family members at risk.
Lisa Spruce, DNP, RN, CNS-CP, CNOR, ACNS, ACNP
62 Putting Patient Warming
Into Practice
Are your efforts to prevent
hypothermia effective or just compliant?
Victoria M. Steelman, PhD, RN, CNOR, FAAN
67 Infections on the Decline,
But Risks Persist
Q&A with Dale W. Bratzler, DO, MPH, a national
healthcare quality leader and SSI prevention expert.
17
M a n a g e r ' s G u i d e t o
To Our Readers
In the operating room, where even 1 surgical site infection is 1 too many,
the margin for error is razor-thin and the quest for a zero infection rate
remains the elusive goal. We hope the 10 articles in this year's Manager's Guide to Infection Control get you closer to zero
SSIs. From cleaning surfaces and instruments to patient warming and surgical attire, we've got all your bases covered. Be
sure to pass this issue along to your infection preventionist and sterile processing team members.
Cover design by Ethan Anderson | Photo by Mark Washburn of Dartmouth-Hitchcock Medical Center in Lebanon, N.H.