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What's the Harm? - December 2015 - 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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3 5 D E C E M B E R 2 0 1 5 | O U T P A T I E N TS U R G E R Y. N E T to occur in rapid succession. If our only job were to draw up drugs and inject them aseptically, that in and of itself would be a task-dense, time-consuming activity. When you add the need to manage the air- way and adjust the anesthesia machine, you have 3 different domains your hands are involved in, all at the same time. Even if you wear gloves, it's impossible not to transfer organisms from one domain to the others, as a wealth of literature (osmag.net/GVxT8d, for example) makes clear. And the notion that you might always be able to engage in some sort of hand hygiene between any 2 tasks is both impractical and far outside the culture. There's a good chance providers are also dealing with 4 th and 5 th domains — the drug/equipment cart and the keyboard for the EHR. Take one break during a long case and touch that cart — maybe there's a need to start a new IV, or grab a bag of fluid — and the cart is going to be contaminated by biomaterial from those other domains. Do your anesthesia providers practice poor hand hygiene? s Very often 29% s Often 22% s Sometimes 32% s Rarely 14% s Never 3% SOURCE: Outpatient Surgery Magazine InstaPoll, November 2015, n=232 InstaPoll

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