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No Guarantees - March 2017 - 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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between intake and transport to the OR. Each swab lasted about 30 seconds. The patient's assigned and labeled bottle traveled with the chart to the PACU. After leaving the OR, we made additional applica- tions at 3 p.m. and/or 9 p.m. on the day of surgery, depending upon the time of arrival in the PACU. On each subsequent day in the hospital, PACU staff applied the nasal antiseptic to the patient at 9 a.m., 3 p.m. and 9 p.m. We sent patients home with what was left in the 12 mL bot- tle and encouraged them to continue applications every 6 hours for 5 to 7 days. We collected data from a total of 803 spine surgery patients, 399 dur- ing the 9-month baseline period and 403 during the 9 months of nasal antiseptic use. The mean SSI rate during the reference period was 1.76 infections per 100 surgeries. This rate was reduced to 0.55 during the subsequent 9-month period of nasal antiseptic use in our protocol: a 69% decrease. The success of this ongoing effort has led other surgical groups within our hospital to try nasal antiseptics. Critical to its success has been the leadership and motivation provided by key members of the nursing and surgical teams, and the participating staff's enthusiasm. OSM M A R C H 2 0 1 7 • O U T PA T I E N TS U R G E R Y. N E T • 7 1 Ms. Mullen (amullen@uspi.com) is the infection prevention manager at Baylor Orthopedic & Spine Hospital in Arlington, Texas.

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