Patient 453355 medical record was audited by the Risk Management department to review care and services received through departments from admission through discharge at NCH. This patient was admitted with a post-operative wound infection. The Joint Commission standards were adhered to and a Surgical Patient Tracer worksheet was utilized.…
When a patient is getting ready for surgery, one of the last things on their mind is infection. As medical personnel though, it is a thought that definitely does not leave the mind. Getting an infection after surgery not only increases a patients hospital stay and recovery time, but also increases expenses for the hospital. When thinking of ways to decrease infection, it most often starts with preparation of the surgical site and insertion of invasive catheters. When cleaning the site, many institutions continue to use beta dine though research shows that Chlorhexidine has better results. Though Beta dine and Chlorhexidine both reduce bacterial count, Chlorhexidine is found to be more profound and longer lasting (Jarral, McCormack, Ibrahim & Shipolini, 2011).…
Bullock, S & Manias, E. (2011). Fundamentals of pharmacology. [6th ed.]. Sydney, Australia: Pearson Publishing.…
Inclusion criteria were addressed by a physician or resident that included assessing for complexity of laceration, location on the body, and if it had occurred within 3 hours from patient’s arrival. A signed a consent was obtained and data was collected through completion of a checklist noting the patient’s age, sex, site of laceration, type of injury, time of injury, time of injury from the time of repair, and technique of repair. The patient was given a self-addressed, pre-stamped envelope that was to be completed by the physician who took the sutures out. This physician filled out an explicit questionnaire using specific guidelines on wound assessment (pus, erythema, fever,) their clinical impressions (infection vs. no infection), and their management plan (topical/oral/IV antibiotic use, or need for referral to wound specialist). The follow up physician was unaware of which gloves were used in initial repair of the wound. The returned questionnaires where coded to collate with the initial assessment…
A primary concern is post-operative infection. This is one of the most common complications of surgery and can have serious implications. Since post-operative infections account for one third of all nosocomial infections nationwide, this is an important issue to address. I believe that focusing on better ways to prevent possible post-operative infection would greatly improve surgical patients’ outcomes and experiences. As the procedure states now, the patient is required to take a shower/bath with normal bath soap excluding any lotions or powders prior to surgery and then once in the surgical site, is cleansed with Hibiclens and an intravenous antibiotic is initiated. This has been standard practice because past research suggested that as long as the patient bathed with normal soap and the site was scrubbed in surgery, post-operative infection has a decreased incidence. While this has proven to drastically reduce infection rate, there are more recent studies that have proven that bathing with normal soap alone is not sufficient enough to prevent a notable amount of nosocomial infections. Hibiclens is a prescription antimicrobial antiseptic skin cleanser used to cleanse a surgical site. It is an effective product; however, I have found that there are still post-operative infections occurring. For this reason, I decided to analyze the pre-operative procedure of surgical site…
More investigative studies are needed to test the variation of tissue tolerance during prolonged surgery…
Pressure ulcer prevention (PUP) in surgical patients has become a major interest in acute care hospitals with the increased focus on patient safety and quality of care. A pressure ulcer is any area of skin or underlying tissue that has been damaged by unrelieved pressure or pressure in combination with friction and shear. Pressure ulcers are caused due to diminished blood supply which in turn leads to decreased oxygen and nutrient delivery to the affected tissues (Tschannen, Bates, Talsma, &Guo, 2012). Pressure ulcers can cause extreme discomfort and often lead to serious, life threatening infections, which substantially increase the length of stay and total costs of care and compromise quality of care.…
" High infection rates can be scrutinized for a common link, or increases in adverse events can be analyzed to improve patient safety and provide better care. Information is easily sorted and compiled to provide various reports that are user-specific.…
Infection: If you have any other infection, like dental infection, then treat the infection first prior to the surgery, rather than postponing it. It will help you avoid other joint infection, which may require one more surgery.…
Mr. Smith was admitted for surgery on his left knee. However, a surgery of the right knee was performed, resulting in a wrong site surgery. The patient is awake and aware of the current situation. Hospital administration has spoken with the patient and ensured him a team will be formed to do a full analyze in order to identify where the mistake was made.…
“It also means being aware of antibiotic resistance patterns in your facilities, following recommendations for preventing infections that can occur after surgery or from central lines and catheters placed in the body, and prescribing antibiotics correctly.” The CDC has produced a new safety atlas that helps show how to prevent getting these infections. Hospitals have been doing a better job at preventing them. Between 2008-2014 there has been a 50 percent decrease in people who have developed bloodstream infections. There was also a 17 percent decrease in surgical site infections. Over the years there has been many new developed solutions to get rid of some of these bacterial infections. Thus causing not as much panic as to worry about getting one of…
Citations: Carmis BC, MD, MSCR,. Richmond M, RN, MHS, CIC,. Dyer KL, MPH. Zimmerman HN, MPH,. Coyne DW, MD. Rothstein M, MD. Fraser VJ, MD. ; Infection Control and Hospital Epidemiology, Vol. 31, No 11 (November 2010), pp. 1118-1123.…
1.1: Bacteria are single-celled microorganisms with a simple cellular organization whose nucleus lacks a membrane.…
“Each year, more than 18 million surgical procedures are preformed in US hospitals. The Center for Disease Control and Prevention (CDC) estimates that 2.7% of these are complicated by surgical-site infections (SSIs), accounting for at least 486,000 nonsocomial infections each year” (Kirkland et al, 1999, p. 725). According to Scott each infection burdons the health care system with expenses ranging from “$10,443 to$ 25,546” (2009, p. 5). In addition to the increased cost associated with treating the SSI Berrios (2009) sites in the Surgical Site Infection (SSI) Toolkit that each individual with a SSI has an increased rate of mortality. Among all patients diagnosed with a SSI, there is a 3% mortality rate, which is 2-11 times higher risk of death than the average surgical patient. Berrios continues by stating, “75% of deaths among patients with SSI are directly attributable to SSI” (2009, p. 2). At this time there is not an agreed upon method to preventing SSIs. There have been many studies and discussions over the best practice to avoid infection; however, to date it is the responsibility of each individual surgical center to determine the method that will be used to achieve the desired outcome of zero surgical site infections among their surgical patients. The following paper will outline the current state of Annapolis’ pre-operative practice in regards to SSI prevention. Research which supports a change in practice will be examined. The outline of the implementation plan for the use of Chlorhexidine Gluconate Preoperative Shower will be detailed. Staff compliance and Annapolis’ most recent post surgical site infection data will be evaluated. In conclusion, the plans going forward for SSI…
Kwong, L.M., Kistler K.D., Mills, R., Wildgoose, P., & Klaskala, W. (2012). Thromboprophylaxis, bleeding and post-operative prosthetic joint infection in total hip and knee arthroplasty: a comprehensive literature review. Expert Opinion On Pharmacotherapy, 13 (3), pp. 333-44, DOI:10.1517/14656566.2012.652087…