EBT Task 2
A1. Procedure
The preoperative procedure of using with chlorhexidine-alcohol (CHG) before surgery has been proven to be more effective to reduce the number of surgical site infections (SSI) than the use of povidone iodine. By reducing the number of infections post surgery, it can lower patient morbidity and can reduce hospital stay time and eliminate further unnecessary costs.
A2a. Basis for Practice (who determined )
The basis for changing the method of using chlorhexidine-alcohol bath before all surgeries and not just the open heart patients.
In HCA facility, the infectious disease nurse (ID), wound care nurse and the operating room (OR) manager have collaborated to find an effort to reduce the rate of surgical site infections. In an interview with the infectious disease nurse, the wound care nurse and the OR manager, it was discussed if infections may have been caused before the operation or post operatively. The patient is prepped on before taken into surgery. This may consist of hair clipping and an antiseptic bath. The patient is then wheeled into the surgery room where they are further prepped on the operating table. At this point, the infection risk should be low.
It was concluded that there was a lower risk of surgical site infections if the patient had been pre-operatively prepared with an antiseptic bath.
A2b. Rationale (why did they look into it/physiologic)
The patient’s skin is usually the pathogen source, along with the mucous membrane. Once the skin has been surgically cut open, the underlying tissue is then exposed to the overlying flora. The skin’s normal flora, such as Staphylococcus, E. Coli, Bacillus fragilis, can serve as risk contaminants.
The purpose of bathing/showering with antiseptic before surgery is to remove any dirt and reduce microorganisms from the skin temporarily.
There are several patient characteristics that can contribute to SSIs such as the patients age, nutritional status, diabetes, obesity, and
The preoperative procedure of using with chlorhexidine-alcohol (CHG) before surgery has been proven to be more effective to reduce the number of surgical site infections (SSI) than the use of povidone iodine. By reducing the number of infections post surgery, it can lower patient morbidity and can reduce hospital stay time and eliminate further unnecessary costs.
A2a. Basis for Practice (who determined )
The basis for changing the method of using chlorhexidine-alcohol bath before all surgeries and not just the open heart patients.
In HCA facility, the infectious disease nurse (ID), wound care nurse and the operating room (OR) manager have collaborated to find an effort to reduce the rate of surgical site infections. In an interview with the infectious disease nurse, the wound care nurse and the OR manager, it was discussed if infections may have been caused before the operation or post operatively. The patient is prepped on before taken into surgery. This may consist of hair clipping and an antiseptic bath. The patient is then wheeled into the surgery room where they are further prepped on the operating table. At this point, the infection risk should be low.
It was concluded that there was a lower risk of surgical site infections if the patient had been pre-operatively prepared with an antiseptic bath.
A2b. Rationale (why did they look into it/physiologic)
The patient’s skin is usually the pathogen source, along with the mucous membrane. Once the skin has been surgically cut open, the underlying tissue is then exposed to the overlying flora. The skin’s normal flora, such as Staphylococcus, E. Coli, Bacillus fragilis, can serve as risk contaminants.
The purpose of bathing/showering with antiseptic before surgery is to remove any dirt and reduce microorganisms from the skin temporarily.
There are several patient characteristics that can contribute to SSIs such as the patients age, nutritional status, diabetes, obesity, and