Outpatient Surgery Magazine

There's An App For That - July 2018 - Subscribe to 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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Page 74 of 118

After Surgery) protocols in a few of our other surgical service lines, so we moved our colorectal and abdominal hysterectomy procedures to the top of the list with the focus being on SSI reduction. In the fall of 2016, we brought together a team of surgical techs, nurses, surgeons and infection control personnel and implemented new practices that have dramatically reduced our infection rates. Here are 3 of the important steps we took. 1. Pre-op CHG wipes. Before the intervention, we had 12 surgeons performing colorectal surgery with little standardization of perioperative care. For example, some patients were prepped pre-operatively with chlorhexidine glu- conate (CHG) wipes, while others used different solutions. After we gathered our multidisciplinary team, we began looking at the research and ERAS protocols that impacted surgical site infection rates. One of the measures suggested in the ERAS colorectal protocol includes using CHG on the patient's surgical site pre-operatively. Though we always advised patients to shower the night before or the morning of surgery, we wanted to improve the process. Now, we have the colorectal surgeons hand out CHG wipes at their office when sched- uling the patient for surgery. As part of that appointment, the doctor will give them the wipes and instructions on how to use them before arriving at the hospital. When the patient arrives and is in pre-op, we wipe them down again with CHG. Getting all our surgeons to comply with the new protocol took some work. Our chief of surgery engaged the colorectal surgeons, letting them help create the perioperative care protocol. The participating sur- geons then had to sign off on it. Getting cooperation was relatively easy with our employed surgeons, but the process took some work with other surgeons. We found that education was quite helpful. We J u l y 2 0 1 8 • O U T PA T I E N TS U R G E R Y. N E T • 7 5

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