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Keep Your Nose Clean - Outpatient Surgery Magazine - August 2018

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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4 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • A U G U S T 2 0 1 8 On the Cover Four out of 5 wound infections are traced to the patients' own nasal flora. The good news: Intranasal intervention works. You can reduce your MRSA SSI rate through nasal decoloniza- tion. The VA Portland Health Care System shows you how, sharing the details of its decol- onization protocol for veterans undergoing surgery. A little more than a year ago, they began swabbing the nares of every patient 2 hours before surgery. Since then, they've had 0 SSIs. Bonus: It only takes 2 minutes to administer in pre-op and costs $14 per patient. Cover design by Ethan Anderson 22 26 6 Ideas That Work • Don't rush OR cleanings • Let patients wear hearing aids and glasses • A messy board keeps your day clean 18 Legal Update Dueling ASC Ownership Models Danielle E. Golino 22 Anesthesia Alert Cancellations Aren't Always Anesthesia's Fault Lynette Bear, DNP, CRNA, MNBA 26 Infection Prevention Are You Opening the Door to SSIs? Margaret M. Thomas, MSN, BS, RN, CNOR 106 Thinking of Buying … Whole-Room Disinfection Systems Your options for attacking bacteria that survive manual cleaning. Mike Morsch | Associate Editor 118 Behind Closed Doors Amusing Musings Paula Watkins, RN, CNOR Departments 118

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