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
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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