Outpatient Surgery Magazine

OR Excellence 2019 Awards - September 2019 - 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 79 of 144

The changes staff made to infection prevention protocols over the past year are comprehensive, and have nearly eliminated infection rates among total joint and colorectal surgery patients. • Pre-screening. When patients arrive at the pre-admission testing clinic, numerous actions are taken with SSI prevention in mind. Clinicians note the patient's A1C levels and comorbidities, and insti- tute enhanced recovery protocols by giving patients nutritional sup- plement drinks 5 days before surgery. On the day of surgery, patients are pre-warmed with a focus on maintaining core body temperatures. • Instrument care. Ms. Luna and her team trialed multiple products for maintaining the wetness of surgical instruments and to eliminate bioburden buildup. They ultimately decided on a pre-cleanse wetting solution rather than an enzymatic soak because they found it best maintained wetness until delivery to sterile processing. After thorough pre-cleaning in the OR, instruments are transported to sterile processing in a closed case cart, with a wet towel placed over the instruments to keep them moist. Most surgical staffers were aware of pre-cleaning but didn't grasp its importance. The hospital now audits for point-of-care cleaning in the OR. "Any instruments that are sent to sterile processing without maintaining wetness are reported, and we go back to the individuals [who worked the case] and talk about it," says Ms. Luna. • Decreased foot traffic. "Evidence-based research shows the importance of decreasing movement in the OR — and not necessarily just opening and shutting of the doors, people coming in and out — but also the traffic in the room itself," says Ms. Luna. "Extra move- ment in the rooms during the surgery stirs the air and any bacteria in the room." To minimize movement, renovated ORs at Saint Francis feature more built-in cabinetry that can house rarely used or emergency 8 0 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • S E P T E M B E R 2 0 1 9

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