instruments, so if a surgeon needs
such an item, it'll be in the room.
Another movement-reduction
technique: All of the equipment in
ORs is hung on built-in booms,
meaning the equipment doesn't
need to be rolled into and around
the room as it's needed.
As a result of all of these
changes, Ms. Luna says the ORs are
"more contained," and St. Francis
now exceeds the national standard
in terms of limiting traffic move-
ment in the OR.
• Antibiotic management. "We
always make sure there's an antibi-
otic that matches appropriately to the evidence-based practice for
which kind of antibiotic to use for certain kinds of cases," says Ms.
Luna. The correct antibiotic is predetermined in the pre-admission
testing clinic unless the surgeon chooses a different one for a specific
case.
Ms. Luna and her team will formally roll out a comprehensive col-
orectal SSI bundling program on Oct. 1, but continue to improve their
infection prevention program — a total joint SSI bundle is next, with
bundles for additional procedures to follow. "Over the past year we
have decreased our total joint infection rates as well as our colorectal
infection rates and continue to constantly improve on our processes
to decrease any potentials that could lead to SSIs," says Ms. Luna.
OSM
8 2 • 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
• NO NEED TO LEAVE Infrequently used materials that a
given surgeon might need on a case are conveniently
stored in cabinetry in Saint Francis' newly renovated ORs.
Saint
Francis
Health
System