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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A N T I B I O T I C P R O P H Y L A X I S an information bulletin board in a high-traf- surgeon or anesthesia fic area where you can post the latest infor- provider to have it changed. mation pertaining to antibiotic administration, including related measures of the 4. Perfect timing Surgical Care Improvement Project Antibiotics must be adminis- (SCIP). tered within 60 minutes of the surgical incision, or with- 2. Frontline champions in 120 minutes if vancomycin Form a process improvement team con- or a quinolone is given. Pre- sisting of a quality improvement leader, op nurses should retrieve pre-op nurses, a pharmacy rep and the medications and hang them managers and educators of the surgical next to patients, but shouldn't services department. The team should serve as champions of your antibiotic delivery efforts. They'll become the frontline experts and be available if questions or issues arise throughout the day related to antibiotic selection or administration. Select the proper antibiotic based on the common pathogens you're targeting and the types of procedures patients are scheduled to undergo. Antibiotics must be profiled and available before patients arrive in pre-op. (Our pharmacy puts needed doses in our department's automated medication storage and dispensing SUPPLEMENT cabinet.) Post SCIP's antibiotic delivery algorithm (tinyurl.com/d3mc3ao) in your pre-op holding areas to provide staff with visual reminders of which antibiotic are appro- 3. Proper selection 1 3 TIMING IS EVERYTHING Antibiotics must be administered within 60 minutes before the surgical incision, or within 120 minutes if vancomycin is given. TO priate for various procedures and patients. The algorithm will prove invaluable to pre-op nurses and perhaps be even more informative for nurses who fill in during sick days and vacations. Before any antibiotic is hung, have staff check the posted algorithm. If the prescribed antibiotic doesn't match the suggested type, have them consult with the O U T PAT I E N T S U R G E R Y M A G A Z I N E | M AY 2013 start the drips — that should be left for the anesthesia providers as they move patients to the ORs. When vancomycin is the recom- Surgical clean should actually feel clean. Discover the true feeling of clean with a free sample of Surgicept.® Now, you can get soft, smooth hands mended dose, pre-op nurses should start drips in the holding area before patients are without the sticky residue. In fact, 78% of surgical staffers in a blind Scan here to get your free sample. study preferred Surgicept® Waterless Surgical Hand Scrub over Avagard® Surgical Hand Antiseptic.1 Surgicept meets FDA efficacy testing moved for surgery. requirements of rapid, persistent and cumulative activity against hand flora. Administering vancomycin Contact us for your free sample, and feel the difference for yourself. References: 1. Surgical scrub comparison market research. Bernstein-Rein, 2010. at the appropriate time surgicept.com/sample | 800.523.0502 demands excellent communication between the pre-op staff and the surgical team. As a general rule, start the medication when the surgeon is M AY 2013 © 2012 CareFusion Corporation or one of its subsidiaries. All rights reserved. Surgicept is a registered trademark of Healthpoint, Ltd. Avagard is a registered trademark of 3M Corporation. ADV-S-SAMPLE0912