Outpatient Surgery Magazine

A Drug Diverter Comes Clean - Subscribe to Outpatient Surgery Magazine - December 2017

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

Issue link: http://outpatientsurgery.uberflip.com/i/913285

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Page 122 of 166

because surgical pro- fessionals assume surfaces are being cleaned properly." In fact, it's best to assume the opposite and focus on making sure your staff does more than skim the surface when disinfecting ORs between cases. Ms. Link suggests you gather representatives from infection control, anesthesia, radiology and surgery — any department that brings equipment into the OR — to determine who will be responsible for cleaning specific surfaces between cases. You should also develop a way to document that every surface in the OR has been wiped down between cases. "Establish enhanced cleaning protocols to ensure high-touch areas are addressed between cases," she says. "The OR surfaces stay the same, but the people who clean them varies." Dr. Carling's widely referenced study published in the journal Infection Control & Hospital Epidemiology used transparent fluores- cent gel to mark surfaces in 43 ORs of a major teaching hospital before the first case of the day (osmag.net/Z8RnHq). His research team then used a UV lamp to evaluate how many of the marks were removed 24 hours later. They also took environmental cultures in unused ORs that had been terminally cleaned the night before. Contaminated objects included intravenous poles, operating room beds, Mayo stands and floors. Less than 50% of tested surfaces had been cleaned before the researchers conducted 4 months of ongoing perform- ance feedback of the staff's cleaning practices. The educational efforts led to an 82% increase in cleaning of the test gel markers. In addition, when the hospital made anesthesia providers responsible for cleaning anesthesia machines' knobs, switches, keyboards, oxygen reservoir bags and medication carts, the percentage of negative culture samples D E C E M B E R 2 0 1 7 • O U T PA T I E N TS U R G E R Y. N E T • 1 2 3 One of the biggest challenges staff face when turning over rooms is being efficient and effective.

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