Infections are the most common complication following surgical procedures and are associated with significant morbidity, mortality and increased cost in health care (Anderson, 2014). As a nurse working in a surgical capacity this is a concern for the patients. Working for a general surgeon, surgical site infections are not commonly seen in the office, however, it remains one of the top concerns for the well-being of patients. Many evidence based studies are aimed at nurses who provide care for patients in the pre, peri, and post- operative periods. Perioperative nurses prepare the skin for surgery to remove soil and microorganisms at the point of incision (Cowperthwaite & Holm, 2015). Surgical site infections are easy to reduce given the proper guidelines for prevention. This includes skin antisepsis, and surgical hand hygiene and technique.
A National Patient Safety Goal set up by the Joint Commission is to prevent surgical site infections (The Joint Commission, 2015). One of the ways this is done is through reducing bacteria at the surgical site. Skin is not sterile, but reducing the number of bacteria on the skin may help reduce surgical site infections. (Cowperthwaite & Holm, 2015) The circulating nurse, along with other key personnel, plays a key role in preventing surgical site infections. Proper technique must be used to reach the highest level of protection, starting with skin preperation. Typically, in the operating room setting, there are two skin
Conduct a literature search to locate research articles focused on a practice problem of interest. This literature search should include both quantitative and qualitative peer research articles to support your practice problem or issue of interest in 350-750 words.
5. Poulin,P., et al.(2014) Preoperative Skin Antiseptics for preventing surgical site infections: What to do?
According to the Hospital National Patient Safety Goals, Goal 7 is to reduce the risk of health-care associated infections. NPSG.07.0.01 deals with surgical-site infections. The question to be asked is, “Why are surgical site infections a problem?” The prevention of surgical site infections can occur before and during surgery, with certain actions of the nurse, and when the patient is healthy. One way surgical site infections can occur is during surgery, or intra-operation. Sources of bacteria, exogenously, include the airborne route as a significant source of infection. Endogenously, infections can occur from the normal flora of a patient (Edmiston & Spencer, 2014a). Surgical site infections are a problem intra-operatively because of operating room temperatures not being controlled, misuse of sterile procedure, and improper hand hygiene. Operating room temperatures should be kept between 68 to 75 degrees Fahrenheit or 20 to 24 degrees Celsius. There also needs to be positive
To prevent the risk of cross-infection to patients and staff, stringent infection control measures must be followed. Failure to apply these actions poses a greater risk of nosocomial infection to vulnerable patients in the Intensive Care Unit including those with open wounds, invasive devices and weakened immune systems (REF). Hand hygiene has a dual role in protecting both the patient and the radiographer from acquiring and potentially transfering transient micro-organisms. This can be achieved by using liquid soap and water with effective washing technique, or using an alcohol hand rub, before and after contact with the patient. In addition, personal protective equipment including gloves and disposable aprons must be worn to prevent transmission of micro-organisms to both patients and staff during direct patient
Preventing infections in the hospitalized patient always has been a performance measure and is part of The Joint Commission’s national patient safety goals for 2015 (Joint Commission, 2015). Controlling infections in the hospitalized patient is an evidenced-based practice known to improve patient's health, reduce costs, prevent healthcare-associated infections (HAI), and prevent the spread of multi-resistant organisms (CDC, 2013). Hand hygiene is the routine use of hand washing, antiseptic hand wash, antiseptic hand rub, or surgical hand antisepsis (CDC, 2013). In the hospitalized patient the routine use of an alcohol-based antiseptic hand rub or antiseptic hand wash to remove or destroy any transient microorganisms and decrease resident flora
Nurses play a pivotal role in preventing hospital-acquired infections (HAI), not only by ensuring that all aspects of their nursing practice is evidence based, but also through nursing research and patient education.Hand hygiene is widely acknowledged to be the single most important activity for reducing the spread of disease.Personal protective equipment (PPE) is used to protect both yourself and your patient from the risks of cross-infection.Gloves should be worn whenever there might be
Surgical site infections (SSIs) are the most common healthcare-associated infections in surgical patients in the United States, totaling about 1 million per year. SSI symptoms usually present within 1 week to 30 days after surgery and can include purulent drainage at the incision site, fever, wound abscess, pain on palpation, and localized pain, tenderness, swelling, redness, and warmth. As an organization when cleaning the chest tube site, chlorhexidine appears to be more effective than providone-iodine for both preoperative hand and surgical site antisepsis preventing surgical site
Keeping our hands clean is one of the most effcient and important steps we can do as humans to avoid getting sick or spreading germs to other people. Unwashed hands spread many diseases such as the flue, E. coli, and salmonella. Unfortunately, hand hygiene is still one of today’s most leading causes of infection in health care facilities. The risk of clinicians, patients, and visitors not complying with hand hygiene protocols creates a practice problem for nurses and their patient care. The cause of health care infections, also known as, health care-associated infections (HAIs) are increasing along with the rise of the inability to control or treat infections that are multi-drug resistant. Lack of proper hand hygiene is a major problem in clinical settings sourcing from critical care divisions where the most contaminations are prevalent. This paper will discuss how hand hygiene affects the nursing process and solutions of how to better prevent HAIs within the nursing scope of practice.
Wound care nurses play a special role in the hospital environment, and hospitals without those specialized nurses may not be able to offer the level of care as hospitals that have these specialized professionals. "Wound care nurses, sometimes referred to as wound, ostomy, and continence (WOC) nurses, specialize in wound management, the monitoring and treatment of wounds due to injury, disease or medical treatments. Their work promotes the safe and rapid healing of a wide variety of wounds, from chronic bed sores or ulcers to abscesses, feeding tube sites and recent surgical openings" (Nursing Schools, 2012). While it may seem as if any nurse should be qualified to perform these functions, it is critical to realize that it is a specialized field. "Their main objectives are to assess the wounds, develop a treatment plan, clean wounds and monitor for signs of
This essay will examine and compare the different methods of hand washing in the perioperative environment and how hand washing influences the prevention of healthcare acquired infections (HCAIs). It will show the importance of washing hands thoroughly to remove bacteria to prevent HCAIs. It will include the differences between the surgical hand wash, the social hand wash and the use of alcohol rubs.
Measure of this concept is based on the stages of wound healing and the Centers of Disease Control
Surgical site infections (SSI) occur in 2 – 5% of ‘clean’ non-abdominal surgical procedures (Rothrock, 2007). Staphylococcus epidermidis is the most common cause for SSI in Orthopaedic surgery (NICE, 2008). Guidelines were produced by the National Institute for Health and Clinical Excellence (NICE) to try and reduce this infection rate and include a preoperative phase, (including hair removal and antibiotic prophylaxis), an intra-operative phase and postoperative phase.
Surgical site infections plague patients all over the world on a daily basis. The Centers for Disease Control and Prevention (CDC) estimates that drug-resistant bacteria cause two million illnesses and about 23,000 deaths each year in the United States alone” (Frieden, 2013).
The priority nursing diagnosis of hospital acquired infection is risk for any kind of infection. One of the main goals for each patient in the hospital is the patient will remain free of infection as evidence by absence of heat, pain, redness, or swelling in any area of the patient’s body during each nurse’s shift. (care plan book). Frequently hand washing is the best intervention for preventing infection. Hand washing reduces the risk of transmission of pathogens by inhibiting the growth of or killing the microorganisms. (cb)Proper sterile technique during urinary
Those who incorporate the best practice standards can reduce the morbidity and mortality associated with surgical site infections.