Alcohol-Based Skin Prep

martakonrad commented 4 years ago

BLR3 ALCOHOL-BASED SKIN PREP REFERENCES: 3-1 Privitera, GP., Costa, AL., Brusaferro, S., Chirletti P., Crosasso P., Massimetti G., Nespoli, A., Petrosillo N., Pittiruti M., Scoppettuolo G., Tumietto F., Viale P. (2017). Skin Antisepsis with chlorhexidine versus iodine for the prevention of surgical site infection: a systematic review and meta-analysis.Am J Infect Control. 45(2):180-289. doi: 10.1016/j.ajic.2016.09.017. Epub 2016 Nov 9. https://www.ncbi.nlm.nih.gov/pubmed/27838164 3-2 Guideline for preoperative patient skin antisepsis. (2018). AORN, Inc. 2018: 51-74. 3-3 Konstantinos, M., Kaseta, M., Vasileios, NS. (2015). Perioperative skin preparation and draping in modern total joint arthroplasty: current evidence. Surgical Infections. 16(3). https://www.liebertpub.com/doi/full/10.1089/sur.2014.097 https://doi.org/10.1089/sur.2014.097 3-4 Berríos-Torres SI, Umscheid CA, Bratzler DW, Leas B, Stone EC, Kelz RR, Reinke CE, Morgan S., Solomkin JS., Mazuski JE., Dellinger EP, Itani KMF, Berbari EF, Segreti J, Parvizi, J, Blanchard J, Allen G, Kluytmans JAJW, Donlan R, Schecter WP; Healthcare Infection Control Practices Advisory Committee. (2017). JAMA Surgery. Centers for Disease Control and Prevention guideline for the preventiion of surgical site infection. 152(8). 784-791. doi: 10.1001/jamasurg.2017.0904. https://www.ncbi.nlm.nih.gov/pubmed/28467526

3-5. Bronwen, G., Deverick, A. (2016) Surgical Site Infections. Retrieved from https://search.lib.umich.edu/articles/record/FETCH-LOGICAL-c1490-b8a6de506691d56a9f35c363a5337d3d2cedc4a4b2d5eaf5cddb3e1e0958f5b13?query=surgical+site+infection&filter.publication_date=2010%3A2019&filter.publication_date=2016%3A2016

NATIIONAL GUIDELINES: WHO Surgical Site Infection Guidelines. (2016). https://www.who.int/gpsc/appendix8.pdf

CDC Healthcare Associated Infections guidelines for SSI. (2017). https://www.cdc.gov/infectioncontrol/guidelines/

POLICY: PPT/PAT policy on documentation and completeness of patient intake assessment. Overarching corporate policy for surgical procedure skin prep.

PATIENT EDUCATION: Depending on type of procedure and prep, patient education to focus on keeping or removing the skin prep when discharged to home. (HOSPITAL DIRECTED BY SERVICE LINE, POLICY, SURGEON SPECIFIC, ETC). Preoperative measures to ensure all patient allergies listed and compatible with skin prep solutions.

BENCHMARKING:

COMPETENCIES:

PPT/PAT RN competency on patient interview process for preoperative assessment. 2 .OR competency by type of skin prep and procedure along with dry time documentation.
Anatomical diagram for each procedure regarding where to prep, how to prep, and correlate with service and surgeon.

QI SUITE: TEAM:

Clinical Leadership | Has the authority to test and implement a change and understands how this might affect the clinical care process and its impact on the organization Technical Expertise | Has deep knowledge of the process or area in question. Several experts may be needed, technical, clinical, processes / protocols, etc. Day-to-Day Leadership | Is the QI-lead and ensures tasks are completed and works closely with team members and understands the impact of activities on the target area and organization Project Sponsorship | Has executive authority and serves as the link with the senior team and stays apprised of the process and progress. Can assist in obtaining resources and addressing barriers. Optimum Size | Between 5-8 individuals, the most important requirement is the diversity of participants. Participants should have different rules and perspectives on patient care, processes. Potential Members of a QI Team Might Be: Chief executive officer, Medical directors, Physicians,

Nursing staff, Physician assistants, Medical assistants, Patient representatives, Operations manager/director, Health educators, Community health workers, Peer mentors, Patients, Community representatives, Directors of clinical services, Practice managers, Medical records staff, Receptionists, Lab technicians, Pharmacy or dispensary staff, Case managers, Physical plant operations, Billing department staff, Finance director. (Source: https://www.ahrq.gov/ncepcr/tools/pf-handbook/mod14.html)

WORKFLOW:

PRACTICE CHANGE:

IMPLEMENT:

EVAUATION:

CLINICIAN EXPERIENCE:

martakonrad commented 4 years ago

WORKFLOW:

martakonrad commented 4 years ago

PRACTICE CHANGE:

martakonrad commented 4 years ago

EVALUATION:

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Alcohol-Based Skin Prep #2