Infection Prevention

Latest Issue of OR Manager
October 2018
Home Periop Nursing > Perioperative Practice > Infection Prevention

Joint Commission, CDC release new infection prevention resources

Editor's Note The Joint Commission and Centers for Disease Control and Prevention on September 11 released new infection prevention resources for podiatry and orthopedic and pain management settings. Free resources include: Guide to Infection Prevention for Outpatient Podiatry Settings (available now). Guide to Infection Prevention in Orthopedic and Pain Management…

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By: Judy Mathias
September 12, 2018
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Joint Commission refines scoring on HLD, sterilization

Editor's Note The Joint Commission on September 5 announced it has refined its scoring for high-level disinfection (HLD) and sterilization to focus on process steps that post the highest risk to patients if they fail. The new scoring revisions apply to: soiled instruments enzymatic solution transportation of instruments instruments in…

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By: Judy Mathias
September 6, 2018
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Effectiveness of pulsed-xenon light after terminal cleaning in the OR

Editor's Note When used after terminal cleaning, the pulsed-xenon ultraviolet light (PX-UV) significantly reduced contamination on high-touch surfaces in the OR, this study finds. This analysis included 1,464 surface samples from 136 ORs at 23 hospitals after terminal cleaning and again after PX-UV disinfection. Results showed the average colony forming…

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By: Judy Mathias
August 31, 2018
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Effect of Foley catheter placement by medical students on postop CAUTIs

Editor's Note Patients who have Foley catheters placed by medical students in the OR are at increased risk of postoperative catheter-associated urinary tract infections (CAUTIs), this study finds. This analysis included 891 patients who had Foley catheters placed in the OR by surgical residents (547 patients), OR nurses (227), or…

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By: Judy Mathias
August 28, 2018
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Joint Commission revises requirements for medication compounding

Editor's Note The Joint Commission announced on August 22 that several revisions will be implemented to the Medication Compounding Certification program and Home Care Accreditation program’s Medication Compounding chapter, effective January 1, 2019. The revisions were made to maintain consistency with current United States Pharmacopeia (USP) 795 (Pharmaceutical Compounding−Nonsterile Preparations)…

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By: Judy Mathias
August 23, 2018
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Understanding the patient experience of HAIs

Editor's Note Though the effects of healthcare associated infections (HAIs) vary, patients recount similar experiences in this review study. A total of 17 studies from 5 countries addressing 5 types of HAIs were analyzed: Methicillin-resistant Staphylococcus aureus, surgical site, Clostridium difficile, Staphylococcus aureus bloodstream, and extended-spectrum β-lactamase-producing bacterial infections. Four interrelated themes emerged:…

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By: Judy Mathias
August 22, 2018
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Validate and verify medical devices to ensure safety

Sometimes surgeons ask to have nonmedical devices sterilized, such as spoons, hockey pucks, and fish hooks. Healthcare staff may want to accommodate their requests, but there are times when they cannot do so. A central service (CS) should only sterilize medical devices that have undergone validation testing, which demonstrates that…

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By: Susan Klacik, BS, CRCST, CHL, CIS, ACE, FCS
August 21, 2018
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Environmental considerations for reusable vs disposable isolation gowns

Editor's Note Selecting reusable isolation gowns may result in significant environmental benefits compared with disposable gowns, this study finds. This analysis of 1,000 isolation gowns in a healthcare setting (24 reusable gowns from 8 suppliers, 16 disposable gowns from 5 suppliers) found that the reusable gowns resulted in a: 28%…

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By: Judy Mathias
August 8, 2018
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Study assesses cleaning of different surface types in the OR

Editor's Note This study finds that irregularly shaped OR surfaces may require enhanced covering, cleaning, and monitoring protocols, compared to more regularly shaped surfaces. Researchers coupled ATP assays with traditional RODAC plate sampling and mass spectrometry to evaluate cleaning of five types of high-touch surfaces in the OR.  Whether surfaces…

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By: Judy Mathias
August 2, 2018
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Door openings in the OR linked to increased environmental contamination

Editor's Note The number of door openings in the OR and duration of procedure were significantly associated with increased colony-forming units (CFUs) in the OR overall and outside of laminar airflow (LAF), this study finds. In LAF conditions, however, only the number of OR personnel was significantly associated with increased…

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By: Judy Mathias
August 1, 2018
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