Infection Prevention

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

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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Relationship between nursing specialty certification and SSIs

Editor's Note This study, which examined the relationship between nursing specialty certification and surgical site infections (SSIs), found that only Magnet status was associated with lower SSI rates. Analyzing data from 69 hospitals, 346 units, and 6,585 RNs, along with SSI data on 22,188 patients after colon and abdominal hysterectomy…

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By: Judy Mathias
July 31, 2018
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Sharps inflicting increased wounds in the OR

Injuries from needlesticks—whether from disposable syringes, IV catheters, or blood collection devices—accounted for more than 30% of all sharps injuries in 2016, especially among nurses. Injuries from skin injections alone accounted for 25.7% of all sharps injuries that year. And, for the first time, injuries occurring from suturing during procedures…

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By: OR Manager
July 23, 2018
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Vigilance and diligence needed to enforce hand hygiene

Hungarian obstetrician Ingvar Semmelweis recognized the link between hand washing and childbirth fever in the mid-1800s. During his lifetime, this theory was often ignored or mocked, but ultimately hand washing was scientifically proven to prevent infections. Almost two centuries later, hand washing still reigns as the queen of infection prevention,…

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By: Janet M. Boivin, BSN, BSJ, RN
July 23, 2018
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Can technology boost hand hygiene compliance?

Janet Haas, PhD, RN, CIC, FSHEA, FAPIC, hopes technology will one day achieve what no other strategy has thus far: Increase the rate of hand hygiene compliance. Haas, president of the Association of Professionals in Infection Control and Epidemiology, says it will need to be a small device that does…

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By: Janet M. Boivin, BSN, BSJ, RN
July 23, 2018
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Study: CMS policy on CLABSI, CAUTI has minimal effect on reimbursement

Editor's Note This study found that the Centers for Medicare & Medicaid Services (CMS) hospital-acquired conditions policy on central line-associated bloodstream infections (CLABSI) and catheter-associated urinary tract infections (CAUTI) had minimal financial effects on hospitals because billing codes for CLABSI and CAUTI were rarely used and there was a significant…

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By: Judy Mathias
July 9, 2018
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