Skin Preparation

Latest Issue of OR Manager
June 2021

FDA: BD recalls certain lots of ChloraPrep

Editor's Note The Food & Drug Administration announced on April 20 that Becton, Dickinson and Company (BD) was recalling certain lots of its ChloraPrep Hi-Lite Orange 26 mL Applicator. ChloraPrep is used as an antiseptic to prepare a patient’s skin before surgery. The recall was initiated because the Applicator, which…

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By: Judy Mathias
May 11, 2021
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The Joint Commission releases 2020 sentinel event statistics

Editor's Note The Joint Commission, on March 24, released its sentinel event statistics for 2020, which totaled 794. The top five most frequently reported events were: Falls: 170 Unintended retention of a foreign object: 106 Suicide: 81 Delay in treatment: 76 Wrong-site surgery: 68. The Joint Commission’s Office of Quality…

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By: Judy Mathias
March 25, 2021
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Joint Commission conducting both virtual and onsite surveys in 2021

The Joint Commission stopped doing most onsite surveys and reviews from March 16 to May 31, 2020, in response to the COVID-19 pandemic. During that time, they developed processes for conducting offsite or virtual events, and as of mid-December, more than 1,200 offsite surveys and reviews had been conducted across…

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By: Judith M. Mathias, MA, RN
February 17, 2021
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Say goodbye to skin injuries in surgical patients

Hospital-acquired pressure injuries (HAPIs) fall under the care management serious event category, and the literature suggests the incidence of a pressure injury following surgery or a procedure may contribute to more than half of all hospital-related skin injuries. Furthermore, the Centers for Medicare & Medicaid Services (CMS) has defined numerous…

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By: Heather Kooiker, MSN, RN, CNL, CNOR, CRNFA
September 23, 2019
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Risks, benefits of using CHG for handwashing

Editor's Note Because of the potential risk of selecting mutants carrying genes for cross-resistance to chlorhexidine gluconate (CHG) and antibiotics, it is advisable to reserve the use of CHG for purposes other than hand hygiene, this study finds. A review of studies showed no significant difference in healthcare-associated infection rates…

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By: Judy Mathias
May 28, 2019
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BD receives FDA approval for sterile CHG skin prep solution

Editor's Note Becton, Dickinson and Company (BD) announced on April 30 that it had received Food & Drug Administration (FDA) approval for BD ChloraPrep skin preparation with sterile solution. This new product is the only fully sterile chlorhexidine gluconate (CHG) antiseptic skin preparation commercially available in the US. The FDA’s…

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By: Judy Mathias
May 2, 2019
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SSI incidence, risk factors in total knees

Editor's Note In this 9-year prospective cohort study from Spain, researchers identified surgical site infection (SSI) risk factors that showed the necessity  to strictly comply with wound decontamination and patient preparation protocols, reduce the length of surgical time, and identify patients requiring comprehensive monitoring. This analysis of 1,969 patients who…

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By: Judy Mathias
November 29, 2018
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Wearing long sleeves to prep decreases airborne contaminants

Editor's Note Wearing long sleeves with gloves while prepping a patient in the OR decreased large-particle and microbial shedding compared with prepping with bare arms, in this study. A mock patient skin prep was performed in 3 different ORs. A long-sleeved gown and gloves or bare arms were used to…

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By: Judy Mathias
December 12, 2017
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Risk assessment system from private industry identifies SSI risks in ASCs

Editor's Note A risk-assessment system designed to avoid harm in private industry (ie, Socio-Technical Probabilistic Risk Assessment [ST-PRA]), was used by Agency for Healthcare Research and Quality (AHRQ)-funded researchers to identify practices likely to pose infection risks in ambulatory surgery centers (ASCs). The ST-PRA ranks failure points (events) according to…

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By: Judy Mathias
September 20, 2017
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Infection control practices linked to lower SSI rates

Editor's Note Infection control practices that focus on perioperative patient skin and wound hygiene and transparent display of surgical site infection (SSI) data, not OR attire policies, were associated with lower SSI rates in this multi-center study. A total of 20 American College of Surgeons National Surgical Quality Improvement Program…

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By: Judy Mathias
September 14, 2017
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