Surgical site infections and c-diff observations /analysis
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Transcript of Surgical site infections and c-diff observations /analysis
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Roy Boukidjian RN, CIC
Northridge Hospital Medical Center
Dignity Health
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WHAT IS GOING ON IN THE OR You Don’t know what you Don’t know!
Observation is Key!
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○ Multiple Findings:Traffic in your operating room
MULTIPLE FINDINGS
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MULTIPLE FINDINGS
○ Multiple Findings:Doors Propped Open
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MULTIPLE FINDINGS
○ Multiple Findings:Positive Air Circulation
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MULTIPLE FINDINGS
○ Multiple Findings:SCRUBS in the OR
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MULTIPLE FINDINGS
○ Multiple Findings:Cleanliness of OR Suites
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MULTIPLE FINDINGS
○ Multiple Findings:Expired Material
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MULTIPLE FINDINGS
○ Multiple Findings:Surgical Instrumentation
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MULTIPLE FINDINGS
○ Multiple Findings:Surgical SCRUBBING!!!!
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MULTIPLE FINDINGS
○ Multiple Findings:Post-Operative Care
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○ Multiple Findings:Post-Operative Care (Continued)
MULTIPLE FINDINGS
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Suggestions:
Use CHG wash cloths pre-op Let the antiseptic solution dry prior to
incision by placing timers Place timers on surgical scrub sinks Produce a strict policy on surgical scrubs Empower staff Distribute findings to unit staff Work with EVS and Facilities
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C-diff Findings and Analysis
Out of 15 specimens that tested positive using the PCR method in December, only 4 came back positive using Toxin A and B which gives us an average of 26.6% accuracy when using Toxin A and B.
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