No PUN Intended
Wounds with Class
Wound Class Rockstar
Wound
Class Case Study
I love teamwork
100
SSI
What is Surgical Site Infection?
100
Old traumatic wound with retained devitalized tissue and existing infection wounds - includes wet gangrene.
What is wound class 4 or dirty/infected?
100
A patient underwent a laparoscopic appendectomy. The preoperative CT scan reported the appendix contained a fecalith. There was no mention of infection, rupture, or inflammation in the operative report.
What is wound class 2 or clean contaminated? There was no documentation of rupture, inflammation, or purulence - a wound class 2 would be assigned at baseline.
100
Chronic Cholecystitis with Gall Stones
What is Class II/Clean Contaminated?
100
Might be unaware that wound classification is ultimately their responsibility, as is everything regarding the procedure.
Who is the surgeon?
200
HAI
What is Healthcare Associated Infection? HAI is a localized or systemic condition resulting from an adverse reaction to the presence of an infectious agent(s) or its toxin(s)
200
Uninfected wound, no inflammation, closed, and if necessary, with closed drainage.
What is class 1 or clean?
200
During a laparoscopic appendectomy the appendix is noted to be inflamed but no purulent drainage noted.
What is Class III or Contaminated?
200
Patient had a open repair of umbilical hernia. In the Operative note indicates "stool was found that had eroded throught the colon"
What is Class III / Contaminated?
200
Happens towards the end of the surgical procedure when the Circulating RN confirms items such as wound class and procedure.
What is the debriefing?
300
LOI
What is lack of interest?
300
Respiratory, alimentary, genital, or urinary tract ENTERING ORGANS without major break in technique.
What is class 2 or clean/contaminated?
300
C-Section
What is Class II or Clean Contaminated?
300
Patient had a laparoscopic appendectomy. It was noted in the physician operative note, that there was purulent fluid in the RLQ of the abdomen.
What is Class IV: Dirty/Infected
300
Department that collects data on indicators linked to surgical site infections?
What is the Quality Management?
400
CH
What is the Ohio Childrens Collaborative effort to reduce HAI, SSI, etc?
400
Open acute wounds, breaks in technique or gross spillage, necrotic without drainage.
What is Class III or Contaminated?
400
A 2 year old is having myringotomy for otitis media.
What is Class IV or Dirty Infected?
400
Patient had a Laparoscopic Cholecystectomy for acute cholecystitis.
What is Class III / Contaminated
400
Responsible for determining and documenting the wound class by communicating with the surgeon during and at the end of the procedure.
What is the Circulating RN?
500
CDC/NHSN
What is the Center for Disease Control/National Healthcare Safety Network?
500
Non-penetrating blunt trauma.
What is Class I or Clean?
500
A patient had a previous repair of a flexor tendon one week before presentation. During an altercation, the wound was "crushed" open and became covered in dirt and debris. The patient presented to the emergency department for evaluation and was taken to surgery the same day for washout and repair. There was no description of any necrotic or purulent tissue. The wound was left open after the surgery.
What is Class IV or Dirty / Infected?
500
Patient admitted with peripheral vascular disease and gangrene of the toes of the left foot. The patient undergoes a BKA.
What is Class I / Clean
500
Is a collaborative effort between surgeons and perioperative RNs
What is wound classification?
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