Back to Basics
Perioperative personnel should use this technique when donning gowns, gloves, and surgical helmets in order to prevent infection in the surgical patient (Link, 2019).
What is sterile technique?
Patients undergoing surgery should be educated on being able to eat solid food until this amount of hours before their surgery (Spruce, 2020).
What is six?
This costly, painful, prolonged, and complicated type of joint surgery is most commonly a result of postoperative surgical site infections (SSIs), and has been shown to not always prove successful (McDonald et al., 2015).
What is a revision surgery?
It is recommended that the initial dose of antibiotics be given to the patient within this time frame in order to reduce the likelihood of postoperative infection (Tripp & Fencl, 2020).
What is 60 minutes/1 hour?
The circulating nurse places these on the patient's calves prior to the start of anesthesia administration in order to prevent the occurrence of a blood clot (Tripp & Fencl, 2020).
What are sequential compression devices?
The Centers for Disease Control and Prevention (2010) defines this as an infection that happens after surgery in the area of the body where the surgery was performed.
What is a surgical site infection?
Research has demonstrated that patients who preoperatively bathe or shower using this specific type of antiseptic-based liquid, have been successful in decontaminating the skin flora to a level that hinders or kills microorganisms (Bashaw & Keister, 2019).
What is CHG (chlorohexidine gluconate)?
Patients who receive this during surgery due to significant blood loss are at an increased risk of experiencing complications including infection, reactions, organ failure, coagulopathy, and death (Spruce, 2020).
What is a blood transfusion?
The antibiotic dose should be repeated during the surgical procedure if the surgery time extends past this amount of half-lives of the first dose before incision closure? (Tripp & Fencl, 2020)
What is two?
Patient who do this have been shown to have a greater likelihood of experiencing a postoperative total joint infection. This modifiable risk factor leads to changes peripheral vasculature, augmented postoperative respiratory complications, surgical site infections, blood clots, and cardiovascular complications. Patients are thus encouraged to stop doing this preoperatively (Boudreaux & Simmons, 2019).
What is cigarette smoking?
This term refers to staff members entering and exiting the OR, which has been shown to increase airborne contamination, resulting in periprosthetic joint infections (Tripp & Fencl, 2020).
What is OR traffic?
The objective of preoperative patient skin antisepsis is to eliminate skin contaminants at the surgical site, in order to decrease the patient's likelihood of contracting a surgical site infection. When at all possible, perioperative nurses should utilize these rather than a razor and should remove hair outside the OR environment (Spruce, 2020).
What are clippers?
This respiratory infection is not only one of the most common complications after total hip and total knee arthroplasties, it is also a significant cause of readmission and mortality after surgery (The Joint Commission, 2020).
What is pneumonia?
If the patient should come up positive in their preoperative screening for Methicillin-Resistant Staphylococcus aureus, this antibiotic should be utilized for surgery (Tripp & Fencl, 2020).
What is Vancomycin?
It is recommended that patients undergoing total knee or total hip surgeries have preoperative nasal screening for this infection (Tripp & Fencl, 2020).
What is Methillicin-Resistant Staphylococcus aureus?
This term relates to the responsibility of every OR team member to be the patient's advocate. Specifically, it refers to adhering to best practice by admitting breaches in sterile technique and holding other team members accountable when breaks in sterility are noted (Link, 2019).
What is surgical conscience?
Some examples of this included having the total joint patient walk the same day as their surgery or dangling their extremities from the side of the bed. Performing this has been shown to help in reducing the risk of post-surgical complications (Tripp & Fencl, 2020).
What is early mobilization?
This phenomenon occurs when microorganisms change over time, and can no longer be killed utilizing traditional medicines. Consequently, there is an increased risk of morbidity and mortality (World Health Organization, 2021).
What is antimicrobial resistance (AMR)?
Best practice guidelines recommend the utilization of one of these two antibiotics, provided the patient has no allergies (Tripp & Fencl, 2020).
Cefazolin or Cefuroxime
It is important for the OR team to be cognizant of normothermia, the patient's normal body temperature range, as the patient can lose body heat from exposed skin during surgery and from anesthesia effects (Tripp & Fencl, 2020). One way in which the OR team can maintain normothermia is through the use of this type of device.
What are forced-air warming devices?
Airborne microorganisms in the operating room setting can be reduced through the utilization of downward vertical airflow with constant filtered air exchanges as well as this type of pressure ventilation system (Armellino, 2017).
What is positive pressure ventilation?
The PACU nurse should be vigilant for signs of this in his or her patient as it can lead to many numerous postoperative complications. It is a common occurrence in patients undergoing surgery, particularly for patients undergoing total joint replacement procedures and is a defined as a core temperature below than 96.8° F (36° C) (Bitner et al., 2007).
What is hypothermia?
According to The World Health Organization (2021), surgical site infections in the United States consequently result in patients spending more than 400,000 additional days in the hospital at an expense of an additional _______ dollars per year.
What is 10 billion dollars?
Should the patient have a beta-lactam allergy, one of these two antibiotics should be administered to the surgical patient (Tripp & Fencl, 2020).
What is Vancomycin or Clindamycin?
The Joint Commission (2020) recommends a multimodal blood loss management program for total joint surgeries. This program includes the use of this drug either intravenously, topically, or both.
What is Transexamic Acid?