Core Measures
When should Prophylactic Antibiotics be discontinued?
What is Within 24 hours after surgery end time
Name the most common organism that causes SSIs
What is Staphylococcus aureus
What do patients shower with at home prior to surgery?
What is 4% CHG (Hibiclens).
unless allergic
Number 1 way to prevent infections
What is proper hand hygiene
Why should a Urinary Catheter be removed as soon as medically possible after surgery?
What is to prevent CAUTIs
Name at least 2 antibiotics used to treat SSIs
What is cefazolin, vancomycin, clindamycin, flagyl, cefoxitin, gentamycin, cipro, levaquin.
What underlying medical conditions place a patient at increased risk for developing a SSI? (Name at least 3)
What is Diabetes, Obesity, existing infection, smoker, immunocompromised, vascular disease.
According to AORN a core body temperature below ____ is considered hypothermia
What is 36C or 96.8F
Where should surgical clipping take place?
What is preop
Name at least 3 S/S of surgical site infections?
What are increased WBC, Increased HR, increased temp, redness/swelling, positive wound culture, pain, purulent drainage.
If a patient is allergic to shellfish, what question should you ask regarding antiseptics?
What is are you allergic to Iodine.
List 3 ways to maintain normothermia
Preop warming using device(bair hugger), thermal cap, intraoperative warming, fluid warmer, OR room temp at least 68F
Define Surgical Site Infections per the CDC.
What are Infections occurring within 30 days post surgery.
How does a negative pressure wound device work?
The vacuum draws out fluid and promotes blood flow to the area.
True or False
Since the patient showers with CHG at home, they do not need to use CHG on day of surgery?
What is False, the patient also uses 2% CHG wipes on day of surgery .
Timeframe that antibiotics should be administered in the OR
What is at least 16-60 mins prior to incision
A ruptured appendix is an example of which wound class?
What is wound class IV (Dirty or Infected)
What percentage of Hospital Acquired Infections (HAIs) are SSIs?
What is 20%.
How long should the incision site initially be prepped with Chloraprep?
What is 30 seconds
Name 3 complications associated with prolonged perioperative hypothermia.
What is Increased surgical site infections, Delayed wound healing, Altered drug metabolism, prolonged hospital stay, bleeding and coagulation problems, Cardiac complications