Risk Factors
Glucose level less than <180mg/dl
What is glucose level to help prevent SSI?
Daily action taken to reduce microflora on the skin and decrease risk of surgical site infections
What is daily CHG bathing?
Best practice for dressing changes 48 hours after surgery.
What is leaving dressing intact with no peeking?Follow physician orders.
A soap used to decolonize the skin's microflora
What is CHG?
SSI
What is the most commonly reported hospital acquired infection?
Nursing intervention for a patient who smokes.
What is educating about smoking cessation?
45%
What is 4 North's current daily bathing compliance?
You do this:
before and after patient contact,
before performing a clean or sterile task
What is Hand Hygiene?
Goal of skin preparation
What is reduce bacterial burden on skin prior to incision?
Activity not allowed by OSHA that could result in a $50,000 fine to Eisenhower Health
What is food and uncovered drinks at the nurses station?
High hemoglobin A1C, morbid obesity, alcohol and/or tobacco abuse, serum albumin level <3.5 mg/dl
What are modifiable risk factors for preventing SSI?
Clipping tubing to prevent dependent loops, keep bag below bladder.
What are actions to reduce CAUTI?
The first 48-72 hours post op
When are wounds are most vulnerable to infection?
•Until the epithelial barrier is complete (usually within 48 hours) wounds are solely dependent on the wound closure device to maintain integrity1
Pre-op test required by Californina Law that guides surgeons with pre-op antibiotic selection
What is MRSA nasal screening?
A good way to contaminant the hallways and get sited by regulatory agencies
What is wearing PPE outside the patient's room?
Modifiable risk factor found to be highly associated with surgical site infections
What is poor nutritional intake?
Incentive spirometry and oral care
What are ways to prevent hospital acquired pneumonia?
Red, swollen, heat, drainage, and fever
What are signs and symptoms of infection?
Single use clipper heads outside of OR, no razors
What are correct practices of hair removal?
$90,000
What is the cost of a SSI involving a prosthetic implant?
Fashion accessories linked to hospital acquired infections that are banned by hospital policy per CDC recomendations
What are artificial nails, including gel nail polish?
Blood pressure cuffs, stethoscopes, gait belts, and walkers
What is equipment to be disinfected between each patient use?
24 hours
How long CHG binds to the skin and continues to kill pathogens-(why it is essential to bathe daily)
Do not remove hair at the operative site unless the presence of hair will interfere with the operation
What is clip or not to clip?
Thorough hand hygiene, sterile supplies, and meticulous technique
What is required to perform a dressing change?