ACRONYMS & ABBREVIATIONS
SSI
What is Surgical Site Infection?
Old traumatic wound with retained devitalized tissue and existing infection in the surgical wound, includes wet gangrene.
What is wound class 4 or Dirty/Infected?
A patient underwent a laparoscopic appendectomy and ovarian cystectomy. There was no mention of infection, rupture, or inflammation in the debriefing.
What is wound class 2 or clean contaminated?
Chronic Cholecystitis with Gall Stones
What is Class II/Clean Contaminated?
Even though they may be unaware, wound classification is ultimately their ultimate responsibility.
Who is the surgeon?
GU
What is Genitourinary Tract?
If this is entered controlled, wound class is Class II. If uncontrolled entry, Class III at baseline.
Uninfected wound, no inflammation, closed, and if necessary, with closed drainage.
What is class 1 or Clean?
During a laparoscopic appendectomy the appendix is noted to be inflamed but no purulent drainage pr rupture is noted.
What is Class III or Contaminated?
Patient had a open repair of umbilical hernia. The surgeon states "stool eroded through the colon into the abdomen"
What is Class IV or Dirty/Infected?
Happens towards the end of the surgical procedure when the Circulating RN confirms items such as wound class and procedure.
What is the debriefing?
GI
What is Gastrointestinal?
If this is entered controlled, wound class is Class II. If uncontrolled entry, Class III at baseline.
Controlled entry into respiratory, GI, genital, or urinary tract, or into organs without major break in technique.
What is class 2 or Clean/Contaminated?
Patient had a laparoscopic appendectomy. The surgeon finds purulent fluid and an abcess in the RLQ of the abdomen.
What is Class IV or Dirty/Infected
Department that collects data on indicators linked to surgical site infections?
What is the Quality Department?
IP
Infection Prevention
Open acute wounds, breaks in technique, or gross spillage, wound necrosis without drainage.
What is Class III or Contaminated?
A 2 year old is having myringotomy for otitis media.
What is Class IV or Dirty/Infected?
Patient had a Laparoscopic Cholecystectomy for acute cholecystitis.
What is Class III / Contaminated
Responsible for determining and documenting the wound class by communicating with the surgeon during and at the end of the procedure.
Who is the Circulating RN?
CDC/NHSN
What is the Center for Disease Control/National Healthcare Safety Network?
Non-penetrating blunt trauma.
What is Class I or Clean?
A patient had a previous repair of a flexor tendon one week before presentation. During an altercation, the wound was opened 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?
Patient admitted with peripheral vascular disease and gangrene of the toes of the left foot. The patient undergoes a BKA.
What is Class IV / Dirty Infected?
This is a collaborative effort between surgeons and perioperative RNs
What is assigning wound classification?