Old traumatic wounds with retained devitalized tissue and those that involve existing clinical infection. This definition suggests that the organisms causing postop infection were present in the operative field before the operation.
What is class 4 or dirty/infected?
100
A patient underwent a laparoscopic appendectomy with the diagnosis of acute appendicitis.
What is wound class 3 or contaminated?
100
Chronic Cholecystitis with Gall Stones
What is Class II/Clean Contaminated?
100
Might be unaware that wound classification is ultimately their responsibility.
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 operative wound, no inflammation, respiratory, alimentary, genital or uninfected urinary tracts are not entered.
What is class 1 or clean?
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 entered under controlled conditions and without unusual contamination.
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
400
CDC/NHSN
What is the Center for Disease Control/National Healthcare Safety Network?
400
Ope, fresh accidental wounds; operations with major breaks in sterile technique or gross spillage from the gastrointestinal tract and incisions with acute, nonpurulent inflammation.
What is class 3 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 documenting the correct wound class by communicating with the surgeon at the end of the procedure.
Who is the circulating RN?
500
OCHSPS
What is the Ohio Children's Hospitals Solutions for Patient Safety?
(A group of Children's hospitals dedicated to ???
500
A case that requires anesthesia but no operation is performed.
What is an example of N/A ?
(cast, ABR)
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.