myringotomies, PET insertions and removals
is your position as an ICP on opening up multiple procedures such
as T&A's, myringotomies, PET insertions and removals, etc. at
one time onto the same back table at one time and then using the
same back table on multiple patients? Each subsequent case is then
set up on a different mayo stand, but all are opened on the same
back table which is present through out the entire line up of patients
that are coming in and out of the OR.
seem like a very good practice to me. What if you contaminate something
on the back table, you have to waste all that stuff. And if you
don't realize you did, you have the possibility of spreading something
among the patients.
How can they prevent cross contamination of the open covered trays?
- I would think that this method is not acceptable under the AORN
Standards - I do not have a copy of the AORN recevised practices
- but I have ordered it- I can review the recommendations when I
against AORN standards. Major risk of contamination. Our policies
are that a table cannot be set up more than one hour to a case and
must be attended after opening to ensure it is not contaminated.
We never open more than one case at a time.
Infection Control/Associate Health Coordinator
Christus/St. Patrick Hospital
Lake Charles, La.
is not an acceptable Clinical Nursing Practice. Refer to the AORN
Standards and Recommended Practices. You may also contact the Centers
for Nursing Practice at AORN HQ's(1-800-755-2676). Ramona Conner
is one of my favorite Clinical Nursing experts. I believe her Ext.
for SSI's with other facilities.
being asked to benchmark for SSI's with other facilities. Note we
do not do open hearts, organ transplants and such. My rate for last
year was 0.50%. The formula that I use is # of SSI /total # of surgeries
X 100 cases. We average 100-150 cases per month and completed 1438
cases (both inpatient and outpatient) last year. All cases reviewed
last year were wound classification I or II. I don't think we're
too bad, but of course our MD's want to know what everyone else
is doing, especially since our rate went up slightly last year.
impossible to look at the NNIS data, because their data is collected
so differently from mine. I don't see enough to break them up into
operative procedure categories. I'd like to compare apples with
apples, if anyone else is willing to share their data. Of course
everything would be kept in strictest confidence, but I'll have
to have a report ready for next week. Thanks!!!
B. Waguespack, RN, BSN, CIC
Infection Control/Employee Health Nurse
St. Elizabeth Hospital
1125 West Highway 30
Gonzales, La 70737
Ph: (225) 647-5011