
APIC2022 Conference - Breakfast Symposium -- Prevention of SSIs with a 7S Bundle Approach June 14 2022.pdf | |
File Size: | 9180 kb |
File Type: |

Spencer M et al Perioperative_Hair_Removal_-_a_Review_of_Best_Practice_-_Journ_Perioper_Nursing_June_2018.pdf | |
File Size: | 222 kb |
File Type: |

Edmiston_et_al-2018- AORN Journal_-_An_Incision_Closure_Bundle_for_Colorectal_Surgery.pdf | |
File Size: | 358 kb |
File Type: |

Spencer M et al Reduction in Colon SSI using a CHG Surgical Irrigant AORN Conference Poster April 2017df | |
File Size: | 75 kb |
File Type: |

7 S Bundle for Prevention of SSIs. APIC Poster 2014.pdf | |
File Size: | 443 kb |
File Type: |

Spencer M et al.Wound Prevalence Observational Study for the Prevention of Surgical Site Infections AORN April 2016 Poster | |
File Size: | 233 kb |
File Type: |
The 7 S Bundle was created by Maureen Spencer, RN, BSN, M.Ed, CIC, FAPIC, Infection Prevention Consultant. This is based on both personal experience and evidenced based practice and not intended to suggest product preference or endorsement. Some of the products are unique innovative infection prevention options, while other vendors may not be listed here but are available for your program. Research, guidelines or recommendations are included with each step but are not inclusive of all available information. These are steps to be considered when investigating and evaluating your surgical site infections and prevention program.
1. Safe OR practices: - Evaluate whether you have a safe OR: traffic control, number of staff in the room during surgery, compliance with surgical attire, proper surgical skin scrub, proper skin prep with alcohol based antiseptics, effective sterilization of instruments, monitoring and preventive maintenance of air handling systems, adequate surgical prophylaxis, warming of the patient before and during surgery, hair clipping (no shaving) outside the operating room, use of wound protectors to prevent tissue contamination, careful handling of tissues by surgical staff, disinfection of the environment during room turnovers and terminal cleaning, safe medication handling procedures and safe storage of supplies.
2. Screen – consider screening patients undergoing inpatient surgery for the presence of MRSA and Staph aureus in the nares and screen for pre-op risk factors. Consider rapid technology, such as polymerase chain reaction (PCR)., for rapid turnaround time for results (~1 hour).
3. Shower – during the pre-admission testing process or in surgeon’s office – instruct patients who will undergo inpatient surgery to bathe with soap and water, CHG liquid soap or CHG impregnated washcloths (night before and morning of surgery)
4. Skin prep – Use alcohol based skin preps - such as CHG/alcohol and Iodophor/alcohol skin prep products with long lasting residual effect
5. Solution – “solution to pollution is dilution” – consider using a 0.05% chlorhexidine irrigant to remove surgical and environmental contaminants deposited into the surgical field. Discontinue the use of antibiotic irrigations.
6. Sutures – consider the use of antimicrobial impregnated sutures
7. Skin incisional protection – use of incisional adhesive to seal incision post-op or cover incision with special dressings with antimicrobial agents (e.g. silver, CHG) for duration of hospitalization.

sabetta_et_al_2015_topical_benzoyl_peroxide_for_p_acnes_during_shoulder_surgery.pdf | |
File Size: | 185 kb |
File Type: |

prolonged_operative_duration_increases_risk_of_ssi_-.pdf | |
File Size: | 221 kb |
File Type: |

incidence_secular_trends_and_outcomes_of_prosthetic_joint_infection_a_populationbased_study_olmsted_county_minnesota_19692007.pdf | |
File Size: | 768 kb |
File Type: |

effectiveness_of_a_shielded_ultraviolet_c_air_disinfection_system_in_an_inpatient_pharmacy_in_childrens_hosp_ajic_sept_2017.pdf | |
File Size: | 267 kb |
File Type: |

parvizi_edmiston_barnes__environment_of_care-_is_it_time_to_reassess_microbial_contamination_of_or_air_as_risk_for_ssi__ajic_sep2017.pdf | |
File Size: | 475 kb |
File Type: |

IC Today_-_Nov_25_2013_SSIs-prevention_report.pdf | |
File Size: | 346 kb |
File Type: |

Shepard JAMA Surg2013__Cost_of_SSIs.pdf | |
File Size: | 380 kb |
File Type: |

SSI_Prevention_Following Total Hip Arthroplasty in Australia - A Cost-Effectiveness_Analysis_ajic_june_2013.pdf | |
File Size: | 649 kb |
File Type: |

SSI Fishbone_diagram.ppt | |
File Size: | 277 kb |
File Type: | ppt |

zimlichman_et_al_meta_anlaysis_of_cost_of_hais_jama_sept_2013.pdf | |
File Size: | 227 kb |
File Type: |

antimicrobial-resistant_pathogens_associated_with_hais_sievert_ricks_edwards_et_al.pdf | |
File Size: | 268 kb |
File Type: |

toward_the_rational_use_of_sir_to_benchmark_ssis_-_ajic_feb_2013.pdf | |
File Size: | 255 kb |
File Type: |