| CDC Guideline-for-Prevention-of-Surgical-Site Infections 2017 |
| American College of Surgeons -Surgical Infection_Society_Update_Guidelines_2016.pdf |
| World Health Organization Global Guidelines to Prevent SSIs Nov 2016.pdf |
| Wisconsin_Division_of_Public_Health_SSI_Prevention_Guidance__2017.pdf |
"AORN Guidelines provide guidance for establishing and maintaining a sterile field. The creation and maintenance of a sterile field can directly influence patient outcomes. Adherence to aseptic practices by all individuals involved in surgical interventions aids in fulfilling the professional responsibility to protect patients from injury. Aseptic practices are implemented pre-operative, intra-operative, and post-operative to minimize wound contamination and reduce patient risks for surgical site infections."
AORN Guidelines for Maintaining a Sterile and Sterile Technique
Visit or join AORN www.aorn.org for additional educational materials offered by the organization
Safe Operating Room
*traffic control, limit number of personnel in room
*air handling systems, calibration of system, temps and humidity, HEPA filters, maintenance
of intake and exhaust grills, air exchanges
*surgical attire (complete head coverage, double gloves, impervious gowns, arms covered)
*follow SCIP Core Measures: hair clipping (no shaving), patient warmers, increased
oxygenation, timing/selection/discontinuation of surgical prophylaxis, Foley catheter removal
@ 48 hrs
*re-dosing antibiotics based on weight and length of surgery
*ensure correct processes for room turnover and terminal cleaning procedures
*ensure meticulous instrument cleaning and proper sterilization practices and biologic monitors
*storage of supplies, cleaning of supply bins, cleaning and storage of stationary equipment
*safe medication handling practices
*safe handling of laryngoscope blades and handles
*careful handling of tissues - use of wound protectors during abdominal surgery to prevent
contamination
AORN Guidelines Related to Infection Prevention in the OR
www.aorn.org
To learn more about guidelines and standards related to infection prevention, please visit the following organizations:
www.aorn.org
- Preoperative Patient Skin Antisepsis
Environmental Cleaning in the Peri-operative Setting
Surgical Tissue Banking
Surgical Hand Antisepsis
Cleaning and Care of Instruments and Powered Equipment
High Level Disinfection
Cleaning and Processing Anesthesia Equipment
Sterilization in the Peri-operative Setting
Hand hygiene
Sterilization Technique
Antisepsis technique
Cleaning and processing of endoscopic equipment
To learn more about guidelines and standards related to infection prevention, please visit the following organizations:
- AAMI - Association for the Advancement of Medical Instrumentation
- AORN - Association of periOperative Registered Nurses
- APIC - Association for Professionals in Infection Control and Epidemiology
- IAHSCMM – International Association of Healthcare Central Service Materiel Management
- IHI - Institute for Healthcare Improvement
- JCAHO - Joint Commission on Accreditation of Healthcare Organizations
- SHEA - Society for Healthcare Epidemiology of America
- CDC - Surgical Site Infection Prevention Guidelines http://www.cdc.gov
- WHO - Guideline for Prevention of SSI
- American College of Surgeons - Guideline for Prevention of SSI
CLIPVAC - Vacuum Assisted Clipped Hair Removal For prevention on hair contamination in the OR for a safe surgical field.
http://www.carefusion.com/our-products/infection-prevention/preprocedure-hair-removal/clipvac-presurgical-hair-removal-system
The ClipVac™ pre-surgical hair removal system conveniently attaches to the Surgical Clippers to create a complete pre-surgical hair removal system, eliminating the need for extra cleanup with messy tape or mitts.
http://www.carefusion.com/our-products/infection-prevention/preprocedure-hair-removal/clipvac-presurgical-hair-removal-system
The ClipVac™ pre-surgical hair removal system conveniently attaches to the Surgical Clippers to create a complete pre-surgical hair removal system, eliminating the need for extra cleanup with messy tape or mitts.
| Spencer et al Perioperative_Hair_Removal_-_A_Review_of_Best_Practice_-_Journ_of_Periop_Practice_April_2018.pdf |
| Edmiston C et al. CLIPVAC Hair Removal AJIC 2016.pdf |
| APIC June 2016 Advances in Surgical Clipping - lecture.pdf |
Wound Protector Retractors - Prevents Cross Contamination
The Medtronic (Covidien) wound protector/retractor
- Circumferential elastic retraction maximizes the working area for better exposure and visualization
- Additional exposure is achievable with the addition of the retraction ring
- Protects wounds at the incision site with 3x stronger film material than Alexis™* wound protector/retractor, with the same material thickness1
- Keeps incision moist and protects against contamination
- The proximal blue ring is not only easier to roll down compared to Alexis™* O, but can also be rolled down by just one person3
- The flexible distal grey ring is inserted through the incision in seconds and easily removed at the end of a procedur
- Large and Extra Large sizes are available with a Retraction Ring
- The SurgiSleeve™ wound protector with retraction ring provides greater retraction and visibility vs. standard wound protector
- http://www.medtronic.com/covidien/products/trocars-access/surgisleeve-wound-protector
| schweizer_bmj_2013_bundles_in_ortho_surg_-_meta_analysis.pdf |
| mohan._plastic_wound_retractors_as_bacteriological_barriers.pdf |
| lee_p._use_of_wound-protection__system_and_postoperative_wound-infect.pdf |
| lee_k-w._use_of_an_upper_midline__incision_for_living_donor_partial_hepatectomy.pdf |
| horiuchi._journal_of_trauma.__randomized_controlled_investigation_of_the_anti.pdf |
| edwards._wound_protectors_reduce_surgical_site_infection.pdf |
| colorectal_ssi_bundle__cleveland_clinic_jon_vogel.pdf |
| cheng._alexis_o-ring_wound__retractor_vs_conventional_would_protection.pdf |
| barrier_wound_protection_decreases_ssi_in_open_elective_colorectal_surgery_cd0024.pdf |
| a_wound_protector_shields_incision_sites_from_bacterial_invasion_cd0022.pdf |
| oxygenation_and_ssi_reduction.doc |
| kansasscip101410dbratzler.pdf |
| scip_-__no_correlation_to_ssi_reduction_-_ajic_july_2013.pdf |
| edmiston_et_al_surg_infection_2011_2.pdf |
| ashp_2013_surgical_prophylaxis_guidellines.pdf |
| hawn_et_al_ann_surg_2011.pdf |
| core_measures_roles_responsibilities_v2.pdf |
| dirty_instruments_aug_2013.pdf |
| asset-surgical-instrumentation-eliminating-chaos.pdf |
| sample_spd_assessment_checklist_w_aami_guidelines.pdf |
| 2013_dec_-_ajic_-_contaminated_laparotomy_instruments.pdf |
| infection_control_today_-_css_guidelines.pdf |
| outbreak_of_pseudomonas_arthroscopic_ssi_-_iche_2011.pdf |
| survival_of_bacteria_on_scrubs.pdf |
| shea_ssi_-_2009.pdf |
| ihi_howtoguidepreventssi.pdf |
| ihi_project_joints_-_chg_bathing.ppt |
| ihi_project_joints-sa_screening.ppt |
| ihi_project_joints-_alcohol_skin_prep.ppt |
| fletcher._prevention_of_perioperative_infection.pdf |
| hair_as_a_reservoir_for_staphlococci.pdf |
| anesth_analgesia_2011_hand_contamination___.pdf |
| charles_edmiston_-_pevzner_et_al_obst_gynecol_2011.pdf |
| reducing_ssi_with_alexis_wound_protectorretractor_feb_2013.pdf |
| or_air_contamination_-_edmiston_-_surgery_2005.pdf |
| surgical_gloves_-_edmiston_et_al_ajic_2011.pdf |
| proposed_2020_acute_care_hospitals_hai_action_plan_targets.pdf |
CleanCision
WOUND PROTECTOR AND IRRIGATION SYSTEM
www.cleancision.com/
CleanCisionTM
A novel, first-in-class, advanced intraoperative infection control system, developed by surgeons and infection control experts, to attack and defend against the most pervasive sources of surgical site infection.
Readily incorporated into surgical and infection reduction protocols, only CleanCision has been shown to reverse pre-existing contamination1, fight and remove intraoperative contamination1 and suppress bacterial proliferation2 after incision closure.1 Papaconstantinou HT, Ricciardi R, Margolin DA, et al. A N
REFERENCES:1 Papaconstantinou HT, Ricciardi R, Margolin DA, et al. A Novel Surgical Device Combining Continuous Intraoperative Wound Irrigation and Barrier Protection Markedly Reduces Incisional Contamination in Colorectal Surgery. Oral presentation at: American Society of Colon and Rectal Surgeons Annual Scientific Meeting; June 2017; Seattle, WA.
2 Suh I, Long SA, Coe J, Koehler J, Fry D, Welton ML. The Efficacy of a Novel Surgical Device in Preventing Intraoperative Wound Contamination in an In Vivo Porcine Model. J Laparoendosc Adv Surg Tech A. 2017
3 As shown in: Papaconstantinou HT, Ricciardi R, Margolin D, et al. Impact of Novel Wound Protection Device on Observed vs. Expected Surgical Site Infection Rates Following Colectomy Using the National Surgical Quality Improvement Program Risk Calculator. Paper presented at: WSA 2017 Annual Meeting 2017; Scottsdale, AZ.
WOUND PROTECTOR AND IRRIGATION SYSTEM
www.cleancision.com/
CleanCisionTM
A novel, first-in-class, advanced intraoperative infection control system, developed by surgeons and infection control experts, to attack and defend against the most pervasive sources of surgical site infection.
Readily incorporated into surgical and infection reduction protocols, only CleanCision has been shown to reverse pre-existing contamination1, fight and remove intraoperative contamination1 and suppress bacterial proliferation2 after incision closure.1 Papaconstantinou HT, Ricciardi R, Margolin DA, et al. A N
REFERENCES:1 Papaconstantinou HT, Ricciardi R, Margolin DA, et al. A Novel Surgical Device Combining Continuous Intraoperative Wound Irrigation and Barrier Protection Markedly Reduces Incisional Contamination in Colorectal Surgery. Oral presentation at: American Society of Colon and Rectal Surgeons Annual Scientific Meeting; June 2017; Seattle, WA.
2 Suh I, Long SA, Coe J, Koehler J, Fry D, Welton ML. The Efficacy of a Novel Surgical Device in Preventing Intraoperative Wound Contamination in an In Vivo Porcine Model. J Laparoendosc Adv Surg Tech A. 2017
3 As shown in: Papaconstantinou HT, Ricciardi R, Margolin D, et al. Impact of Novel Wound Protection Device on Observed vs. Expected Surgical Site Infection Rates Following Colectomy Using the National Surgical Quality Improvement Program Risk Calculator. Paper presented at: WSA 2017 Annual Meeting 2017; Scottsdale, AZ.
http://http://www.zimmerbiomet.com/medical-professionals/surgical-and-operating-room-solutions/product/bactisure-wound-lavage.html
BACTISURE - Bactisure Wound Lavage is used to remove debris, including microorganisms, from wounds using pulsed (jet) lavage. The clear, colorless, low-odor solution is a FDA 510(K) cleared device. Active ingredients include ethanol (solvent), acetic acid (pH modifier), sodium acetate (buffer), benzalkonium chloride (surfactant), and water. Product is available in sterile 1000 mL polypropylene plastic bags with an integrated single spike port.
A New Approach to Biofilm Removal Bacteria can produce Extracellular Polymeric Substance (EPS) to shield themselves from both mechanical and chemical attack. Bactisure Wound Lavage was specifically designed to remove these structurally resistant forms of bacteria. Our solution physically deconstructs the protective EPS matrix, making bacteria more susceptible to traditional antibiotics and the body’s normal defense mechanisms. Indicated for Use on All Wound Types • Apply just prior to wound closure using Zimmer Biomet Pulsavac® Plus or similar pulsed lavage system. • Immediately rinse with an equal amount of normal saline using pulsed lavage. • Not intended for repeated use. • Not indicated for use during dressing changes or for use by soaking the product into dressings. • Do not use if there is a history of allergy to any of the ingredients. Does Not Harm Human Tissue* • Safe for use – NAMSA Toxicology Report1 • Non-irritant – ISO Intramuscular Implantation Test with Histopathology2 • Normal wound healing – Porcine Dermal Testing3
