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Scrub Busters Project to Reduce Surgical Site Infections
 

Scrub Busters Project to Reduce Surgical Site Infections

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This poster highlights the work of a project from the Surgical Quality Action Network's 2013 studentship program. ...

This poster highlights the work of a project from the Surgical Quality Action Network's 2013 studentship program.

The program was partnership between the UBC Department of Surgery, the Office of Pediatric Surgical Evaluation and Innovation (OPSEI) and the BC Patient Safety & Quality Council.

This poster was presented by Catherine Kruger, Kathleen Lomas and Susann Camus.

Learn more at http://bcpsqc.ca/clinical-improvement/sqan/

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    Scrub Busters Project to Reduce Surgical Site Infections Scrub Busters Project to Reduce Surgical Site Infections Presentation Transcript

    • Surrey Memorial Hospital (SMH) Scrub Busters Pilot Project to Reduce Surgical Site Infections Team Goal Actions To reduce surgical site infections (SSIs) among total hip arthroplasty patients at Surrey Memorial Hospital (SMH) through presurgical application of no-rinse 2% chlorhexidine gluconate (CHG) impregnated washcloths from Aug/13Feb/14 Cleaning Your Skin Example If you are having surgery on your right hip Diagram from teaching sheet illustrating where patients are to use washcloths. Cloths containing 2% chlorhexidine gluconate were given to study participants to wash the surgical site the night before and morning of surgery. Surgical Site Infections First - clean shaded areas Second – clean area inside the boxes Team Members Jennifer Araki, RN, Patient Care Coordinator - Orthopedics, Operating Room, SMH Susann Camus, Quality Improvement Consultant, National Surgical Quality Improvement Program Catherine Kruger, RN, Interim Manager, Operating Room, SMH Kathleen Lomas, Research Coordinator, Nursing Program, University of British Columbia, Okanagan Jeannie Mudry, RN, Preadmission Clinic, Jim Pattison Outpatient Care and Surgical Centre Michelle Purdon, Manager, Library Services Charmaine McWhinnie Rykyta, RN, Preadmission Clinic, Jim Pattison Outpatient Care and Surgical Centre Pawan Sindhar, RN, Surgical Clinical Reviewer, National Surgical Quality Improvement Program, SMH Dr. Elizabeth Wick, Team Mentor, Department of Surgery, Johns Hopkins University Thank you to the Surgical Quality Action Network (SQAN) for providing funds to hire a summer student for this project. Surgical site infections place an enormous burden on patients, families, health care providers, and the system as a whole. SSIs are widely prevalent. This is a pilot project to see if the use of 2% CHG cloths will lower the rate of SSIs in our Total Hip Replacement patients. Submission of Proposal to FH, Nov/12 Ethics approval, Feb/13 Approval of funding ✓Conducted literature search and review of the literature ✓Obtained research ethics approval ✓Developed detailed teaching sheet for patients on how to use CHG washcloths ✓Secured a mentor for the study ✓Started recruitment process of total hip replacement patients at the Preadmission Clinic in the Jim Pattison Outpatient Care and Surgical Centre (JPOCSC) ✓Implemented the use of CHG cloths preoperatively for total hip replacement patients in the study ✓Worked with nurses in the preadmission clinic to recruit patients and explain the purpose of the study ✓Giving patients a questionnaire at surgical admission to see if the cloths were used and providing an honorarium if the questionnaire is completed ✓Using NSQIP to monitoring patient outcomes for six consecutive months in 2013-14 and comparing results with outcomes for total hip arthroplasties for six consecutive months in 2010-2011. First twenty patients enrolled, Oct/13 First patient recruited, July/13 UBC student engaged through SQAN Data entry begun, July/13 Poster designed by K. Lomas, 2013