Separation of Clean and Dirty Instruments Slide 20 SAY: In some Hopkins colon infection meetings, staff members talk about implementing a closing set, or a separate instrument tray used when closing the fascia and the skin. But frontline staff didn’t agree. They wanted to build a separate set for anastomoses. Then during bowel operations, they would have a separate set of instruments to use and then dispose of. It was easier for staff to identify the exact point of the anastomosis than when the closing procedures began. Also included are extra suctioning and change of gloves. These practices were self-audited and spread from general surgery to gynecological and pancreas surgeons, because they operate on the bowel. And now it’s standard practice in the operating room, despite no evidence to support it. Based on input from all operating room providers, it was felt to be the best practice. Bringing Emerging Evidence for SSI Prevention Slide 21 to Your Patients SAY: In this section we will review emerging evidence for SSI prevention. This evidence is not a SCIP requirement, but has reasonable evidence to support adding it to your SSI bundles.
Separation of Clean and Dirty Instruments SAY: In some Hopkins colon infection meetings, staff members talk about implementing a closing set, or a separate instrument tray used when closing the fascia and the skin. But frontline staff didn’t agree. They wanted to build a separate set for anastomoses. Then during bowel operations, they would have a separate set of instruments to use and then dispose of. It was easier for staff to identify the exact point of the anastomosis than when the closing procedures began. Also included are extra suctioning and change of gloves. These practices were self-audited and spread from general surgery to gynecological and pancreas surgeons, because they operate on the bowel. And now it’s standard practice in the operating room, despite no evidence to support it. Based on input from all operating room providers, it was felt to be the best practice. Slide 20 Bringing Emerging Evidence for SSI Prevention to Your Patients SAY: In this section we will review emerging evidence for SSI prevention. This evidence is not a SCIP requirement, but has reasonable evidence to support adding it to your SSI bundles. Slide 21
onboarding_build_ssibundle_facnotes.docx