depending on the individual’s disease condition and other risk factors. Day 1 operation IN THEATRE Was the SSI bundle Woke up with a properly implemented? wound across SSI bundle was What could have been stomach. implemented. missed or gone wrong at She had some a this stage? prophylactic antibiotic premedication as part Was ventilation system of her induction to operating properly? theatre. Inserting the drain creates When surgeon another how ‘wound’ – attempts key-hole might this have increased surgery he that risk of infection? Was it her gall bladder is done properly? inflamed and adhered to bowel. Has to open up to have good look round. Drain inserted to remove excess fluid. Day 2 HDU POST-OP What did the post op monitoring reveal? She was in HDU for Was it done effectively? observation post operation due to inflammation (24 hours). Day 3 discharged. DISCHARGE Charge on ward Was the infection – Helen given Melolin Wound checked by good audit for hand contracted on the ward? (low adherent nurse on ward. It hygiene, all procedures What about cleanliness/ absorbent dressing) looks clean and dry. followed (their audit environmental audits? which she is to result 93%) change daily Discharge letter sent The information leaflet What about Standard herself. electronically to GP should be given to Infection Control audit practice. patient along with a (which would include hand conversation by the hygiene)? nurse to make sure she Did understand how understands how to take to self- care following care of her wound, what discharge? signs to look for that all is not well, what action What might have gone wrong with
depending on the individual’s disease condition and other risk factors. Day 1 operation Woke up with a wound across stomach. IN THEATRE SSI bundle was implemented. She had some a prophylactic antibiotic premedication as part of her induction to theatre. When surgeon attempts key-hole surgery he that her gall bladder is inflamed and adhered to bowel. Has to open up to have good look round. Drain inserted to remove excess fluid. Was the SSI bundle properly implemented? What could have been missed or gone wrong at this stage? Was ventilation system operating properly? Inserting the drain creates another ‘wound’ – how might this have increased risk of infection? Was it done properly? Day 2 HDU POST-OP She was in HDU for observation post operation due to inflammation (24 hours). What did the post op monitoring reveal? Was it done effectively? Day 3 discharged. Helen given Melolin (low adherent absorbent dressing) which she is to change daily herself. DISCHARGE Wound checked by nurse on ward. It looks clean and dry. Discharge letter sent electronically to GP practice. Charge on ward – good audit for hand hygiene, all procedures followed (their audit result 93%) The information leaflet should be given to patient along with a conversation by the nurse to make sure she understands how to take care of her wound, what signs to look for that all is not well, what action Was the infection contracted on the ward? What about cleanliness/ environmental audits? What about Standard Infection Control audit (which would include hand hygiene)? Did understand how to self- care following discharge? What might have gone wrong with
sod_hai_learning_resource_final.docx