Evidence based hygiene strategies 102308
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Evidence based hygiene strategies 102308
- 1. Evidence Based Hygiene Strategies Maureen Spencer, RN, M.Ed., CIC Infection Control Manager New England Baptist Hospital Boston, Ma. 02120 [email_address]
- 10. Sensory receptors in your skin
- 11. SKIN ASSESSMENT
- 25. Most Common Microorganisms Isolated from SSIs Organism 1986-1989(percent) 1990-1996(percent) Staphylococcus aureus 17 20 Coagulase-negative staphylococci 12 14 Enterococcus species 13 12 Escherichia coli 10 8 Pseudomonas aeruginosa 8 8 Enterobacter species 8 7 Proteus mirabilis 4 3 Klebsiella pneumoniae 3 3 Other Streptococcus species 3 3 Candida albicans 2 3 Group D streptococci ---- 2 Other gram-positive aerobes ---- 2
- 31. Post-op Skin Care Challenges Blisters, Tape Tears, Pressure
- 32. Skin Issues in Orthopedic Surgery
- 34. CELLULITIS Infectious or Chemical?
- 35. Surgical Site Infection After Orthopedic Surgery: Devastating!
- 36. STRATEGIES TO PREVENT SSI
- 39. Antimicrobial Dressing Silver Foam Dressing Silver Foam Dressing Absorbs 96 grams of fluid Does not adhere to steri-strips or skin Silicone makes it easy to lift for inspection and will not tear skin layers
- 42. INCONTINENCE CARE AND INDWELLING FOLEYS
- 50. MRSA and Staph aureus Eradication Program Prescreening Process Topical Decolonization Protocol Vancomycin for MRSA
- 54. What were the outcomes?
- 57. Creative Hand Hygiene Strategies
- 61. Staff Participation in Hand Hygiene Posters
- 62. Participation in the Annual Bug Beat Fair
- 63. Examples of Creative Hand Hygiene Programs
- 64. Partners in Hand Hygiene Nov 2005 Patient Empowerment and Involvement
- 69. June, 2006 – Bug Beat Fair F.I.E.S.T.A . Fight Infection, Everyone Should Take Action
- 70. November 2006 Cruise on the L.U.A.U
- 71. M.R.S.A. Fair Make Resistance Stay Away M. R. S. A.
- 72. June 2007 – B.E.A.C.H. Party Because Everyone Assures Clean Hands
- 73. B.E.A.C.H. Party
- 74. October 2007 B.O.O. – Bug Off Organisms
- 75. December 2007 Happy Fingers
- 76. February 2008 Sanitize Your Hands D.O.G. Gone it (Dirt and Organisms Gone)
- 78. Hand Hygiene Data Volume use Direct Observations
- 79. Volume Use Data No Longer Using This For Our Measurement
- 82. Prevent Infection We are all in this together THANK YOU
Notas do Editor
- Aqua Cel silver dressings after spine and shoulder surgery Additional annual cost: $25,843
- Chlorhexidine antiseptic wash (Bactoshield) for pre-op shower Annual cost: $10,639 Chlorhexidine swabs for central line insertion site (Chloraprep) Use clippers rather than razors to remove hair at incision site Annual cost: $8,175
- Iodophor/alcohol surgical prep is used – we evaluated the tinted CHG but surgeons did not like the product due to Its green color and inability to adhere the barrier drapes to the skin as well as the iodophor product – this is a big Issue for orthopedic surgeons
- We conducted another anonymous surveillance culture study in Feb 2006 – 133 spine patients noses were cultured in the OR 29% grew out Staph aureus and 4% were positive for MRSA – which was undiagnosed and therefore surgical prophylaxis with Vancomycin was not administered and no precautions were used in the OR, PACU or nursing units. These patients may also Have been discharged to a rehab facility with no flagging for precautions.
- Data is indicating an increase in product use Some confounding variables: nurses discarding empty dispensers at nurses station use of hand wipes for computers on wheels – forgot to include in data collection patients taking dispensers home at discharge