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October 2018 Issue
This October issue includes a CE article on using an evidence-based protocol to reduce cesarean delivery surgical site infection rates and a CE article on performing effective manual chemical high-level disinfection and preventing injury associated with the use of high-level disinfectant chemicals. The Clinical Issues column explores abdominal preoperative patient skin antisepsis, use of instruments for cadaver training, immediate-use steam sterilization, and more.
Featured CE Articles
Creating a Surgical Site Infection Prevention Bundle for Patients Undergoing Cesarean Delivery
An interdisciplinary team created a standardized, evidence-based protocol to reduce cesarean delivery surgical site infection rates at their tertiary teaching facility. The team’s approach included developing and providing patient education and preparation, standardizing prophylactic antibiotic administration, developing consistent evidence-based abdominal and vaginal preparation processes, standardizing postoperative incision care, and engaging clinical team members in process improvement.
Guideline Implementation: Manual Chemical High-Level Disinfection
The Spaulding system recommends sterilization or, at minimum, high-level disinfection for semicritical medical items. The AORN “Guideline for manual chemical high-level disinfection” provides guidance to health care personnel for performing effective manual chemical high-level disinfection and preventing injury associated with the use of high-level disinfectant chemicals. This article focuses on key points of the guideline that address preparation of items for high-level disinfection, use of high-level disinfectants, health care personnel safety, and documentation.
Clinical Issues—October 2018
October's column addresses the following topics:
- Performing abdominal preoperative patient skin antisepsis on a patient undergoing stoma reversal
- Using the same instruments for cadaver training and patient surgery
- Comparing immediate-use steam sterilization with terminal sterilization
- Sterilizing phacoemulsification hand pieces