Surgical site infections and c-diff observations /analysis

Roy Boukidjian RN, CIC

Northridge Hospital Medical Center

Dignity Health

WHAT IS GOING ON IN THE OR You Don’t know what you Don’t know!

Observation is Key!

○ Multiple Findings:Traffic in your operating room

MULTIPLE FINDINGS

MULTIPLE FINDINGS

○ Multiple Findings:Doors Propped Open

MULTIPLE FINDINGS

○ Multiple Findings:Positive Air Circulation

MULTIPLE FINDINGS

○ Multiple Findings:SCRUBS in the OR

MULTIPLE FINDINGS

○ Multiple Findings:Cleanliness of OR Suites

MULTIPLE FINDINGS

○ Multiple Findings:Expired Material

MULTIPLE FINDINGS

○ Multiple Findings:Surgical Instrumentation

MULTIPLE FINDINGS

○ Multiple Findings:Surgical SCRUBBING!!!!

MULTIPLE FINDINGS

○ Multiple Findings:Post-Operative Care

○ Multiple Findings:Post-Operative Care (Continued)

MULTIPLE FINDINGS

Suggestions:

Use CHG wash cloths pre-op Let the antiseptic solution dry prior to

incision by placing timers Place timers on surgical scrub sinks Produce a strict policy on surgical scrubs Empower staff Distribute findings to unit staff Work with EVS and Facilities

C-diff Findings and Analysis

Out of 15 specimens that tested positive using the PCR method in December, only 4 came back positive using Toxin A and B which gives us an average of 26.6% accuracy when using Toxin A and B.