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Roy Boukidjian RN, CIC Northridge Hospital Medical Center Dignity Health. Surgical site infections and c-diff observations /analysis. WHAT IS GOING ON IN THE OR. You Don’t know what you Don’t know! Observation is Key!. MULTIPLE FINDINGS. Multiple Findings: Traffic in your operating room. - PowerPoint PPT Presentation
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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.