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";s:4:"text";s:4761:"Copyright © 2020 Elsevier Inc. except certain content provided by third parties. Association of periOperative Registered Nurses Clarifies Position on Surgical Attire. Lisa Spruce, DNP, RN, CNS-CP, CNOR, ACNS, ACNP, FAAN, director of evidence-based perioperative practice for AORN, recently reviewed the significant changes contained in the new surgical attire guideline, which will be available online July 1, 2019. It is critical to perform hand hygiene after any cleaning; those two things together are very important.". 2) Plain, short-sleeve tee shirts may be worn if adequately covered by scrub attire. 0 Surveillance of surgical site infections in NHS hospitals in England, 2016 to 2017. (2018) note that, "Although a number of SSI prevention recommendations were made about preoperative, intraoperative, and postoperative practices among these infection-control guideline statements, there were no recommendations specific to surgical attire until 2015, when the Association for Perioperative Registered Nurses (AORN) published their updated recommendations on operating room attire. Surgical attire helps protect patients from microorganisms that may be shed from the hair and skin of perioperative personnel. Kothari SN, Anderson MJ, Borgert AJ, Kallies KJ, Kowalski TJ. The researchers report that, "Despite a shift toward more clean cases, there were more SSIs post-implementation (33 vs 30). Operating Room Attire Policy and Healthcare Cost: Favoring Evidence over Action for Prevention of Surgical Site Infections. a. Scrub suit that has been contaminated with blood, body fluids or other potentially infectious material (OPIM) should be changed as soon as possible and freshly laundered scrub attire donned. You're going to need to establish the process of how you are going to handle personal items, deciding what works best for your facility. In her letter, Spruce counters, "Again this is incorrect. Operating Room Attire Policy and Healthcare Cost: Favoring Evidence over Action for Prevention of Surgical Site Infections. Copyright © 2020 Elsevier B.V. or its licensors or contributors. of the AORN policy were analyzed. New WHO recommendations on preoperative measures for surgical site infection prevention: an evidence-based global perspective. RP First look: new recommended practices for surgical attire. The associated costs of the AORN policy were analyzed. Elmously A, Gray KD, et al. squames and prevent billowing outward in the operating room and contaminating a sterile surface. 2018, Received in revised form: National Health Safety Network data from our hospital were collected on general surgery, cardiac, neurosurgery, orthopaedic, and gynecology procedures from January 2014 to November 2017. 2018. 410 0 obj<>/Filter/FlateDecode/ID[<436BA519756F4F4E9A826CFED2FBCCF6><86E54C3A81831849962D7D274EBEF170>]/Index[395 30]/Info 394 0 R/Length 80/Prev 106333/Root 396 0 R/Size 425/Type/XRef/W[1 2 1]>>stream Common sense dictates that limiting surgical patients' exposure to any reservoir that could harbor pathogenic organisms could help prevent surgical site infections (SSIs). J\����q �zQYC��s~F؄��"\…$�#܇�O���dıH��p�w��%�i^�h��P:蔑�^�^��I�#��I�1Le�]r�:� scrub attire, shoes, jewelry, head coverings, and surgical masks worn in the semirestricted and restricted areas. The tension between needing to improve care and knowing how to do it. Future guidelines should consider these clinical outcomes data and surgeon preference should dictate operating room headwear." The guideline does not mention skull caps nor is there any mention of bouffant caps; AORN has neither urged the elimination of traditional surgical caps nor mandated the use of bouffant caps. June 22, ", Spruce added that AORN recommends that surgical team personnel remove scrub attire before leaving the healthcare institution. 2019 Jan;228(1):98-106. Conflict Over Surgical Attire Guidance Even as a nursing organization educates around its soon-to-be released updated guideline on surgical attire, a medical society calls its stance into question, causing practitioners to re-evaluate what they think they know about preventing surgical site infections (SSIs). Dr Salemi receives honoraria from Medtronic and Edwards Lifesciences. Overall, SSIs occurred in 8 percent and 5 percent of cases with a bouffant and skull cap, respectively; with 6 percent vs. 4 percent classified as superficial, 0.8 percent vs. 0.2 percent classified as deep, and 1 percent vs. 0.9 percent classified as organ space; however, when adjusting for the type of operation, no significant differences in SSI rates were observed for skull caps vs. bouffant caps." ";s:7:"keyword";s:28:"operating room attire policy";s:5:"links";s:744:"North Braddock, Pa, Time Management Activities For Students, Mens Long Sleeve Henley T-shirt Uk, Hobbiton New Zealand, Post Emergent Herbicide Lowe's, Taxi Sanford Orlando Airport, ";s:7:"expired";i:-1;}