Infection Prevention in Surgical Settings

Infection Prevention in Surgical Settings

By Barbara Gruendemann, RN, MS, FAAN, CNOR, Principal and Project Director, G4 Productions, Dallas, TX; and Sandra Stonehocker Mangum, RN, MN, CNOR, Professor, College of Nursing, Brigham Young University, Provo, UT


PREOPERATIVE PREPARATION OF PATIENT · Preoperative Patient Preparation · SURGICAL ENVIRONMENTS AND TRAFFIC · Floors, Walls, and Ceilings · Temperature and Humidity · Airborne Contamination, Ventilation Systems, and Laminar Airflow · Ultraviolet (UV) Irradiation/Lights · Contaminated or Dirty Procedures · Tacky (Sticky) Mats · Construction and Renovation · Traffic Patterns · Visitors · Alternative Surgical Settings · PREPARATION OF PERSONNEL · Employee Health · Surgical Attire · Hand Washing · Surgical Scubbing · Gowning · Gloving · SURGICAL PRACTICES · Sterile Techniques and Practices · Cleaning and Decontamination of Surgical Instruments · Disinfection · Sterilization · Flash Sterilization · Monitoring of Sterilization Processes · Event-Related Sterility, Expiration Dating, and Storage of Sterile Items · Parametric Release · Reuse/Reprocessing of Single-Use Devices · Cleaning Up of Rooms · Opening and Setting Up Rooms · Preparing the Patient's Skin · Draping · Dressings and Drains · Care of Specimins · Waste Management · SPECIAL CONSIDERATIONS · Standard Precautions · Bloodborn Pathogens and Safety Issues · Antibiotic-Resistant Organisms · Tuberculosis · Creutzfeldt-Jakob Disease