Steven E. Ochs, M.D., chairman of Mercy Medical Center’s Department of Surgery, has a goal to hardwire surgical site infection prevention processes in the perioperative areas. After research, utilizing CDC and AORN guidelines and the expertise of the Mercy IC team, guidelines were developed.
Colon and abdominal hysterectomy procedures are a major area of focus, and Angela Eggleston, administrative director of Mercy Surgery Center, and Jamie Carbone, director of Surgical Services, worked with Kirby L. Sweitzer, M.D., F.A.C.S., and Sara L. Lemin, M.D., to develop clinical pathways. Angela is providing education to the OR staff and the OR team will be implementing these practices to reduce SSI.
- Revisions have been made to the surgery brochure and the pre-procedure/patient discharge instructions.
- Revisions have been made to the preoperative MRSA screening to include colon and abdominal hysterectomy patients who have a history of MRSA.
- Patient bathing with CHG wipes pre-operatively for these cases will be implemented along with other infection-reducing safety measures.
- The Xenex robot is now being used nightly in the OR.
- Surgery has implemented a surgical debrief tool.
- Anesthesia is leading the improvement for AIC screening pre-operatively, pre-surgery glycemic control and intraoperative antibiotic re-dosing.
- Margaret F. Kobe, M.D., F.A.A.P., and IC team are monitoring and reporting cases of SSI.
The committee will share results as outcomes are reported.