Turnover Times: Reality vs Expectations

Tuesday, October 5, 2021 9:41:54 AM America/New_York

Benchmarking efficiency is nothing new to the perioperative team; it is talked about in huddle, in services, and staff meetings. Efficiency in the Operating Room (OR) is measured by time, including start time, end time, turnover time, incision to closure time, block time utilization and more.

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Posted in Action Products, Inc. By Sally Fulmer

Tips to Reduce Surgical Site Infections

Friday, August 27, 2021 11:58:51 AM America/New_York

Surgical site infections (SSI) are multifaceted, meaning that there are many intrinsic and extrinsic factors that contribute to them. Unfortunately, many times it is difficult to track down the source of the infection because of all the factors in play. Is it the traffic in the OR that disrupts the laminar air flow, the shedding of squamous cells by the OR staff, or is it the case going longer than anticipated? Where did the contamination take place, in the OR or after surgery?  Bioburden/biofilm left on surgical instruments after reprocessing is an extrinsic factor that plays into SSI. The Centers for Disease Control and Prevention indicates that over 30,000 patients die annually from surgical infections. Today we are going to discuss methods to reduce bioburden/biofilm left on instruments after reprocessing.

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Posted in Action Products, Inc. By Sally Fulmer

Improve Patient Outcomes: Keep the Perioperative Patient Warm

Wednesday, August 11, 2021 11:30:35 AM America/New_York

Perioperative hypothermia can be associated with significant patient morbidity and mortality, Hart, Bordes, Hart, Corsino, & Harmon (2011) describe a threefold increase in the incidence of morbid cardiac outcomes, increases in surgical blood loss, a 20% increase in allogeneic transfusion, and a tripling of surgical site infections (SSIs).  Hypothermia is defined as a core body temperature less than 36ﹾC (98.8ﹾF).  Patient transfers from surface to surface increase the risk of hypothermia in the perioperative setting unless interventions are put into place. 

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Posted in Action Products, Inc. By Sally Fulmer

Perioperative Nutritional Optimization to Prevent Pressure Injuries

Friday, March 26, 2021 1:38:44 PM America/New_York

More than 50% of older surgical patients are thought to have malnutrition that is associated with increased postoperative complications, prolonged length of hospitalization and increased health care cost.

The surgical patient is at a nutrition and fluid disadvantage right off the bat due to the “Nothing by Mouth” order.  The patients are getting ready to “run” the big surgical race with a fuel tank on empty! The tank needs to be filled during the preoperative, optimization time by implementing a nutritional plan that is right for the individual patient.

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Pressure Injuries in the Neonatal Population

Thursday, March 18, 2021 1:17:58 PM America/New_York

Typically, when we think of skin injury prevention in the acute care setting, we think of that immobile, post trauma, geriatric or surgical patient.  There is a plethora of literature and research around the subject yet each year, more than 2.5 million people in the United States develop pressure injuries.  That 2.5 million people represent many different populations from geriatric to neonate. Risk identification and the implementation of pressure injury prevention interventions are well known in the adult population but what about the neonate? When it comes to pressure injuries, we rarely think of the neonatal population.

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