Infection Prevention in Surgical Settings
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This handbook is the first of its kind to discuss infection control guidelines that directly relate to surgical environments. It is particularly useful to nurses who need to meet OSHA and JCAHO requirements for practice in perioperative, PACU, ambulatory, and endoscopy settings. Procedure guidelines are concisely described and followed by rationales referenced to AORN standards, CDC guidelines, and other resources.
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
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