Healthcare Associated Infections ( Hai )

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Healthcare-associated infections (HAI) occur in hospitals each day, costing approximately $10 billion per year in the United States (Cantrell, 2016). Surgical site infections (SSI) are the top leaders in HAI’s acquired by patients reaching an estimated $20,785 per case or event (Cantrell, 2016). Hospitals and surgical staff work effortlessly to prevent and improve surgical outcomes by reducing the rate of SSI’s. One of the largest areas for prevention of surgical site infections is associated with surgical site skin antisepsis and removal of surgical site hair. Preparing the skin for surgery is the vital first step in the prevention of SSI’s (Cantrell, 2016). Nursing staff and physicians make selections for type of antiseptic prep based on, ease of application, ability to immobilize bacteria on the skin, effect of prep once blood and saline are exposed to the area, coverage needed, and cost or value of the surgical prep solution (Cantrell, 2016). Surgical preps come in many forms and include; iodine (scrub and paint), Chlorhexidine, and other alcohol based products (Cantrell, 2016). One additional area of concern, relates to body hair covering the surgical site. Hair removal from surgical site can cause trauma impacting the patient’s skin integrity, creating a host and potential sites for SSI (Cowperthwaite & Holm, 2015). Throughout this paper the author will determine if evidence-based practice of surgical site antisepsis can reduce the development of SSI’s and cost associated with such infections. The following PICOT question will be addressed in this paper; Surgical patients or patients undergoing surgical procedures (P), does pre-procedure skin preparation of nurses with Chlorhexidine wipes or type of antisepsis prep agent re... ... middle of paper ... statistical data sheet to patient comorbidities, demographics, and development of any SSI complication. Dissemination of the product will include presentation of data to medical executive team, infectious control doctors, and practice standard organizations; for example, AORN and American Board of Orthopedic surgeons. Reduction of SSI’s to patients through thorough skin antisepsis is a critical and financially necessary precaution of surgical patients. Developing evidence-based practice standards occurs after critical appraisal, clinical expertise, and patient values or preferences all to improve patient quality and determine safe practice standards for patients (Melnyk & Fineout-Overhold, 2014). Evaluation of surgical skin antisepsis with 2% CHG cloth wipes can improve and reduce patient SSI rates making it worthy of research study and consideration of evidence.
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