A DESCRIPTIVE STUDY EXPLORING THE PRINCIPLES OF ASEPSIS TECHNIQUES AMONG PERIOPERATIVE PERSONNEL DURING SURGERY

Authors

  • Jeanette Adams
  • Denise Korniewicz
  • Maher El-Masri

Abstract

Background: Perioperative nurses are expected to demonstrate strict adherence with asepsis principles to prevent surgical site infections (SSIs) as breaching of these principles poses a serious risk of infection to surgical patients.

Methods: A descriptive survey was conducted with a convenience sample of 87 perioperative personnel to describe self-reported compliance with the principles of asepsis during surgery.

Purpose: The purpose of this study was to examine the practices of perioperative scrub personnel with surgical asepsis.

Results: A sizable percentage of participants indicated that they never or rarely observe breaches in the sterile field during surgery with regards to open suction drain systems (46.6%; n = 41), closed suction drain systems (46.6%; n = 41), suture material (39.7%; n = 35), use of surgical instruments (37.5%; n = 33), and prosthetic implants (56.8%; n = 50). Perioperative scrub RNs were less likely to wear shoe covers during surgical procedures than ORTs (M = 3.42 and 4.17; mdn = 3.00 and 5.00 respectively; p = .026).

Conclusions: The findings showed areas of compliance and noncompliance with the principles of asepsis. Given that the role of the perioperative nurse is paramount in maintaining surgical integrity, and enhancing positive patient outcomes, strict adherence to surgical asepsis is vital to prevent SSIs and other complications.

Author Biographies

Jeanette Adams

Jeanette S. Adams, RN, PhD, APRN-BC, CRNI, Faculty, University of Miami School of Nursing and Health Studies, Coral Gables, FL, USA. An Infection Control researcher who worked in the OR for a short time in her nursing career.

Denise Korniewicz

Denise M. Korniewicz, RN, PhD, RN, FAAN, Senior Associate Dean for Research and Professor, University of Miami School of Nursing and Health Studies, Coral Gables, FL, USA. She has five years experience as an OR nurse and has been an infection control researcher for over three decades.

Maher El-Masri

Maher M. El-Masri, RN, PhD, Associate Professor and Research Coordinator, Faculty of Nursing, University of Windsor, ON, Canada. He is also an infection control researcher.

References

Beyea SC. Keeping patients safe from

infection. Aorn J 2003; 78: 133-4, 7.

The Joint Commission of Accreditation of

Healthcare Organizations. Sentinel event alert,

Issue 28: Infection control related sentinel events.

In, Vol. 2008: The Joint Commission of

Accreditation of Healthcare Organizations, 2004.

Owens CD, Stoessel K. Surgical site infections:

epidemiology, microbiology and prevention. J

Hosp Infect 2008; 70 Suppl 2: 3-10.

Mangram AJ, Horan TC, Pearson ML et al.

Guideline for prevention of surgical site

infection, 1999. Hospital Infection Control

Practices Advisory Committee. Infect Control

Hosp Epidemiol 1999; 20: 250-78; quiz 79-80.

Klevens RM, Edwards JR, Richards CL, Jr. et

al. Estimating health care-associated infections

and deaths in U.S. hospitals, 2002. Public

Health Rep 2007; 122: 160-6.

Fry DE, Fry RV. Surgical site infection: the

host factor. Aorn J 2007; 86: 801-10; quiz 11-4.

Hopper WR, Moss R. Common breaks in

sterile technique: clinical perspectives and

perioperative implications. Aorn J; 91: 350-64;

quiz 65-7.

Auerbach A. Prevention of surgical site

infections. In: Making Health Care Safer: A

critical Analysis of Patient Safety Practices

Evidence (Shojania K, Duncan B, McDonnald K

et al., eds). Rockville, MD.: Agency for

Healthcare Research and Quality, 2001: 221-44.

Alfonso JL, Pereperez SB, Canoves JM et al.

Are we really seeing the total costs of surgical

site infections? A Spanish study. Wound Repair

Regen 2007; 15: 474-81.

Sparling KW, Ryckman FC, Schoettker PJ et

al. Financial impact of failing to prevent surgical

site infections. Qual Manag Health Care 2007;

: 219-25.

Monge Jodra V, Sainz de Los Terreros Soler

L, Diaz-Agero Perez C et al. Excess length of

stay attributable to surgical site infection

following hip replacement: a nested case-control

study. Infect Control Hosp Epidemiol 2006; 27:

-303.

Bratzler DW. The Surgical Infection

Prevention and Surgical Care Improvement

Projects: promises and pitfalls. Am Surg 2006;

: 1010-6; discussion 21-30, 133-48.

Merrer J, Girou E, Lortat-Jacob A et al.

Surgical site infection after surgery to repair

femoral neck fracture: a French multicenter

retrospective study. Infect Control Hosp

Epidemiol 2007; 28: 1169-74.

Barnett TE. The not-so-hidden costs of

surgical site infections. Aorn J 2007; 86: 249-58.

Roberts RR, Scott RD, 2nd, Cordell R et al.

The use of economic modeling to determine the

hospital costs associated with nosocomial

infections. Clin Infect Dis 2003; 36: 1424-32.

Fitzgerald J, Kanter G, Trelease R et al.

Reducing surgical complications. Nurs Manage

; 38: 35-9.

Anderson D, Sexton D. Infection control

and hospital epidemiology: a growth

opportunity in medicine. Infect Dis Clin Prac

: 113-5.

Brendle TA. Surgical Care Improvement

Project and the perioperative nurse's role.

AORN J 2007; 86: 94-101.

Safer Healthcare Now. Prevent surgical site

infections:Getting started kit. In, Vol. 2011:

Canadian Patient Safety Institute, 2010.

Anderson DJ, Sexton DJ, Kanafani ZA et al.

Severe surgical site infection in community

hospitals: epidemiology, key procedures, and the

changing prevalence of methicillin-resistant

Staphylococcus aureus. Infect Control Hosp

Epidemiol 2007; 28: 1047-53.

Griffin F. Reducing surgical complications.

In: Joint Commission journal on quality and

patient safety / Joint Commission Resources,

: 660-5.

Blanchard J. Leech storage, surgical site

infection study; national patient safety goals;

eating on instrument prep tables; razor shaving.

AORN J 2004: 405-6;8-10.

AORN. Recommended practices for surgical

attire. AORN J 2005: 413-6.

Pett M. Nonparametric statistics for health

care research: Statistics for small samples and

unusual distributions. Thousand Oaks:: Sage

Publications, 1997.

Girard NJ. Surgical conscience: still

pertinent. AORN J 2007; 86: 13-4.

AORN. Perioperative Standards and

Recommended Practices 2011: AORN, 2011.

ORNAC. (2009). Standards, guidelines, and

position statements for perioperative registered

nursing practice.

Downloads

Published

2011-12-01

How to Cite

Adams, J., Korniewicz, D., & El-Masri, M. (2011). A DESCRIPTIVE STUDY EXPLORING THE PRINCIPLES OF ASEPSIS TECHNIQUES AMONG PERIOPERATIVE PERSONNEL DURING SURGERY. Operating Room Nurses Association of Canada Journal, 29(4). Retrieved from https://ornacjournal.ca/index.php/ornac/article/view/12353

Issue

Section

Feature Articles