PRE-OPERATIVE PATIENT PREPARATION IN THE PREVENTION OF SURGICAL SITE INFECTIONS

Authors

  • Tara McBride
  • Jennifer Beamer

Abstract

In 1999 the Ontario Ministry of Health and Long Term Care granted funding to St. Mary’s General Hospital for a Regional Cardiac Care Center. In July 2003 the cardiac surgery program opened. During the program-planning phase, protocols and procedures related to patient preparation for cardiac surgery were developed.

OBJECTIVE: To share policies, protocols and patient teaching tools developed from research driven, evidenced based standards of practice. To complete a one-year review (January to December 2004) and assess the compliance rates with pre-operative patient preparation procedures on all Coronary Artery Bypass Graft (CABG) cardiac surgery patients.

DESIGN: Retrospective chart review. SETTING: 191 bed community-based Regional Cardiac Care Centre.

PARTICIPANTS: All adult patients undergoing Coronary Artery Bypass Graft (CABG) surgery from January 1st 2004 to December 31st 2004.

ANALYSIS: Compliance rate following patient education related to pre-operative washes, assessing completion of pre-operative washes, and location of clipping relative to the Cardiovascular Operating Room (CVOR).

CONCLUSION: A team of Registered Nurses was able to effectively implement policies and protocols within a cardiac surgery program that meet the recommended standards of care of the Centers for Disease Control and Prevention (CDC), Operating Room Nurses Association of Canada (ORNAC) and Safer Health Care Now! Initiative. A retrospective chart review has demonstrated that staff consistently apply and document care in accordance with the developed pre-operative wash and hair clipping protocols.

Author Biographies

Tara McBride

Tara McBride RN, BScN, CNOR, is a graduate of the McMaster University nursing degree program. She is the perioperative educator at St. Mary’s General Hospital in Kitchener, ON, and was involved in the development of the hospital’s cardiac surgical program (opened July 2003). Tara is now working on her Masters in Education at Brock University, St. Catharine’s, ON.

Jennifer Beamer

Jennifer Beamer RN, BScN, CCN(C), MN(c), APN(c) is a graduate of the McMaster University baccalaureate nursing program. She has dedicated her nursing career to cardiac care working in cardiology, cardiac surgery and arrhythmia management as a bedside RN, educator and Regional Cardiac Care Coordinator. Jennifer is now completing the Masters in Nursing and Acute Care Nurse Practitioner program at the University of Toronto.

References

Mangram, A.J., et al. “Guidelines for

Prevention of Surgical Site Infection” Infection

Control and Hospital Epidemiology. 20(4)

(1999) : 250-273

Operating Room Nurses Association Of

Canada (ORNAC). Recommended Standards,

Guidelines, and Position Statements For

Perioperative Registered Nursing Practice (5th

ed). (2003) Module 2, pp 58.

Safer Healthcare Now! Getting Started Kit:

Prevent Surgical Site Infections; How-to Guide

(2006).

Roy, M. “Surgical-Site Infections After

Coronary Artery Bypass Graft Surgery:

Discriminating Site-Specific Risk Factors to

Improve Prevention Efforts” Infection Control

and Hospital Epidemiology. 19(4) (1998) :

-233.

Downloads

Published

2007-12-01

How to Cite

McBride, T., & Beamer, J. (2007). PRE-OPERATIVE PATIENT PREPARATION IN THE PREVENTION OF SURGICAL SITE INFECTIONS. Operating Room Nurses Association of Canada Journal, 25(4). Retrieved from https://ornacjournal.ca/index.php/ornac/article/view/12445

Issue

Vol. 25 No. 4 (2007): December/decembre 2007

Section

Feature Articles