SCIP performance measures focus on four areas in which the incidence and cost of complications in surgery is high and there is a significant opportunity for prevention, including prevention of:ġ. The organizations main goal is to reduce national preventable surgical morbidity and mortality by 25 percent by 2010. Supporters include the Centers for Disease Control and Prevention, the American College of Surgeons, the Agency for Healthcare Research and Quality, and the American Hospital Association.
To address this topic, members of leading organizations launched in 2003 the Surgical Care Improvement Project (SCIP). On average, the length of stay for patients who have a postoperative complication is 3-11 days longer than the length of stay for patients who do not experience complications. Patients who experience a postoperative complication have dramatically increased hospital length of stay, hospital costs and mortality, the paper states. Hunt, the authors of a white paper titled, The surgical infection prevention and surgical care improvements projects: national initiatives to improve outcomes for patients having surgery, published in Clinical Infectious Diseases. Surgical site infections (SSIs) are the most common post-surgery complication, according to Dale W. Patients are therefore prepped by having hair shaved from the surgical site, and by being cleansed, then disinfected with alcohol, iodine or chlorhexidine gluconate.² Ironically, the patient is the most common source of pathogens,² for when a patient enters the hospital, they dont just bring a suitcase and insurance papers they bring their own microorganisms that usually are innocuous, but that often wreak havoc within 72 hours of surgery. Which patients are most vulnerable? Anyone with an impaired immune system. Pathogens can gain access to a patient via their own body or through furniture, equipment, healthcare workers, the surrounding environment and procedures such as surgery, and the insertion of catheters, intravenous lines and other objects.² Which patients are vulnerable? All of them.
Healthcare-acquired infections (HAIs) are potentially life-threatening to patients, kill thousands of people every year, and burden the medical industry with millions, if not billions, of wasted dollars.īut even routines that involve cleaning, sanitizing and disinfecting are not always enough to prevent the spread of pathogens. But if there is research that is done that reveals new trends or reveals a practice that should be changed, we will go through the recommended practices process and consider that recommendation.Īseptic technique is a controlled set of conditions that reduce the amount of microorganisms in a field, the goal of which is to protect patients from infection and to control the spread of pathogens. The principles are the same as they have been and what (we) have is very good as long as it is followed.
The tried and true methods have been proven over time.Įverything is basically the same as it has been for several years, Burlingame says. We realize that in some settings our standards cannot be put in to practice, but you need to get as close to them as possible. Were a standards-setting body and not a legal body, Burlingame says. The guidelines are just that guidelines but should be followed whenever possible, says Byron Burlingame, RN, BSN, MS, CNOR, a perioperative nursing specialist at AORNs Center for Nursing Practice. The document was approved in November 2005, and was published in the February 2006 AORN Journal. This sidekick wears a gown though not a cape that is surely of proper size, material, and cleanliness of course.Īseptic technique is still of utmost importance, according to the Association of periOperative Registered Nurses (AORN)s most recent recommended practices for maintaining a sterile field. Healthcare workers (HCWs) are heroes in todays hospitals but even they would be rendered far less powerful without the help of their trustiest companion: aseptic technique.
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