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May 2019 Issue
Special Focus: Infection Prevention
This May issue includes a CE article on the standard of practice for perioperative hair removal and whether clipping should be used for every applicable procedure; and a CE article on using a decision-making algorithm to determine the proper post-procedure environmental cleaning between surgical procedures for patients with multidrug resistant organisms or C difficile. The Clinical Issues column explores fire prevention assessments, timing of fire prevention, and air filters for surgical smoke evacuation.
Featured CE Articles
Revisiting Perioperative Hair Removal Practices
The standard of practice for perioperative hair removal is largely based on research that is outdated and underpowered. Although there is evidence to support the practice of clipping instead of shaving, current recommendations are to remove hair only when absolutely necessary. Human hair is bacteria-laden and challenging to disinfect, and clipping can be a safe method of hair removal that does not damage the skin. This article considers the removal of hair at the incision site with clippers, either before the patient enters the OR or in a manner that completely contains clipped hair, for every procedure, not just when absolutely necessary.
Implementing an OR Contact Precautions Decision Algorithm
At one hospital, OR team members identified the lack of a systematic approach to determine the type of post-procedure cleaning required between procedures involving patients with multidrug resistant organisms or Clostridium difficile. Facility leaders developed a project to design and implement an evidence-based decision-making algorithm to help perioperative nurses rapidly identify the appropriate environmental cleaning procedures for these ORs. The authors found that the algorithm was an effective tool to determine the proper postprocedure environmental cleaning procedures.
Clinical Issues -May 2019
This month's column addresses the following topics:
- Fire prevention assessments
- Timing of fire prevention assessments
- Air filters for surgical smoke evacuation