Implementing an OR Contact Precautions Decision Algorithm to Promote Interprofessional Teamwork for Infection Prevention

Abstract Perioperative nurses use aseptic and sterile technique along with standard cleaning and disinfection practices to prevent surgical site infections. At our hospital, OR team members identified a clinical problem: the lack of a systematic approach to determine the type of postprocedure cleani...

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Bibliographic Details
Published in:AORN journal 2019-05, Vol.109 (5), p.597-611
Main Authors: Lacourciere, Andrea, MSN, RN‐BC, FNP, CNOR, CFER, Kumar, Orissa, BSN, RN, CNOR, Apold, Susan, PhD, RN, ANP‐BC, GNP, FAAN, FAANP
Format: Article
Language:English
Subjects:
algorithm
Algorithms
Antibiotics
Clinical decision making
Collaboration
Decision making
Disease control
Disease prevention
Health care policy
infection prevention
Intensive care
Medical/Surgical
Microorganisms
multi‐drug resistant organism
Nosocomial infections
Nurses
Nursing
Organisms
Orthopedics
Patient safety
Researchers
Staphylococcus infections
Surgery
Teamwork
terminal cleaning
transmission‐based precautions
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Summary:Abstract Perioperative nurses use aseptic and sterile technique along with standard cleaning and disinfection practices to prevent surgical site infections. At our hospital, OR team members identified a clinical problem: the lack of a systematic approach to determine the type of postprocedure cleaning required between procedures involving patients with multi‐drug 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. After the perioperative nurses were taught how to use the algorithm, it was put into use. Nineteen months later, the nurses completed a postimplementation survey. The results of the survey were generally positive, and the cleaning process was more standardized. We found that a decision‐making algorithm was an effective tool to determine the proper postprocedure environmental cleaning between surgical procedures for patients with multi‐drug resistant organisms or C difficile.
ISSN:1878-0369
0001-2092
1878-0369
DOI:10.1002/aorn.12667