SSI Prevention Checklist - Colorectal Protocol Closing Intra-Operative Pre-Incision Pre-Operative Use this guide to learn how to help prevent surgical site infections. Please click on the section headings to begin. Content: Illustrations: Patrick Sullivan, MD Cheryl Castleberry, RN BS Satyen Tripathi, MA CMI
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SSI Prevention Checklist - Colorectal Protocolmed.emory.edu/education/vme/SSIPrevention/...Class III and IV wounds. Pre-Operative Pre-Incision Intra-Operative Closing Apply Sterile
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SSI Prevention Checklist - Colorectal Protocol
Closing
Intra-Operative
Pre-Incision
Pre-Operative
Use this guide to learn how to help prevent
surgical site infections.
Please click on the section headings to begin.
Content: Illustrations:
Patrick Sullivan, MD Cheryl Castleberry, RN BSSatyen Tripathi, MA CMI
Pre-Operative
Pre-Incision
Intra-Operative
Closing
Pre-Operative Steps
1. Set OR Temperature
Pre-Operative
Pre-Incision
Intra-Operative
Closing
Set OR Temperature
Set operating room temperature to between 72° and 75° F.
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Pre-Operative
Pre-Incision
Intra-Operative
Closing
Pre-Incision Steps
4. Double-glove1. Administer Antibiotic
5. Initiate Intra-operative Warming
2. Prep Skin
3. Perfom Universal Prep 6. Prepare General Closing Pan
Pre-Operative
Pre-Incision
Intra-Operative
Closing
Administer Antibiotic
If PCN allergy, give clindamycin (900mg) and aztreonam (2g).
Typical dose is Ancef (2g) and Flagyl (500mg).Administer within one hour of incision.
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Pre-Operative
Pre-Incision
Intra-Operative
Closing
Prep Skin
Use Chloraprep® (Betadine® for perineum).Allow for 3 minute drying time.
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Pre-Operative
Pre-Incision
Intra-Operative
Closing
Perform Universal Prep
Click here to see sample technique
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Use sterile draping techniques and Ioban occlusive to decrease risk of openings for contamination.
Pre-Operative
Pre-Incision
Intra-Operative
Closing
Universal Prep - Towel Surgical Site
Use sterile towels to frame surgical site.
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Pre-Operative
Pre-Incision
Intra-Operative
Closing
Universal Prep - Apply Drape
Drape surgical site. Either universal orlaparotomy with pockets (surgeon’s preference).
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Pre-Operative
Pre-Incision
Intra-Operative
Closing
Universal Prep - Use Ioban
Place Ioban covering over surgical site.
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Pre-Operative
Pre-Incision
Intra-Operative
Closing
Double-Glove
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All surgical team double-gloves.
Pre-Operative
Pre-Incision
Intra-Operative
Closing
Initiate Intra-Operative Warming
Initiate intra-operative warming of patient.
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Pre-Operative
Pre-Incision
Intra-Operative
Closing
Prepare General Closing Pan
Items to include on small Mayo: closing sutures, sterile towels, fresh gloves, closing pan instruments, Bovie, and suction.
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Cover pan with sterile protection until needed.
Pre-Operative
Pre-Incision
Intra-Operative
Closing
Intra-Operative Steps
1. Use Alexis Wound Protecor
2. Perform Irrigation
Pre-Operative
Pre-Incision
Intra-Operative
Closing
Use Alexis Wound Protector
Use Alexis wound protector to prevent contamination and trauma to abdominal wall.
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Pre-Operative
Pre-Incision
Intra-Operative
Closing
Perform Irrigation
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Appropriate dose is: 500ml warm NaCl, Gentamycin (240mg) and Clindamycin (600mg)
Perform abdominal wound irrigation with antibiotic solution