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MOD 1 SCIP

periop patient safety recommendations by WHO TJC & AORN.

QuestionAnswer
Use of short-duration antibiotics to establish bactericidal blood & tissue levels by the time the surgical incision is made, this is called? TJC & Surgical care improvement project (SCIP) Infection-1 (SCIP Inf-1): Patients receive Prophylactic Antibiotic Received Within One Hour Prior to Surgical Incision
Ensure prophylactic antibiotics used for pts ċ↑risk of surgical site infections. Guidelines for risk & antibiotic used are specific to surgical procedure & follow EVP published recommendations. SCIP Infection-2 (SCIP Inf-2): Prophylactic Antibiotic Selection for Surgical Patients
Ensure prophylactic antibiotic provides benefit without risk. Prolonged prophylactic antibiotic does not increase benefit & known to ↑risk for C. difficile infection & development of microorganisms resistant to antimicrobial drugs. SCIP Infection-3 (SCIP Inf-3): Prophylactic Antibiotics Discontinued Within 24 Hours After Surgery End Time
Avoid hyperglycemia (blood glucose levels above 200 mg/dL & associated ċ↑complications & mortality) in cardiac surgery pts, especially pts undergoing coronary artery bypass graft surgery & pts ċ diabetes having cardiac surgery. SCIP Infection-4 (SCIP Inf-4): Cardiac Surgery Patients with Controlled 6 AM Postoperative Blood Glucose (Applies to cardiac surgery patients only)
Avoid hair removal procedures, specifically shaving, that cause skin abrasions &↑risk for surgical site infections. If hair must be removed perform ċ electric clippers or chemical depilatories. SCIP Infection-6 (SCIP Inf-6): Surgery Patients with Appropriate Hair Removal
Avoid urinary catheter–associated UTI, which ↑ ċ longer duration indwelling catheters. Unacceptable for catheter in place > 48 hrs after surgery unless documented specific & medically validated reason for it. SCIP Infection-9 (SCIP Inf-9): Urinary Catheter Removed on Postoperative Day 1 (POD 1) or Postoperative Day 2 (POD 2) with Day of Surgery Being Day Zero
Prevent prolonged hypothermia, assoc ċ impaired wound healing, serious cardiac complications, altered drug metabolism, coagulation prob, ↑surgical site infections. Measure Temp ċ/in 15 min from end of anesthesia admin. Intentional hypothermia doc SCIP Infection-10 (SCIP Inf-10): Surgery Patients with Perioperative Temperature Management.
Ensure pts ċ specific medical conditions receive beta-blocker therapy b4 surgery & continue the immediate postoperative period. EBP action results in significant ↓in coronary events, cardiovascular mortality, & mortality SCIP CARD-2: Surgery Patients on Beta-Blocker Therapy Prior to Arrival Who Received a Beta-Blocker During the Perioperative Period
↓complications from postop venous thromboembolism (VTE). Surgery mjr risk factor 4VTE formation & pul embolism. Specific preop & postop VTE prophylaxis recommended based on pt risk, type & duration of surgery, & extent of expected postop immobilization SCIP Venous thromboembolism-1 (SCIP VTE-1): Surgery Patients with Recommended Venous Thromboembolism Prophylaxis Ordered
↓complications from postoperative venous thromboembolism (VTE), particularly among pts undergoing the types of surgeries ċ ↑risk. SCIP Venous thromboembolism-2 (SCIP VTE-2): Surgery Patients Who Received Appropriate Venous Thromboembolism Prophylaxis Within 24 Hours Prior to Surgery to 24 Hours After Surgery
Created by: larue10510
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