Surgical site infections and c-diff observations /analysis

1. Roy Boukidjian RN, CIC Northridge Hospital Medical Center Dignity Health Surgical site infections and c-diff observations /analysis

2. WHAT IS GOING ON IN THE OR • You Don’t know what you Don’t know! • Observation is Key!

3. MULTIPLE FINDINGS • Multiple Findings: • Traffic in your operating room

4. MULTIPLE FINDINGS • Multiple Findings: • Doors Propped Open

5. MULTIPLE FINDINGS • Multiple Findings: • Positive Air Circulation

6. MULTIPLE FINDINGS • Multiple Findings: • SCRUBS in the OR

7. MULTIPLE FINDINGS • Multiple Findings: • Cleanliness of OR Suites

8. MULTIPLE FINDINGS • Multiple Findings: • Expired Material

9. MULTIPLE FINDINGS • Multiple Findings: • Surgical Instrumentation

10. MULTIPLE FINDINGS • Multiple Findings: • Surgical SCRUBBING!!!!

11. MULTIPLE FINDINGS • Multiple Findings: • Post-Operative Care

13. MULTIPLE FINDINGS • Multiple Findings: • Post-Operative Care (Continued)

14. Suggestions: • Use CHG wash cloths pre-op • Let the antiseptic solution dry prior to incision by placing timers • Place timers on surgical scrub sinks • Produce a strict policy on surgical scrubs • Empower staff • Distribute findings to unit staff • Work with EVS and Facilities

15. C-diff Findings and Analysis Out of 15 specimens that tested positive using the PCR method in December, only 4 came back positive using Toxin A and B which gives us an average of 26.6% accuracy when using Toxin A and B.

16. THE END