Thread by @InfectionPrvntn

SSI is super exciting! Look at this crowd for “Behind closed doors: IP & Surgery “

What is the role of IP in SSI prevention? We’re about to find out. #APIC2022

Well, given the volume (up to 300k patients at risk) and cost (financial and other) SSI is important to prevent.

Despite COLO and HYST moving down, and below an SIR of 1, it hasn’t been statistically significant.

HPRO AND KPRO are above an SIR and remaining flat

In The @APIC competency model IPC rounding is called out during the IPC operations domain. Rounding in the OR is part of a well rounded IPC rounding program.
Is rounding in the 4 steps to identify and communicate SSI? No. But you’ll never know what happens in the OR if you dont

Suggestion 1: have a focused IP goal. Observe a case from start to finish and share findings.

Suggestion 2: a focused goal for surgery on SSI reduction. (Obtain a reduction of X in a specific SIR)

What’s next?

Use a standardized process for surgical observations & physical environment.

Don’t let the signage on the door intimidate you!!! You’re part of the team. Your work is vital and this is a necessary part of our IP role.

Come prepared. Be sure to study up as much as possible ahead of time.

Adding the local leaders will helpful in follow up
Adding unannounced rounds may also help seeing the ‘real’ environment.

OR rounding prep:
Be prepared
Collaborate
Wear surgical scrubs… no bunny suits
Be on time (in the room from start to finish)
Provide immediate feedback
Timely follow up

Also eat, hydrate and potty before the start of the case.

Ask questions in a non threatening way

You could use the CMS hospital infection control worksheet or the ambulatory surgery center IC surveyor worksheet.

There are also resources available on @APIC website:
Log into APIC
Go to Education/certification
Click on Upcoming webinars
Go to on demand
Search for Surgical (there are 5)

So what are we looking at?