Objective: The objective of this project is to develop a training session where participants (medical and/or nursing students) are asked to assist in a surgical procedure but have never been in the operating room before. We will explain and demonstrate how to properly scrub, gown and glove in preparation for a surgical procedure. The participant will be capable of scoring an 85 or higher on an orientation posttest prior to entering the operating room.
Clinical Issue: The operating room is unfamiliar territory and can prove to be intimidating for students. Research indicates students feel more comfortable entering the operating room when they participate in a formal orientation program. Aseptic technique, sterility and patient safety is emphasized during the orientation.
Purpose: Purpose of project is to create standardized orientation for students entering the operating room. This will result in fewer surgical site infections (SSI), increased patient safety and increased confidence.
Method: Using the PICO method, the following clinical question was developed: Can standardized education for students entering the operating room increase knowledge of the surgical setting and decrease breaks in sterility? Current literature indicates that a structured student orientation to the operating room is beneficial for students. We surveyed 63 interprofessional operating room staff related to patient safety and sterility. The survey results support the findings in the literature indicating a need for safety and sterility training for students. Description of Team: Key stakeholders include the surgical team, both providers and nursing, as well as students rotating through the operating room. Outcome: Per the survey, 69.8% of staff indicated that they had seen multiple breaks in sterility from students. 88.9% of staff noticed knowledge deficits including proper method of scrubbing, gowning and gloving. SSI's can cost between $10,000 to $25,000 per infection. Implementation Plan: We are collaborating with leadership to develop the training inclusive of a communication plan. Standardized training will focus on sterile technique, patient transfers/patient positioning, commonly used equipment, patient safety, and roles of the perioperative staff. Pre-test will be given to students to understand the student's current level of operating room knowledge before completing the orientation program. A debriefing and post-test will be completed at the conclusion of the education session.