Evidence-Based Practice Poster Session (Posters #1-#10)
6 - Reducing Infection Rate and Turnover Time: Best Practice for Standardization of OR Suite Disinfection
Description: Title: Reducing Infection Rate and Turnover Time: Best Practice for Standardization of OR Suite Disinfection
Purpose: The purpose of this evidence-based practice project is to determine best practices for environmental cleaning in between cases in the operating room. Background/Significance of the Problem:There is currently no standardization of practice or education for surgical staff and environmental service for the cleaning of operating room suites between cases. Clinical staff identified and reported a knowledge gap surrounding the process. Methods PICO Question:For environmental services and surgical staff, what are best practices for environmental cleaning in between cases in the operating room to improve infection rates and decrease turnover time?MESH & Boolean search strategies were used to search the following databases for scholarly articles published 5 years ago or later: CINAHL, PubMed, & Ovid. The search yielded 57 articles. After a critical appraisal of the literature, using the Johns Hopkins Nursing Evidence-Based Practice tools, 7 of those articles were used for the purposes of this project. The evidence included 4 Level II articles, 3 Level III articles and 1 Level V article. All evidence was high/good quality. Findings/
Results: An environmental cleaning algorithm provides standardization of cleaning processes and are linked with a decrease in HAIs and SSIs; resulting in an approximate cost savings of $5,000,000 (Everett, et al, 2017). Identification of microbes using UV light bioluminescence allows for more efficiency in monitoring surfaces (Catalanotti, et al, 2016; Sanna, et al, 2018). Terminal cleaning should be performed after high risk cases and daily (Alblas, et al., 2017). Types of cleaning agents should be evaluated for meeting Environmental Protection Agency (EPA) standards. Processes for cleaning high touch surfaces should be outlined to ensure effective disinfection (Armellino, 2017). Conclusions and Implications for Practice:A cleaning algorithm, outlining detailed processes for equipment, cleaning solutions and dwell times should be developed by a multidisciplinary team. UV light systems are recommended in evaluation of cleanliness with terminal cleanings. Education is essential for both new and current employees.