Evidence-Based Practice Poster Session (Posters #1-#10)
9 - Air Contamination on the Sterile Field - Implementing Evidence-based Practice
Description: Air Contamination on the Sterile Field Implementing Evidence Based Practice Cindy Crawford MSN RN-BC, CNOR, CSSM, CRCST Abstract: “How long can we keep an unused sterile setup before contamination occurs?” is still up for debate. However, recent research shows that exposure to air for long periods of time may affect event related sterility in the Operating Room (OR). Which can be a contributor to the increase of surgical site infections. Covering the instrument table before and during surgery may decrease air contamination. A current study for bacterial count was done on a covered sterile instrument table with petri dishes. The petri dishes were placed under the cover and on top of the cover. After 4 and 8-hour intervals, the petri dishes were collected and analyzed. The results indicated bacterial count above the cover was significantly higher than beneath the cover. Therefore, AORN has recommended for best practice is to cover the sterile instrument table when it will not be used immediately such as; a case delay, multiple procedures, repositioning or with increased activity. The sterile tables maybe covered by using the ‘two cuff’ method, which allows the cover to be removed without comprising the sterility of the table. Introduction of best practice to staff was initiated by In-Service/education with new practice guidelines, and recent evidence. Implementation of the new process was presented by way of a road map for success, purchase of extra supplies were The new process was implemented on October 8th, 2018. Monitoring and auditing was performed for 9 months that concluded of an 82% compliance. Further auditing, persuasion, and education is needed to achieve 100% compliance. Implementation of best practice in the OR can be a daunting task. The Perioperative team members must be vigilant in preventing contamination of the sterile field to ensure the principles and processes of sterile technique for best patient outcomes. Surgical site infection is a perioperative related consequence if best practice is not followed and maintained.