Evidence-Based Practice Poster Session (Posters #29-#36)
29 - A Chartered Course for Infection Prevention with the Body Map Guide
Description: Clinical Problem/Significance-Removal of patient hair in the operating room creates a risk of surgical site infections. Current evidence points to the benefits of removing patient hair in the pre-operative area.Background-An interdepartmental team collaborated to comply with the AORN Guidelines recommending patient hair removal, when necessary, be completed in the pre-operative setting. Clinical Question-What is the best method for communicating the patient’s anatomy areas requiring hair removal in pre-operative setting to promote infection prevention with the team? Description of Evidenced-Based Protocol-The AORN Guidelines recommend patient hair removal, when necessary, be completed in the pre-operative setting. Historically, hair removal was completed in the operating rooms, creating the potential for Surgical Site Infections from hair dispersal.Implementation of Evidenced-Based Protocol-A surgical-specialty-specific body map was developed and shared with the entire surgical services team-all levels of staff in the pre-operative and operating room departments. The surgical clipper with the vacuum attachment eliminates hair dispersal in the pre-operative bedding and dispersal of the hair in the operating room. The clean-up process is efficient and promotes infection prevention with the tool that captures both hair and airborne contaminates outside of the restricted zone.Results-The body map for patient hair removal is a developing resource that staff refer to for guidance and direction with patient hair removal in the pre-operative setting. “Sensitive areas” continue to be addressed within the operating rooms for privacy and reduction of patient anxiety. Surgeons and staff report increased satisfaction with a common communication tool.Conclusions/Discussion-A consistent method of communicating Surgeon preferences for patient hair removal is facilitated with a surgical specific body map reference tool. Competency with clipping patient hair remains a challenge due to the variation in patient anatomy.Perioperative Nursing Implications-Building a championship infection prevention interdepartmental team involves including the team in developing a surgical procedure body map to communicate anatomical hair removal preferences is a valuable tool for promoting evidenced-based practice, and reducing Surgical Site Infections to optimize patient safety and positive outcome.