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C301 – Translational Research for Practice and Populations – XTT Task 11C301 – Translational Research for Practice and Populations – XTT Task 1Antoinetta Hor545385Western Governors University
C301 – Translational Research for Practice and Populations – XTT Task 12A.Professional Practice Description A surgical site infection (SSI) is an infection that occurs in the surgical area within 30 days of surgery. SSI is a major concern for patients and hospitals because it can jeopardize patients’ health outcome and contribute to increased hospital stay and increased hospital cost. The best solution for SSIs is prevention thru measures taken preoperative, intraoperatively, and postoperatively. A1. Current Nursing PracticeAt Monterey Park Hospital, patients that are scheduled for outpatient surgeries should receive a surgical care bundle prior to their scheduled surgery. A bottle of regular soap is included in the surgical care bundle and patients are instructed to take preoperative showers with the regular soap provided prior to their surgery. When patients get to the operating room, they are not being asked if they have showered as instructed preoperatively. The nurses usually follow protocol and prepare the surgical sites with either ChloraPrep or povidone-iodine solution prior to surgical incision. For inpatient surgeries, patients may have time to take a preoperative shower with regular soap or bed bath in their rooms to reduce the amount of soil and bacteria on their skin. When inpatients get to the operating room, they will also be prepped with either ChloraPrep or povidone-iodine solution prior to surgical incision. For emergency surgeries, patients may not have the opportunity to take a preoperative shower or bath and they will simply receive a surgical prep with either ChloraPrep or povidone-iodine solution prior to surgical incision. A2.Need for Practice ChangeThe current nursing practice for preoperative skin preps and intraoperative skin preps may work but it can be much better and improved to further prevent the chances of a surgical site
C301 – Translational Research for Practice and Populations – XTT Task 13infection occurring. Instead of giving patients regular soap in the surgical care bundle, the hospital should invest in chlorhexidine gluconate soap, which is more efficient in killing bacteria and preventing the growth of bacteria on the skin (Kleinpell, 2012). Along with the chlorhexidine soap, the patients should receive clear instructions on how and when to shower with the chlorhexidine soap. This method will ensure the best topical preoperative infection protection. Intraoperatively, the surgical nurse should interview all patients and ask if they have followed the instructions for showering with chlorhexidine soap prior to their surgery. For patients that have not showered with chlorhexidine soap, the surgical nurse can take extra measures to reduce the risk of developing a surgical site infection by wiping down the surgical