with the chlorhexidine soap the surgical nurse can take extra measures to

With the chlorhexidine soap the surgical nurse can

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with the chlorhexidine soap, the surgical nurse can take extra measures to reduce the risk of developing a surgical site infection by wiping down the surgical area with a 2% chlorhexidine gluconate cloths prior to prepping with ChloraPrep or povidone-iodine solution. Chlorhexidine gluconate cloths are just as effective as chlorhexidine soap and it is convenient, rinse-free, and quick-drying. This will be beneficial in reducing the bacterial count for patients that are having an emergency surgery, patients that are noncompliant with the chlorhexidine soap showers, and patients that may have difficulties showering due to physical limitations. B. Key Stakeholders Stakeholders are people who are affected by something that is being done. The key stakeholders in this current nursing practice includes the perioperative nursing director, the preoperative nurse, the patient, and the operating room nurse. These key stakeholders play a vital role in changing the current nursing practice to support the new practice change. B1. Role of Stakeholders The perioperative nursing director’s role is to justify the benefit of chlorhexidine soap to the hospital management in order to obtain approval for replacing the regular soap in the surgical
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C301 – Translational Research for Practice and Populations – XTT Task 1 4 care bundle. Once it is approved and the chlorhexidine soaps are available in the surgical care bundle, the preoperative nurse’s role is to educate the patient on how, when, and why they should shower with the chlorhexidine soap. Education is the key for the success of this practice change for the preoperative nurse’s role. The patient’s role in this practice change is to ask questions, get answers, and understand the benefits of showering with chlorhexidine soap and also to follow through with the instructions given. Knowledge is key for the success of this practice change for the patient’s role. The operating room nurse’s role is to do a last check prior to surgical incision to see if all possible primary measures were taken to eliminate as much topical bacteria as possible. By asking the patient about their surgical skin preparations, the operating room nurse can determine if chlorhexidine cloths would be necessary to use to wipe the patient’s surgical area. This is an extra step that can help reduce the amount of bacteria presence which will help lower the risks of a surgical site infection. C. Evidence Critique Table Sources Evidence Strength Evidence Hierarchy Alawadi, Z. M., & Kao, L. S. (2015). Chlorhexidine Gluconate, 4%, Showers and Surgical Site Infection Reduction. JAMA Surgery , 150 (11), 1033. - org.wgu.idm.oclc.org/10.1001/jamasurg.2015.2219 Level VII Expert Opinion Edmiston, C. E., Jr, Lee, C. J., Krepel, C. J., Spencer, M., Leaper, D., Brown, K. R., & Seabrook, G. R. (2015). Evidence for a Standardized Preadmission Showering Regimen to Achieve Maximal Antiseptic Skin Surface Concentrations of Chlorhexidine Level II Randomized Control Trial
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C301 – Translational Research for Practice and Populations – XTT Task 1 5 Gluconate, 4%, in Surgical Patients.
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  • Spring '16
  • erinsmith
  • Sula, Antiseptic, surgical site, Chlorhexidine, chlorhexidine gluconate

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