ASPAN NATIONAL CONFERENCE ABSTRACTS e29

nurses to identify patients at high risk. It should also increase

collaboration between the units.

DECREASING SURGICAL SITE INFECTIONS...ONECLOTH AT A TIMETeam Leader: Susan Hardway, MSN, RN

WVU Healthcare, Morgantown, West Virginia

Team Member: Myra Jo Beach, BSN, RN, MBA, NE, BC, CNOR

Background: Surgical site infections are the second most com-

mon healthcare-acquired infection and one of the most expen-

sive for healthcare. The CDC estimates that 500,000 surgical site

infections occur each year and the associated cost per surgical

site infection is estimated to be greater than $25,000 while the

average length of stay is increased by 7.5 days. With the rising

cost of healthcare, identifying opportunities to decrease SSI’s

continues to be a priority for our institution.

Objectives:

1. Identify strategies that will enhance the antimicrobial ef-

ficacy of the current preoperative skin prep completed

by the patient while at home.

2. Provide education to staff and patients in the importance

of infection prevention.

3. Implement an enhanced process to decrease surgical site

infections utilizing a no rinse 2% CHG cloth on all pa-

tients meeting predetermined criteria that are having a

surgical procedure.

Process of Implementation:

� Determine patient population to safely use CHG cloths.

� Identify projected surgery totals for cost and inventory

control.

� Revise current preoperative skin prep policy to include

targeted patient populations.

� Educate staff on correct use of CHG cloths.

� Provide teaching strategies to the staff for patient compli-

ance.

� Process implemented in March 2013

Statement of Successful Practice: Improvement in the over-

all decrease in surgical site infections has been realized since

the implementation of the no rinse 2% CHG cloth as part of

the Preoperative skin prep regimen.

Implications for Advancing the Practice of Perianesthe-

sia Nursing: Utilizing a broad spectrum antimicrobial cloth

as part of the preoperative skin preparation in the surgical pop-

ulation promotes teamwork and partnerships between the

nurse and patient for better surgical outcomes.

KEEPING OUR PATIENTS SAFE WHEN MOTHERNATURE RULESTeam Leader: Holly Hatfield, RN, BSN

Baptist Health Louisville, Louisville, Kentucky

Team Members: Sandy Williams, RN, BSN, Melissa Thomas, RN,

BSN, CAPA, Queenie Sembillo-Wolz, RN, BSN

I, Holly Hatfield have always been involved with Disaster Pre-

paredness andMedicineworkingwith Searchdogs, andAmerican

RedCrossDisaster Services, and LouisvilleMetroMedical Reserve

Corps andhave taken this to thePACUwhere Iwork. It startedout

with me wanting my coworkers to be prepared so if something

happened they could continue towork on our patients, knowing

their family was safe. This led to many flyers from FEMA that

everyone could pick up to help them be prepared. It grew with

the tornado that hit Joplin and destroyed one of their hospitals

to encompass more than just our employees and families but

our patients also. I attended a webinar put on by that hospital

and Missouri public health department, took their ideas back to

our Shared Governance Committee, and grew it. We now have

yellow disaster bags with sharpies, paper, small clipboard, hel-

met/head lamp, flashlight, water, gloves, hand sanitizer, pens,

pencils, IV transpore tape, and pictures clipped to them of our

evacuation plan to help out in emergencies located at 5 of our 6

exits.After thiswascomplete, ourevacuationplanwasdeveloped

showing exits that should and should not be taken.

TAKING MRSA TO THE BANKTeam Leader: Hope Herd, BSN, RN, CPAN

Mercy Medical Center, Baltimore, Maryland

Team Members: Maureen Ciesielski, MT (ASP), Antoinette

Gervasio, RN, MBA, CIC, James Hall, MSN, RN, CRN, CAPA,

NE-BC, Tanya LeCompte Hoffman, MSN, RN, ACNS-BC, CPAN,

Niki Bezold

Infection control practices pose a challenge to nursing care in

general but can have a huge negative impact on the perioperative

process.Althoughour institutiondidhave aprocess to identifypa-

tients with current methicillin resistant staphylococcus aureus

(MRSA) infection, the old practice of isolating all patients with a

history of MRSA, throughput of the surgical population resulted

in delays and the provision of necessary resources for turnover

became difficult. After manymonths of discussionwith the Infec-

tion Control Department, the Laboratory and the perioperative

team, itwas decided that aMRSAswabbing protocolwould be im-

plemented. Education of staff was provided through a “train the

trainer” program and the process began in July of 2012. Since

its inception the post anesthesia care unit (PACU) has experi-

enced many positive outcomes including total cost savings of

$7200-11,800, a minimum decrease of forty minutes in PACU

bay turnover, and a significant increase in PACU staff satisfaction.

WHAT A SHOCK! ANAPHYLAXIS RAPIDRECOGNITION AND TREATMENT: APERIANESTHESIA CASE REVIEWTeam Leader: Jane Shufro, BSN, RN, CPAN

Brigham and Women’s Faulkner Hospital, Jamaica Plain,

Massachusetts

Team Members: Carol P. Schneider, MSN, RN, CCRN- Educator/

Nursing Professional and Practice Development, Chris

Anderson, AD, RN, Christina Blair, CRNA

Background: The incidence of anaphylaxis during general anes-

thesia is reported to be rare and there is limited evidence of

known surgical cases. The manifestations of intraoperative reac-

tions differ from those outside of anesthesia and can be difficult

to detect, thus compromising recognition of an allergic reaction.

Management requires the collaboration of an interdisciplinary