Special Edition on Operating Room Imperatives Special Edition- Operating Room Imperatives | Page 29
¡ Surgical stewardship requires
an intentional effort by the entire
perioperative team to optimize the patient’s
outcomes in preparation for surgery.
a transparent CHG- impregnated occlusive dressing 35 and
silver antimicrobial dressing. 36
The selection of post-op dressing material would
benefit from a collaboration with surgeons, wound care
professionals, infection preventionists, physician assistants
and nursing. 37 In addition, patient satisfaction should be
considered since occlusive dressings allow the patient to
shower immediately after surgery, have better cosmesis
when compared to staples, allow visualization of the incision
to monitor for signs of infection and the dressings can be
left in place for several post-op days to provide additional
would protection.
In conclusion, surgical stewardship requires an intentional
effort by the entire perioperative team to optimize the
patient’s outcomes in preparation for surgery. This process
begins with the patient’s entry into the healthcare system
and concludes when they have attained their optimal health
upon discharge. It is those deliberate steps and actions which
take place between entry and exit that every healthcare
provider has an impact upon. Using a standardized bundled
approach establishes a framework to begin upon. There are
numerous guidelines out there that address SSI reduction.
It is up to us to develop and deliver a surgical stewardship
program that produces results for the patient and ultimately,
for the entire healthcare system.
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