Roy Boukidjian RN, CIC – Northridge Hospital

Report
Roy Boukidjian RN, CIC
Northridge Hospital Medical Center
Dignity Health
WHAT IS GOING ON IN THE OR

You Don’t know what you Don’t know!
 Observation is Key!
MULTIPLE FINDINGS
○ Multiple Findings:
 Traffic in your operating room
MULTIPLE FINDINGS
○ Multiple Findings:
 Doors Propped Open
MULTIPLE FINDINGS
○ Multiple Findings:
 Positive Air Circulation
MULTIPLE FINDINGS
○ Multiple Findings:
 SCRUBS in the OR
MULTIPLE FINDINGS
○ Multiple Findings:
 Cleanliness of OR Suites
MULTIPLE FINDINGS
○ Multiple Findings:
 Expired Material
MULTIPLE FINDINGS
○ Multiple Findings:
 Surgical Instrumentation
MULTIPLE FINDINGS
○ Multiple Findings:
 Surgical SCRUBBING!!!!
MULTIPLE FINDINGS
○ Multiple Findings:
 Post-Operative Care
MULTIPLE FINDINGS
○ Multiple Findings:
 Post-Operative Care (Continued)
Suggestions:
Use CHG wash cloths pre-op
 Let the antiseptic solution dry prior to
incision by placing timers
 Place timers on surgical scrub sinks
 Produce a strict policy on surgical scrubs
 Empower staff
 Distribute findings to unit staff
 Work with EVS and Facilities

C-diff Findings and Analysis
Incidence per 1000 discharges
NHMC Hospital Acquired C difficile
10.0
9.0
Identified issues with
interpretation of precautions
8.0
7.0
Switched to
Polymerase Chain
Reaction (PCR) testing
6.0
5.0
4.0
3.0
Identified issues with
solution concentration
2.0
1.0
2010
Incidence per 1000 discharges
Dec
Nov
Oct
Sep
Aug
Jul
Jun
May
Apr
Mar
Feb
Jan
Dec
Nov
Oct
Sep
Aug
Jul
Jun
May
Apr
Mar
Feb
Jan
0.0
2011
Out of 15 specimens that tested positive using the PCR method in
December, only 4 came back positive using Toxin A and B which gives us an
average of 26.6% accuracy when using Toxin A and B.

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