1. Surgical site infections and c-diff observations /analysis
Roy Boukidjian RN, CIC
Northridge Hospital Medical Center
Dignity Health

2. WHAT IS GOING ON IN THE OR
You Don’t know what you Don’t know!
Observation is Key!

3. Traffic in your operating room
MULTIPLE FINDINGS
Multiple Findings:
Traffic in your operating room

4. MULTIPLE FINDINGS
Multiple Findings:
Doors Propped Open

5. Positive Air Circulation
MULTIPLE FINDINGS
Multiple Findings:
Positive Air Circulation

6. MULTIPLE FINDINGS
Multiple Findings:
SCRUBS in the OR

7. Cleanliness of OR Suites
MULTIPLE FINDINGS
Multiple Findings:
Cleanliness of OR Suites

8. MULTIPLE FINDINGS
Multiple Findings:
Expired Material

9. Surgical Instrumentation
MULTIPLE FINDINGS
Multiple Findings:
Surgical Instrumentation

10. MULTIPLE FINDINGS
Multiple Findings:
Surgical SCRUBBING!!!!

11. MULTIPLE FINDINGS
Multiple Findings:
Post-Operative Care

13. Post-Operative Care (Continued)
MULTIPLE FINDINGS
Multiple Findings:
Post-Operative Care (Continued)

14. 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

15. C-diff Findings and Analysis
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.

16. THE END