1. Spine Surgical Site Infection Prevention Bundle
Pre-Op
Intra-Op
Post-Op
Patient uses CHG wipes the night before surgery
IV Gent (1.5mg/kg) & Ancef (2 g) within 60 min prior to incision
Vancomycin for Beta-lactam allergic patients within 120 min prior to incision
Anesthesiologist: Set Redosing Alarm for Gent q8, Ancef q4 during Time Out
Re-dose Patient with IV antibiotic prophylaxis
Use Vancomycin Powder in Wound Site/Bone Graft
Dilute 3% betadine soak/ 3 Liters NS lavage
Saline Soak (3 min) and Wash
Standardized Impervious Dressing (e.g. Aquacell)
Discontinue Antibiotics within 24 hours
Minimize Dressing Changes
Sterile Changing of Dressing
Patient Label:

2. Next Steps
Determine standardized way to distribute CHG wipes to all patients before surgery
Get Tobramycin into the PICIS/Omnicell
F/U with Sandy Hyman on Betadine packets found in the foley kits
Get Vancomycin Powder approved
Develop measures for tracking compliance in report card format
CHG  SSU call