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Orthopaedic pre-op skin prep on wards pre theatre

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  • #77824
    Anonymous
    Inactive

    Author:
    Anonymous

    Organisation:

    State:

    Hello Everyone

    Can those who undertake orthopaedic surgery tell me whether you currently undertake Orthopaedic pre-op skin prep on wards pre theatre. Apparently our sterile drape supplies are restricted.
    I was under the impression that this an older discarded practice other than pre-op shower and that skin prep is only conducted immediately pre-op.
    Would appreciate your input

    With Thanks
    Liz Vanderlinde
    Infection Prevention Control Co-ordinator
    North West Private Hospital
    [Description: hca_luye_logo]
    Brickport Road, Burnie TAS 7320, Australia
    T +61 3 6432 6005 F +61 3 6431 5766
    E liz.vanderlinde@healthecare.com.au W healthecare.com.au
    Healthe Care Hospitals are accredited by ACHS NSQHS Standards or ACHS EQuIP National
    [Description: achs][Description: equip]
    QIC Standards
    [Description: qic]

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    #77826
    Warby, Kylie
    Participant

    Author:
    Warby, Kylie

    Email:
    WarbyK@RAMSAYHEALTH.COM.AU

    Organisation:

    State:

    Hi Liz,

    As we have patient’s that come from rural properties that use tank or dam water, our major cases and orthopaedics have pre-op showers onsite.

    We have a Day of Surgery Admission Lounge that has shower facilities.

    Kind Regards

    Kylie

    Kylie Warby
    Quality and Risk Coordinator/Infection Control Coordinator/Undergraduate Student Coordintor
    Phone:07 4932 1134

    This message has originated outside of the organisation and you should therefore take precaution when opening links or attachments that may be contained within.
    ________________________________
    Hello Everyone

    Can those who undertake orthopaedic surgery tell me whether you currently undertake Orthopaedic pre-op skin prep on wards pre theatre. Apparently our sterile drape supplies are restricted.
    I was under the impression that this an older discarded practice other than pre-op shower and that skin prep is only conducted immediately pre-op.
    Would appreciate your input

    With Thanks
    Liz Vanderlinde
    Infection Prevention Control Co-ordinator
    North West Private Hospital
    [Description: hca_luye_logo]
    Brickport Road, Burnie TAS 7320, Australia
    T +61 3 6432 6005 F +61 3 6431 5766
    E liz.vanderlinde@healthecare.com.au W healthecare.com.au
    Healthe Care Hospitals are accredited by ACHS NSQHS Standards or ACHS EQuIP National
    [Description: achs][Description: equip]
    QIC Standards
    [Description: qic]
    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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    #77825
    Michael Wishart
    Participant

    Author:
    Michael Wishart

    Email:
    Michael.Wishart@svha.org.au

    Organisation:

    State:
    NSW

    Hi Liz

    We do lots of ortho joint replacements (hips, knees, shoulders), and none of them have pre-op skin prep, only pre-op antiseptic washes (the night before and the morning of as a minimum). No sterile drapes are required.

    The only time they *might* use a pre-op skin prep with sterile wrap for an elective procedure is for removal of external hardware (cages, wires, etc). Not all orthopods require this, though.

    Cheers
    Michael

    Michael Wishart | Infection Control Coordinator, CICP-E

    St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
    M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
    E michael.wishart@svha.org.au |
    W https://www.svphn.org.au

    St Vincent’s Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
    M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
    E michael.wishart@svha.org.au |
    W https://www.svphb.org.au

    [http://i8.cmail19.com/ei/t/6C/F77/A00/141133/csfinal/StaticEmailFooter-SVPHN-Celebrating20Years-650×150-9900000000079e3c.png]

    [cid:image001.png@01D71EF8.FC46CCA0]

    Hello Everyone

    Can those who undertake orthopaedic surgery tell me whether you currently undertake Orthopaedic pre-op skin prep on wards pre theatre. Apparently our sterile drape supplies are restricted.
    I was under the impression that this an older discarded practice other than pre-op shower and that skin prep is only conducted immediately pre-op.
    Would appreciate your input

    With Thanks
    Liz Vanderlinde
    Infection Prevention Control Co-ordinator
    North West Private Hospital
    [Description: hca_luye_logo]
    Brickport Road, Burnie TAS 7320, Australia
    T +61 3 6432 6005 F +61 3 6431 5766
    E liz.vanderlinde@healthecare.com.au W healthecare.com.au
    Healthe Care Hospitals are accredited by ACHS NSQHS Standards or ACHS EQuIP National
    [Description: achs][Description: equip]
    QIC Standards
    [Description: qic]
    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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    #77827
    Lindy Ryan
    Participant

    Author:
    Lindy Ryan

    Email:
    Lindy.Ryan@HEALTH.NSW.GOV.AU

    Organisation:

    State:

    Hello Liz

    I will send you the summary of responses I kindly received when I asked the same question of this group back in 2018

    In short the answer was yes most places the orthopods had discarded this practice except for a few places like Coffs Harbour Hospital where a few of the orthopods still like it done…??
    Preop screening (MSSA /MRSA), preop shower & skin prep (Betadine/ CHG in 70% ETOH ) also largely being done in line with WHO SSI reduction bundles

    Hope this useful

    Kind regards

    Lindy

    Ps plenty of rain but our IPaC team doing Ok here in Mid North Coast so far ….yups lots of flooding up this way for our weary but hardworking wonderful communities here…. many who haven’t been so lucky …can you believe it was bushfires last year in between COVID!!??…

    Lindy Ryan

    District Infection Prevention & Control CNC | Clinical Governance & Information Services MNCLHD
    Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
    Office 66911984 or Mob 0419 990 693 | lindy.ryan@health.nsw.gov.au
    http://www.health.nsw.gov.au

    [http://internal.health.nsw.gov.au/communications/e-signatures/images/NSW-Health-Mid-North-Coast-LHD.jpg]

    “Wise and humane management of the patient is the best safeguard against infection”
    (Florence Nightingale Circa 1860)

    [cid:image005.png@01D6CF16.A659C720]

    Hello Everyone

    Can those who undertake orthopaedic surgery tell me whether you currently undertake Orthopaedic pre-op skin prep on wards pre theatre. Apparently our sterile drape supplies are restricted.
    I was under the impression that this an older discarded practice other than pre-op shower and that skin prep is only conducted immediately pre-op.
    Would appreciate your input

    With Thanks
    Liz Vanderlinde
    Infection Prevention Control Co-ordinator
    North West Private Hospital
    [Description: hca_luye_logo]
    Brickport Road, Burnie TAS 7320, Australia
    T +61 3 6432 6005 F +61 3 6431 5766
    E liz.vanderlinde@healthecare.com.au W healthecare.com.au
    Healthe Care Hospitals are accredited by ACHS NSQHS Standards or ACHS EQuIP National
    [Description: achs][Description: equip]
    QIC Standards
    [Description: qic]
    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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    #77828
    Anonymous
    Inactive

    Author:
    Anonymous

    Organisation:

    State:

    Hi Liz,

    We do a lot of orthopaedic surgery (mainly hips and knees) at NHW.
    Patients are instructed to shower the night before and morning of surgery with pre-op antiseptic wash as the usual practice.

    Kind regards,
    Kim

    Kim Comensoli
    Infection Prevention & Control Consultant CICP-E
    Northeast Health Wangaratta | PO Box 386, Wangaratta 3676
    Green St, Wangaratta, VIC 3677, Australia
    Kim.comensoli@nhw.org.au
    Visit us at http://www.nhw.hume.org.au or on facebook

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    Hi Liz

    We do lots of ortho joint replacements (hips, knees, shoulders), and none of them have pre-op skin prep, only pre-op antiseptic washes (the night before and the morning of as a minimum). No sterile drapes are required.

    The only time they *might* use a pre-op skin prep with sterile wrap for an elective procedure is for removal of external hardware (cages, wires, etc). Not all orthopods require this, though.

    Cheers
    Michael

    Michael Wishart | Infection Control Coordinator, CICP-E

    St Vincent’s Private Hospital Northside | 627 Rode Road CHERMSIDE QLD 4032
    M +61 448 954 282 | T +61 7 3326 3068 | F +61 7 3607 2226
    E michael.wishart@svha.org.au |
    W https://www.svphn.org.au

    St Vincent’s Private Hospital Brisbane | 411 Main Street KANGAROO POINT QLD 4169
    M +61 448 954 282 | T +61 7 3240 1208 | F +61 7 3240 1166
    E michael.wishart@svha.org.au |
    W https://www.svphb.org.au

    [http://i8.cmail19.com/ei/t/6C/F77/A00/141133/csfinal/StaticEmailFooter-SVPHN-Celebrating20Years-650×150-9900000000079e3c.png]

    [cid:image001.png@01D71EF8.FC46CCA0]

    Hello Everyone

    Can those who undertake orthopaedic surgery tell me whether you currently undertake Orthopaedic pre-op skin prep on wards pre theatre. Apparently our sterile drape supplies are restricted.
    I was under the impression that this an older discarded practice other than pre-op shower and that skin prep is only conducted immediately pre-op.
    Would appreciate your input

    With Thanks
    Liz Vanderlinde
    Infection Prevention Control Co-ordinator
    North West Private Hospital
    [Description: hca_luye_logo]
    Brickport Road, Burnie TAS 7320, Australia
    T +61 3 6432 6005 F +61 3 6431 5766
    E liz.vanderlinde@healthecare.com.au W healthecare.com.au
    Healthe Care Hospitals are accredited by ACHS NSQHS Standards or ACHS EQuIP National
    [Description: achs][Description: equip]
    QIC Standards
    [Description: qic]
    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

    The use of trade/product/commercial brand names through the list is discouraged by ACIPC. If you wish to discuss specific reference to products or services by brand or commercial names, please do this outside the list.

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    #77830
    Marija Juraja
    Participant

    Author:
    Marija Juraja

    Email:
    marija.juraja@sa.gov.au

    Organisation:

    State:

    Hi Liz,

    We only undertake perioperative antiseptic body wash the day before and the day of surgery.
    Skin prep is undertaken in theatre with 2% chlorhexidine and 70% alcohol at the time of surgery.

    Kind Regards

    Marija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control Unit|
    Specialty Medicine 2 RN, GCNS Inf Ctrl, CICP-E)
    t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| M: 0466 379 821|e:marija.juraja@sa.gov.au |
    Adjunct Clinical Lecturer | University of South Australia | Horizon Hospital and Health Service
    [78E5EA10]

    Hello Everyone

    Can those who undertake orthopaedic surgery tell me whether you currently undertake Orthopaedic pre-op skin prep on wards pre theatre. Apparently our sterile drape supplies are restricted.
    I was under the impression that this an older discarded practice other than pre-op shower and that skin prep is only conducted immediately pre-op.
    Would appreciate your input

    With Thanks
    Liz Vanderlinde
    Infection Prevention Control Co-ordinator
    North West Private Hospital
    [Description: hca_luye_logo]
    Brickport Road, Burnie TAS 7320, Australia
    T +61 3 6432 6005 F +61 3 6431 5766
    E liz.vanderlinde@healthecare.com.au W healthecare.com.au
    Healthe Care Hospitals are accredited by ACHS NSQHS Standards or ACHS EQuIP National
    [Description: achs][Description: equip]
    QIC Standards
    [Description: qic]
    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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    #77835
    Deanne Feijen
    Participant

    Author:
    Deanne Feijen

    Email:
    deanne@STIRLINGHOSPITAL.ORG.AU

    Organisation:

    State:

    Hi Marija,

    Do you also apply this regime to patients with MRSA history or does it differ?

    Kind regards,

    Infection Control Clinical Nurse

    Deanne
    Feijen
    Infection Control Coordinator

    Stirling Hospital
    20 Milan Tce
    Stirling
    SA
    5152

    P. 08 8339 0200
    E. deanne@stirlinghospital.org.au

    http://www.stirlinghospital.org.au/

    Hi Liz,

    We only undertake perioperative antiseptic body wash the day before and the day of surgery.
    Skin prep is undertaken in theatre with 2% chlorhexidine and 70% alcohol at the time of surgery.

    Kind Regards

    Marija Juraja |Nurse Unit Manager -CALHN Infection Prevention & Control Unit|
    Specialty Medicine 2 RN, GCNS Inf Ctrl, CICP-E)
    t: +61 8 7074 2810 (RAH) 8222 7588 (TQEH)| M: 0466 379 821|e:marija.juraja@sa.gov.au |
    Adjunct Clinical Lecturer | University of South Australia | Horizon Hospital and Health Service
    [78E5EA10]

    Hello Everyone

    Can those who undertake orthopaedic surgery tell me whether you currently undertake Orthopaedic pre-op skin prep on wards pre theatre. Apparently our sterile drape supplies are restricted.
    I was under the impression that this an older discarded practice other than pre-op shower and that skin prep is only conducted immediately pre-op.
    Would appreciate your input

    With Thanks
    Liz Vanderlinde
    Infection Prevention Control Co-ordinator
    North West Private Hospital
    [Description: hca_luye_logo]
    Brickport Road, Burnie TAS 7320, Australia
    T +61 3 6432 6005 F +61 3 6431 5766
    E liz.vanderlinde@healthecare.com.au W healthecare.com.au
    Healthe Care Hospitals are accredited by ACHS NSQHS Standards or ACHS EQuIP National
    [Description: achs][Description: equip]
    QIC Standards
    [Description: qic]
    MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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    #77867
    Jayne OConnor
    Participant

    Author:
    Jayne OConnor

    Email:
    Jayne.OConnor@SAH.ORG.AU

    Organisation:

    State:

    Hi Liz,
    Our orthopaedic patients are given a pre op skin wash to use prior to admission, they are advised to use day/night before admission and day of surgery. This is given to them at preadmission clinic.
    Thanks
    Jayne

    Jayne O’Connor RN ,BSc.,Inf.Cont
    IPC Co-Ordinator
    Sydney Adventist Hospital | 185 Fox Valley Road, Wahroonga, NSW 2076

    p: +61 2 9480 9732 | f: +61 2 9470 8052 | m: +61 0406 752685 | e: jayne.oconnor@sah.org.au
    http://www.sah.org.au
    [cid:image001.png@01D72AE9.A98C26C0]
    [1_twitter] [2_linkedIn] [3_facebook] [4_insta] [5_youtube]

    Hello Everyone

    Can those who undertake orthopaedic surgery tell me whether you currently undertake Orthopaedic pre-op skin prep on wards pre theatre. Apparently our sterile drape supplies are restricted.
    I was under the impression that this an older discarded practice other than pre-op shower and that skin prep is only conducted immediately pre-op.
    Would appreciate your input

    With Thanks
    Liz Vanderlinde
    Infection Prevention Control Co-ordinator
    North West Private Hospital
    [Description: hca_luye_logo]
    Brickport Road, Burnie TAS 7320, Australia
    T +61 3 6432 6005 F +61 3 6431 5766
    E liz.vanderlinde@healthecare.com.au W healthecare.com.au
    Healthe Care Hospitals are accredited by ACHS NSQHS Standards or ACHS EQuIP National
    [Description: achs][Description: equip]
    QIC Standards
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