vote request on orthopedic implant surgery pre op practice

[Ryan, Lindy]

Hello

Can I ask you to vote yes or no

Orthopaedic Joint Implant surgery:
Does you facility still apply betadine and then a drape around the limb pre operatively (in the ward or pre-admission clinic) to each patient

it is not in the WHO SSI reduction bundle recommendations & I can’t find any literature indicating this practice is evidenced based or an old ritual so wondering what you are all doing currently

Thanks

Lindy

Lindy Ryan

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

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

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[Fiona De Sousa]

Hi Linda,

I have seen this done and even performed it over the years!

In one hospital we got rid of this practice. It was more hassle than anything. Patients were always needing to go to the toilet and would get up, the sterile drape would fall on the floor and then they would wrap it around themself again!.
More recently, in another facility, I tried to cease the practise as well. I was unable to find any clear supportive evidence for it but the surgeons ‘liked it’ so it stayed.
In my current orthopaedic work it is not done at all. Skin prep prior to theatre entry includes CHG bathing pre op (x2 – night before and day of). Then skin prep is performed in the theatre.

Kind regards,

Fiona De Sous
RN, Newcastle Private Hospital
CNS, Infection Prevention Service, Cessnock and Dungog

Sent from my iPad

> On 30 Jan 2018, at 5:04 pm, Lindy Ryan wrote:
>
> Hello
>
> Can I ask you to vote yes or no
>
> Orthopaedic Joint Implant surgery:
> Does you facility still apply betadine and then a drape around the limb pre operatively (in the ward or pre-admission clinic) to each patient
>
>
> it is not in the WHO SSI reduction bundle recommendations & I cant find any literature indicating this practice is evidenced based or an old ritual so wondering what you are all doing currently
>
> Thanks
>
> Lindy
>
> Lindy Ryan
>
> District Infection Prevention & Control CNC | Clinical Governance Unit MNCLHD
> Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
> Mob 0419 990 693 | lindy.ryan@ncahs.health.nsw.gov.au
> http://www.health.nsw.gov.au
>
>
>
> Wise and humane management of the patient is the best safeguard against infection
> (Florence Nightingale Circa 1860)
>
>
>
>
>
> This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
> 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.
>
> Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.
>
> Replies to this message will be directed back to the list. To create a new message send an email to aicalist@aicalist.org.au
>
> To send a message to the list administrator send an email to aicalist-request@aicalist.org.au.
>
> You can unsubscribe from this list be sending ‘signoff aicalist’ (without the quotes) to listserv@aicalist.org.au

MESSAGES POSTED TO THIS LIST ARE SOLELY THE OPINION OF THE AUTHOR, AND DO NOT REPRESENT THE OPINION OF ACIPC.

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[Anonymous]

Dear Lindy

We no longer use betadine (not for some years) as an orthopaedic pre-op skin prep. Our orthopaedic joint replacement patients under go a pre-op shower using chlorhexidine Gluconate 4% w/v and a chlorhexidine skin prep 1 hour prior to procedure on the ward. The site is then washed down again with chlorhexidine prior to surgery in OR. Chlorhexidine has a longer contact time on the skin and the efficacy of betadine once it comes into contact with blood is reduced.

Hope this helps
Liz Vanderlinde
Infection Prevention Control Co-ordinator
North West Private Hospital
[Description: hca_logo]
Brickport Road, Burnie TAS 7320, Australia
T +61 3 6432 6005 F +61 3 6431 5766
E Liz.Vanderlinde@healthecare.com.au W

Hello

Can I ask you to vote yes or no

Orthopaedic Joint Implant surgery:
Does you facility still apply betadine and then a drape around the limb pre operatively (in the ward or pre-admission clinic) to each patient

it is not in the WHO SSI reduction bundle recommendations & I can’t find any literature indicating this practice is evidenced based or an old ritual so wondering what you are all doing currently

Thanks

Lindy

Lindy Ryan

District Infection Prevention & Control CNC | Clinical Governance Unit MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Mob 0419 990 693 | lindy.ryan@ncahs.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)

________________________________

This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
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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[Glynis Tudor]

No

Regards,

Glynis Tudor
Infection Control Coordinator
Holmesglen Private Hospital
http://www.holmesglenprivatehospital.com.au

[HGPH – ED Early 2017 – Email Signature]

Hello

Can I ask you to vote yes or no

Orthopaedic Joint Implant surgery:
Does you facility still apply betadine and then a drape around the limb pre operatively (in the ward or pre-admission clinic) to each patient

it is not in the WHO SSI reduction bundle recommendations & I can’t find any literature indicating this practice is evidenced based or an old ritual so wondering what you are all doing currently

Thanks

Lindy

Lindy Ryan

District Infection Prevention & Control CNC | Clinical Governance Unit MNCLHD
Level 1 Coffs Specialist Centre, Pacific Hwy, Coffs Harbour
Mob 0419 990 693 | lindy.ryan@ncahs.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)

________________________________

This message is intended for the addressee(s) named and may contain confidential information. If you are not the intended recipient, please delete the message and any attachments and notify the sender. Views expressed in this message are those of the individual sender, and are not necessarily the views of NSW Health or any of its entities.
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.

Archive of all messages are available at http://aicalist.org.au/archives – registration and login required.

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