Healthcare-Acquired Infections: Surgical Site Infections (SSI) for Progressive Care Certified Nurse (PCCN)
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Outline
Healthcare-Acquired Infections: Surgical Site Infections (SSI)
Definition/Etiology:
- SSI- infection to the surgical site
Pathophysiology:
- Opening in skin = access
Noticing: Assessment & Recognizing Cues:
- Prevention
- Clean site prior to surgery
- Cleanse site (per policy/provider)
- Assessment
- Increased temp
- Surgical site red
- Painful
- Swollen
- Drainage from the surgical site
Interpreting: Analyzing & Planning:
- Complete Blood Count (CBC)
- Basic/Complete Metabolic Panel (BMP)
- Find/confirm the source of infection
- Culture fluid (surgical site)
Responding: Patient Interventions & Taking Action:
- Antibiotics
- IV fluids
- Prevent sepsis!
Reflecting: Evaluating Patient Outcomes:
- Patient improvement:
- S/S decline
- Decreased temp
- Continued treatment:
- Abx
Linchpins (Key Points):
- An infection is an infection. How do we prevent it?
- Infection: inflammatory response
- SSI-specific: Surgical site is affected (s/s)
- Prevent: Prevent SSI
- Treat: Treat with abx; prevent sepsis
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Transcript
References
- Centers for Disease Control and Prevention [CDC]. (2010). Surgical site infection (SSI). https://www.cdc.gov/hai/ssi/ssi.html.
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