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Reducing HCAIs
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TOPIC: Number of people involved within operation during surgery

Number of people involved within operation during surgery 1 year, 10 months ago #1

Do the number of Healthcare workers for example surgeons, nurses, runners, students present during the operating procedure affect the patients risk of acquiring a surgical site infection post surgery?

the validation of hand washing surgical instuments 1 year, 9 months ago #2

Should we be hand washing medical devices used in theatres?
Last Edit: 1 year, 9 months ago by Scott Buckler.

Re: Number of people involved within operation during surgery 1 year, 9 months ago #3

The number of healthcare workers in operating room during surgery does matter to the control and prevention of infection
1.The surgeon scrub nurse runner anaesthetist and the ODA should be enough at a time
2. This is the recommendation from the 
Association of the Peri-Operative Practitioners(AfPP)
3. It is important to minimise dust and noise so that the surgeon could concentrate

Re: the validation of hand washing surgical instuments 1 year, 9 months ago #4

Absolutely not!

Where has best practice gone?

We aim to move forward not go back
Think about the healthcare environment and prevention of cross contamination
Used surgical instruments should be removed from the clean environment as soon as used and returned for decontamination 

There are Department of Health guidance and the NICE guidance that are required to be followed to safeguard healthcare workers and patients

Re: Number of people involved within operation during surgery 3 months ago #5

The more people there are in the Theatre:

1) The more shedding of bacteria in to the Theatre environment, e.g. skin scales carrying skin organisms including very importantly S.aureus which is the commonest cause of SSI (surgical site infection); respiratory secretions e.g. when sneezing and coughing. All these are magnified if the person is suffering from infection (e.g. "Flu"/Colds) or has conditions which predispose to heavy skin or mucosal colonisation, e.g. eczema/dermatitis.

2) The greater the disturbance in theatre ventilation (direction of flow of air) particularly if people going in and out of Theatre regularly

3) The greater the likelihood of non-compliance with strict aseptic precautions and theatre disciplines.

4) The more more people handle the surgical site, the greater is the likelihood of microbial contamination and hence the greater the risk of SSI, particularly if staff not properly trained in surgical skills, aseptic techniqies, maintainenance of sterility, etc.

Re: Number of people involved within operation during surgery 2 months, 2 weeks ago #6

The number of healthcare workers present during the operating procedure will certainly affect the patients risk of acquiring a surgical site infection post surgery because of the increased likelihood of bacteria being shed from the skin of one or more of the persons present and contaminating the operation site?

Re: Number of people involved within operation during surgery 2 months, 2 weeks ago #7

One needs to ensure adequate operating room personnel to ensure safe surgery. However the more individuals in the operating room the higher the airborne count of bacteria is likely to be. One also needs to consider the small risk to staff from this environment and therefore limit staff to minimums commensurate with safety
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