A Collaborative Project for the Development of an Antibiotic Protocol for Colon Surgical Procedures

2.50
Hdl Handle:
http://hdl.handle.net/10755/155331
Type:
Presentation
Title:
A Collaborative Project for the Development of an Antibiotic Protocol for Colon Surgical Procedures
Abstract:
A Collaborative Project for the Development of an Antibiotic Protocol for Colon Surgical Procedures
Conference Sponsor:Sigma Theta Tau International
Conference Year:2006
Author:Lewis, Janet A., RN, MA, CNOR
P.I. Institution Name:INTEGRIS Baptist Medical Center
Title:Administrative Director for Surgical Services
Co-Authors:Callie Sue Craig, RN, BSN, CNOR
 Introduction of clinical problem:  Prophylactic antibiotic therapy for colon surgeries is a widely accepted practice, however there is not a standard recommended regimen.   Through participation in the National Surgical Infection Prevention Project (SIPP), a large metropolitan hospital had successfully developed antibiotic protocols for cardiovascular and orthopedic procedures. Review of current practices found a wide variance of antibiotic routines for patients undergoing colon surgeries.  Recognizing the inherent challenges in changing physician-established antibiotic ordering practices, an interdisciplinary, collaborative team was assembled to establish a standard protocol.   The clinical question: 1.What is the current practice for prescribing antibiotics for patients undergoing a colon surgical procedure?  2. What is the evidenced based antibiotic protocol for colon surgeries? 3.What are the challenges for nurses promoting change in physician ordering practice?  4.  What processes would be necessary to address the challenges and to measure progress?  Search for evidence: Included review of current literature databases (CINAHL, Medline) and recommended practices by the Oklahoma Foundation for Medical Quality (OFMQ) and the American Society of Health-System Pharmacists (ASHP).    Recommendation for the best clinical practice based on the evidence: Methodology included assembling an interdisciplinary team of nursing, pharmacy, infection control and the medical staff to establish an evidenced based colon antibiotic protocol with incorporation into standard orders. Compliance monitoring incorporated review of appropriate antibiotic selection, initiation of antibiotic within 0-60 minutes of incision, and discontinuation of antibiotics within 24 hours after surgery.  Successful implementation strategies included providing research data to Physicians and staff, soliciting a Physician champion, and an introductory letter from the Chair of General Surgery.  Implications for practice:  Implementation of a standard protocol reflective of OFMG and ASHP recommended practices deemed effective for improving compliance with Surgical Infection Prevention Project.  Pre-operative antibiotic administration procedure modified to ensure timely medication infusion and enhance patient throughput.
Repository Posting Date:
26-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleA Collaborative Project for the Development of an Antibiotic Protocol for Colon Surgical Proceduresen_GB
dc.identifier.urihttp://hdl.handle.net/10755/155331-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Collaborative Project for the Development of an Antibiotic Protocol for Colon Surgical Procedures</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2006</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Lewis, Janet A., RN, MA, CNOR</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">INTEGRIS Baptist Medical Center</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Administrative Director for Surgical Services</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Janet.Lewis@integris-health.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Callie Sue Craig, RN, BSN, CNOR</td></tr><tr><td colspan="2" class="item-abstract">&nbsp;Introduction of clinical problem:&nbsp; Prophylactic antibiotic therapy for colon surgeries is a widely accepted practice, however there is not a standard recommended regimen.&nbsp;&nbsp; Through participation in the National Surgical Infection Prevention Project (SIPP), a large metropolitan hospital had successfully developed antibiotic protocols for cardiovascular and orthopedic procedures. Review of current practices found a wide variance of antibiotic routines for patients undergoing colon surgeries.&nbsp; Recognizing the inherent challenges in changing physician-established antibiotic ordering practices, an interdisciplinary, collaborative team was assembled to establish a standard protocol.&nbsp;&nbsp;&nbsp;The clinical question: 1.What is the current practice for prescribing antibiotics for patients undergoing a colon surgical procedure?&nbsp; 2. What is the evidenced based antibiotic protocol for colon surgeries? 3.What are the challenges for nurses promoting change in physician ordering practice?&nbsp; 4.&nbsp; What processes would be necessary to address the challenges and to measure progress? &nbsp;Search for evidence: Included review of current literature databases (CINAHL, Medline) and recommended practices by the Oklahoma Foundation for Medical Quality (OFMQ) and the American Society of Health-System Pharmacists (ASHP). &nbsp;&nbsp;&nbsp;Recommendation for the best clinical practice based on the evidence: Methodology included assembling an interdisciplinary team of nursing, pharmacy, infection control and the medical staff to establish an evidenced based colon antibiotic protocol with incorporation into standard orders. Compliance monitoring incorporated review of appropriate antibiotic selection, initiation of antibiotic within 0-60 minutes of incision, and discontinuation of antibiotics within 24 hours after surgery.&nbsp; Successful implementation strategies included providing research data to Physicians and staff, soliciting a Physician champion, and an introductory letter from the Chair of General Surgery. &nbsp;Implications for practice:&nbsp; Implementation of a standard protocol reflective of OFMG and ASHP recommended practices deemed effective for improving compliance with Surgical Infection Prevention Project. &nbsp;Pre-operative antibiotic administration procedure modified to ensure timely medication infusion and enhance patient throughput.</td></tr></table>en_GB
dc.date.available2011-10-26T13:44:45Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-26T13:44:45Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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