11th EORNA Congress Valencia, Spain | 16 - 18 May 2024 Round Table Sessions 24 Round Table 1: Sterilisation 254 Can a strand of hair contaminate a surgical instrument set? A controlled experimental study Nurgül Arpag1, Hamdiye Banu Katran2, Sevgi Gür3, Zeynep Çizmeci4 1Istanbul Atlas University Faculty of Health Sciences, Department of Nursing, Turkey, 2Marmara University Faculty of Health Sciences, Department of Surgical Nursing, Turkey, 3Selçuk University Faculty of Nursing, Department of Surgical Nursing, Turkey, 4Health Sciences University Bakırköy Dr. Sadi Konuk Training and Research Hospital Background: It is an important problem for operating room nurses that a hair comes out of the surgical set. Hair coming out of the surgical set increases the biological load. For this reason, sets are returned to the sterilization unit. Lack of backup of surgical sets leads to delay of the surgery. They practice can lead further to problems in the scheduling of operating rooms and the time management, aside from increased costs. Objectives: The present study evaluates whether a strand of hair falling into a surgical instrument set prior to sterilization and during packaging can be considered an adverse event and have any effect on the sterilization process in terms of contamination and analyzes also whether bacterial contamination occurs in a strand of hair found in a surgical set. Methods: The present controlled experimental study, conducted between 15.01.2023-15.02.2023 made use of the pressurized steam, ethylene oxide and hydrogen peroxide sterilization methods. Swabs were taken from surgical sets containing non-contaminated hair (Experiment group 1, n=6), hair contaminated with five different microorganisms (Escherichia coli, Staphylococcus aureus, Pseudomonas aeruginosa, Candida albicans, Enterococcus faecalis) (Experiment group 1, n=30), and no hair (control group, n=6). The hair strands were cultured in 5% sheep agar, EMB, Saboroud Dextrose agar and chocolate agar, and incubated at 37°C in a 5%CO2 medium. Checks for growth were performed at hours 24, 48 and 72 and the end of day 7. Results: No growths were identified in the swab or hair cultures in either the experiment groups or the control group following sterilization. Conclusion: The absence of growth of any microorganisms in the hair and swabs of surgical instruments after sterilization suggests that the subject may benefit from further research. Similar trials should be performed in different surgical set masses, with different microorganisms and using different sterilization methods. 278 Are the multi-resistant microoganism stay in the transfer in the operating theatre Selma Gomes1, Maria Jesus Luís1, Esmeralda Nunes1 1 Background: The patient undergoing cancer treatment has compromised immune system, becoming more susceptible to develop infections and to condition their treatment, which have a negative impact on the increase of morbidity and mortality of these patients. In the Operating Room of IPO Porto, although there was a set of actions and recommendations (Basic Precautions and Isolation) of good local practices adopted until then in these situations, there was no implemented and standardized procedure for the colonized/infected patient. Thus, in order to continuously improve the quality of care and safety of these patients, the Procedure of measures for the prevention and control of infection in patients suspected/infected or colonized in containment isolation in an intraoperative context was elaborated and implemented. Objectives: present the procedure that allowed the operationalization of the surgical approach of the infected/colonized patient with MMR in the Operating Room; Propose quality indicators sensitive to nursing care for a culture of safety and continuous improvement of intraoperative quality. Methods: Case study: implementation of a quality tool. Results: Implementation in 3 phases from May to July 2022. Elaborated quality procedure, carried out questionnaires on prevention and control measures of infection to colonized/infected patients to nurses and operational assistants and after analysis of results carried out training. Finally, presentation and implementation of the standard procedure to the professionals involved. Proposal of quality indicators of structure, process and result to be implemented in the future. Conclusion: normalization of behaviors; training, involvement and accountability of professionals; process efficiency; environmental control; safety and quality of care; optimization and centralization of communication.
RkJQdWJsaXNoZXIy Mzc2ODc=