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PubMed1990

The effect of surgical handwashing routines on the microbial counts of operating room nurses.

Many factors may affect the efficiency of handwashing techniques. This study examined two interdependent factors: the time taken to wash the hands and the type of antiseptic solution used. A 3-minute initial scrub and 30-second consecutive scrub regimen was compared with a current standard regimen of a 5-minute initial scrub and a 3-minute consecutive scrub. Chlorhexidine gluconate 4% and povidone-iodine 7.5% were the antiseptics used in the two regimens. The sample (n = 34) was drawn from nurses employed in the operating room suite of a 950-bed hospital. Chlorhexidine gluconate was found to be responsible for lower numbers of colony-forming units of bacteria than povidone-iodine. The duration of the scrub had no significant effect on the numbers of bacteria when povidone-iodine was used. The optimal regimen was found to be the 5-minute initial and 3-minute consecutive scrubs with chlorhexidine gluconate.

Chlorhexidine↗
PubMed1979

Models of patient care for operating room nurses.

The focus of quality assurance programs in nursing is on improving the quality of care delivered to patients. Three methods of assesing quality of care for surgical patients are retrospective chart review, process audit, and expected patient outcomes as identified in models of patient care and individual care plans. Care plans specify nursing activities necessary to achieve established goals and, therefore, can be used in assessing the quality of care surgical patients receive.

Humans↗