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					          Operating Room Departmental Infection Control Risk Assessment Realted to SSI's 2010
               Program Components
                                                    Probability/Actuali
                                                                                                Severity of Risk                       Current Systems/Preparedness   Score
                                                       ty of Event

The Operatine Room's risk of transmitting           High   Med    Low       Loss of     Temp loss Prolonged    Moderate    Minimal      Good       Fair     Poor
                                                                          life/limb/   of Function Length of   Clinical/   Clinical/
microorganisms that lead to a SSI infection is:
                                                                           function                  Stay      Financial   Financial
                                                      3     2      1          5            4           3           2          1           1         2         3
Geographic
Outdoor activities leading to trauma related
injuries: ATV accidents, head injuries, open
Outlying rural communities that lack specialty
services
OR and surgucal sterile on differnet floors
Limited space in the OR
Community
Promoting specialty services as a referral center
for small community hospitals
Population with no health insurance causing
treatment delays
high number of patients come to the OR with
MDRO's
Population
Diabetic, obese patients
High poverty level
High illiterate rate
High pediatric population
High burn population
Care
Teaching Hospital
Implementation of a new program/procedure
Staff working with impaired skin integrity
OR room traffic (#of people and people in and
out)
Length of Surgery time
Surgery prep consistency of OR staff
Physician surgical prep consistency
Treatment
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Robotic procedures
single procedure items from reps not here in a
timely manner for sterilization
Lack of consistency to address pre-op SSI risks
maintating patients body temperature
Surveillance Activities
Ventilator associated pneumonias
Compliance with hand hygiene
Sterilizer Monitoring
PreDecontaminiation in the OR for OR sterile
Dirty Area Decontamination in OR sterile
Tray Assembly in OR sterile
Tray Wrapping in OR sterile
Stereilization in OR sterile
Storage of Sterile packs in OR sterile
PreDecontaminiation in the OR for flashing
Decontaminiation with enzyme and manual
washing for flash sterilization
Sterilization in OR
Transporting instruments to OR room ater
flashing
Documentation of flashing
Number of Instruments flashed
deliveries coming into department in cardboard
boxes
Environment of Care
Construction activities
Proper storage of sterile supplies
Proper storage of infectious/biohazardous waste
problems with nats in the OR
Inadequate space for trash and biohazard waste
holding
terminal cleaning of OR and equipment at the
end of the day
terminal cleaning of OR between cases




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posted:8/28/2011
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