AORN Journal
Volume 89, Issue 3 , Pages 489-507 , March 2009

An Evidence-Based Process for Evaluating Infection Control Policies

  • Stacey S. Freeman, RN, MSN, PCNS, CNOR, MAJ, ANC, USA

      Affiliations

    • Stacey S. Freeman, RN, MSN, PCNS, CNOR, MAJ, ANC, USA is an OR/CMS head nurse, 115th Combat Support Hospital, Camp Bucca, Iraq.
  • ,
  • Gregory L. Lara, RN, MSN, PCNS, CNOR, MAJ, ANC, USA

      Affiliations

    • Gregory L. Lara, RN, MSN, PCNS, CNOR, MAJ, ANC, USA, is a deputy chief for the OR Specialist Course, Army Medical Department and School, Ft Sam Houston, TX.
  • ,
  • Monique R. Courts, RN, MSN, PCNS, CNOR, MAJ, ANC, USA

      Affiliations

    • Monique R. Courts, RN, MSN, PCNS, CNOR, MAJ, ANC, USA, is an OR head nurse, DeWitt Army Community Hospital, Ft Belvoir, VA.
  • ,
  • Linda J. Wanzer, CIV, MSN, RN, CNOR

      Affiliations

    • Linda J. Wanzer, CIV, MSN, RN, CNOR, is an assistant professor and director of the Perioperative Clinical Nurse Specialist Program, Uniformed Services University of the Health Sciences, Bethesda, MD.
  • ,
  • Sandra C. Garmon Bibb, CIV, DNSc, RN

      Affiliations

    • Sandra C. Garmon Bibb, CIV, DNSc, RN, is an associate professor and chair, Department of Health Risk and Contingency Management, and research director, Perioperative Clinical Nurse Specialist Program, Uniformed Services University of the Health Sciences, Bethesda, MD.

References 

  1. Perioperative patient care quality . In: Perioperative Standards and Recommended Practices . Denver, CO: AORN, Inc; 2008;p. 11–12
  2. Ahmed O . Is thorough cleaning of non-critical patient equipment effective against nosocomial infections? Monash University . http://www.mihsr.monash.org/cce/res/pdf/b/600.pdf Accessed February 4, 2009.
  3. Ram J , Kaushik S , Brar G , Taneja N , Gupta A . Prevention of postoperative infections in ophthalmic surgery . Indian J Ophthalmol . 2001;49(1):59–69 http://www.ijo.in/article.asp?issn=0301-4738;year=2001;volume=49;issue=1;spage=59;epage=69;aulast=Ram Accessed January 20, 2009.
  4. Kohn WG , Collins AS , Cleveland JL , Harte JA , Eklund KJ , Malvitz DM . Guidelines for infection control in dental healthcare settings. Centers for Disease Control and Prevention . http://www.cdc.gov/mmwr/preview/mmwrhtml/rr5217a1.htm Accessed January 20, 2009.
  5. Mangram AJ , Horan TC , Pearson ML , Silver LC , Jarvis WR . Guideline for prevention of surgical site infection . Infect Control Hosp Epidemiol . 1999;20(4):247–278
  6. Black JG . Microbiology Principles and Explorations . 5th ed.. New York, NY: John Wiley & Sons, Inc; 2002;
  7. Tortora GJ , Funke BR , Case CL . Microbiology: An Introduction . 6th ed.. Menlo Park, CA: Benjamin/Cummings Publishing Company, Inc; 1998;
  8. Gruendemann BJ , Mangum SS . Infection Prevention in Surgical Settings . Philadelphia, PA: WB Saunders; 2001;
  9. Recommended practices for cleaning and caring for surgical instruments and powered equipment . In: Perioperative Standards and Recommended Practices . Denver, CO: AORN, Inc; 2008;p. 421–445
  10. Recommended practices for cleaning and handling and processing anesthesia equipment . In: Perioperative Standards and Recommended Practices . Denver, CO: AORN, Inc; 2008;p. 275–289
  11. Recommended practices for cleaning and processing endoscopes and endoscope accessories . In: Perioperative Standards and Recommended Practices . Denver, CO: AORN, Inc; 2008;p. 345–350
  12. Recommended practices for high-level disinfection . In: Perioperative Standards and Recommended Practices . Denver, CO: AORN, Inc; 2008;p. 303–309
  13. Introduction to infection prevention  . Infection prevention guidelines. Reproductive Health Online . http://www.reproline.jhu.edu/English/4morerh/4ip/IP_manual/01_Introduction.pdf Accessed January 20, 2009.
  14. Infection control program  . United States Air Force . http://airforcemedicine.afms.mil/idc/groups/public/documents/afms/ctb_109795.pdf 2000; Accessed February 4, 2009.
  15. Nosocomial infection control program  . United States Navy . http://navymedicine.med.navy.mil/Files/Media/directives/6220-9A.pdf 1998; Accessed February 4, 2009.
  16. World Health Organization  . Practical guidelines for infection control in health care facilities . http://www.searo.who.int/LinkFiles/Publications_PracticalguidelinSEAROpub-41.pdf Accessed January 20, 2009.
  17. Delfi Medical, Inc.  . Guidelines for cleaning reusable tourniquets [Brochure] . Vancouver: Delfi Medical Inc; 2007;
  18. Guidelines for inspection and cleaning of color cuff reusable tourniquets . Instru Med, Inc; 2006; http://www.instrumedinc.com/docs/Reusable%20Cuff%20Cleaning%20Instructions.pdf Accessed February 4, 2009.
  19. McEwen JA. Tourniquet use and care. 2007. Tourniquets.org. http://www.tourniquets.org/use_care.html. Accessed January 20, 2009.
  20. Rutala WA , Weber DJ . New disinfection and sterilization methods. Centers for Disease Control and Prevention . http://www.cdc.gov/ncidod/eid/vol7no2/rutala.htm Accessed January 20, 2009.
  21. Rutala WA , Weber DJ . Creutzfeldt-Jakob disease: risks and prevention of nosocomial acquisition. Infection Control Today . http://www.infectioncontroltoday.com/articles/181bpract.html Accessed January 20, 2009.
  22. Rutala WA , Weber DJ . Disinfection and sterilization in healthcare facilities. 2004. Chicago Journals . http://www.journals.uchicago.edu/doi/pdf/10.1086/423182?cookieSet=1 Accessed February 4, 2009.
  23. Scharf JE , Shah B . High-level disinfection and reusable pulse oximetry sensors. Dolphin . http://www.dolphinmedical.com/brochures/Disinfection_Abstract1_Full.pdf Accessed January 20, 2009.
  24. McEwen JA. Care and handling of pneumatic tourniquet cuffs. 2007. Tourniquets.org. http://www.tourniquets.org/use_care.html#care_handling. Accessed February 4, 2009.
  25. Nelson J , Bivens A , Shinn A , Wanzer L , Kasper C . Microbial flora on operating room telephones . AORN J . 2006;83(3):607–620
  26. Mehta AC , Prakash UBS , Garland R , et al.   American College of Chest Physicians and American Association for Bronchology consensus statement: Prevention of flexible bronchoscopy-associated infection . Chest . 2005;128(3):1742–1755 http://www.chestjournal.org/cgi/reprint/128/3/1742.pdf Accessed January 20, 2009.
  27. Nelson DB , Jarvis WR , Rutala WA , Foxx-Orenstein AE . Multi-society guideline for reprocessing flexible gastrointestinal endoscopes . Infect Control Hosp Epidemiol . 2003;24(7):532–537 http://www.apic.org/AM/Template.cfm?Section=Guidelines_and_Standards&template=/CM/ContentDisplay.cfm&section=Topics1&ContentID=6381 Accessed February 2, 2009.
  28. Marinella MA , Pierson C , Chenoweth C . The stethoscope: a potential source of nosocomial infection? . Arch Internal Med . 1997;157(7):786–790
  29. Rutala WA . Disinfection and sterilization of patient-care items . Infect Control Hosp Epidemiol . 1996;17(6):377–384
  30. Scott E , Bloomfield SF . The survival and transfer of microbial contamination via clothes, hands and utensils . J Appl Bacteriol . 1990;68(3):271–278
  31. Rourke C , Bates C , Read RC . Poor hospital infection control practice in venipuncture and use of tourniquets . J Hosp Infect . 2001;49(1):59–61
  32. Grahs P . Cleaning and disinfection: disinfection of bloodborne pathogens. Infection Control Today . http://www.infectioncontroltoday.com/articles/410/410_111clean.html 2001; Accessed February 4, 2009.
  33. Stetler CB , Morsi D , Rucki S , et al.   Utilization focused integrative reviews in nursing service . Appl Nurs Res . 1998;11(4):195–206
  34. Stetler CB . Updating the Stetler model of research utilization to facilitate evidence-based practice . Nurs Outlook . 2001;49(6):272–279
  35. Bibb SC , Wanzer LJ . Determining the evidence in the perioperative environment: standardizing research process tools for conducting the integrative literature review . Perioperative Nursing Clinics . 2008;3(1):1
  36. Burns N , Grove SK . The Practice of Nursing Research: Conduct, Critique, Utilization . 5th ed.. St Louis, MO: Saunders; 2005;
  37. Cooper HM . Synthesizing Research: A Guide for Literature Reviews . 3rd ed.. Thousand Oaks, CA: Sage; 1998;
  38. Whittemore R , Knafl K . The integrative review: updated methodology . J Adv Nurs . 2005;52(5):546–553

 Editor's note: The opinions or assertions contained in this article are the private views of the authors and are not to be construed as official or as reflecting the views of the Uniformed Services University of the Health Sciences, the US Army, the Department of Defense, or the US Government.CINAHL, Cumulative Index to Nursing and Allied Health Literature, is a registered trademark of EBSCO Industries, Birmingham, AL. Google and Google Scholar are trademarks of Google, Inc.

PII: S0001-2092(08)00463-8

doi: 10.1016/j.aorn.2008.07.001

AORN Journal
Volume 89, Issue 3 , Pages 489-507 , March 2009