Change Using Evidence Based Research

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RUNNING HEAD: CHANGE USING EVIDENCE BASED RESEARCH

Change Using Evidence Based Research
Glenda Doctor
Western Governor’s University

Procedure, basis for practice, rationale and explanation The procedure for the use of povidone-iodine for surgical cite antisepsis is: skin preparation for surgery includes the use of sterile drapes to drape the patient and square off surgical area with sterile towels to absorb excess solution. The incision site is where the prep begins and proceeds outward from that point. Iodine soap or scrub, wet the skin with sterile water the iodine scrub will be added to the point of lather, the site is to be scrubbed for 5 minutes. Excess solution is to be blotted with sterile towels or sterile gauze. When iodine paint is used the iodine paint will be applied and allowed to dry before first incision. This practice of surgical skin preparation has been a standard for many years. At this facility povidone-iodine is used predominantly however a few surgeons do use chlorhexidine, it has typically been surgeon choice for skin preparation. Studies have shown that Chlorhexidine-alcohol is a superior product to povidone-iodine to reduce skin colonization and reduce surgical site infection, (Darouiche, Wall, Itani, Otterson, Webb, Carrick, & ... Berger, 2010). No specific use for either product was found in the policy and procedures for the hospital on the hospital web site. There were no available protocols involving the products that were found. It is not apparent that there has been any evidenced based practice involved. Recent changes in hospital administration and the desire to obtain magnet status has brought changes to the hospital that has incorporated evidenced based practice in the areas of nursing. The hospital has evidence based practice committee that meet monthly. The committee reviews practice in the…...

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