Ebt Task 3

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EBT1 Task 3-Research Integration and Outcome Evaluation
A1- Preoperative Hair Removal
As a circulating nurse a daily and very routine practice is preoperative hair removal for several types of surgical cases. Preoperative hair removal is a common source that contributes to postoperative surgical site infections. Currently hair removal is done to prevent interference with the surgical wound, closure of the surgical wound, surgical tapes and dressings, and to prevent patient discomfort when removing adhesive dressings (Adisa, Lawal, Adejuyibe, 2010.) A study evaluating hair removal with a razor versus with depilatory cream done by Adisa, Lawal, Adejuvibe in 2010, showed that postoperative wound infections are related to the presence and degree of skin injuries obtained during hair removal which is commonly done with a razor. Current CDC guidelines suggest that hair removal should not be performed unless “the hair at or around the incision will interfere with the operation” (Mangram, Horan, Pearson, Silver, & Jarvis, 1999, p.266)
A2a,b,c- Basis for Practice, Rationale, Explanation
The Association of periOperative Registered Nurses (AORN) supports the practice and development of perioperative nurses. They are an indispensable resource for evidence-based practice, which can help set the standards of practice for perioperative nursing (About AORN : Association of periOperative Registered Nurses, 2014.) The basis for changing the current hair removal practice would be due to the results of many studies on the subject, Center for Disease Control and Prevention (CDC) recommendations, AORN standards, and The Joint Commission on Hospital Accreditation (JCAHO) recommendations.
On the hospital level, the Infection Control and Ethics committee along with a performance improvement group would investigate the evidence-based research provided by AORN, CDC, and JCAHO.

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