Ebt1 Task 3

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EBT1 TASK 3 Research Integration and Outcome Evaluation Deborah Tyrrell-Turner Western Governors University A1. Procedure Studies have shown that the procedure of shaving a surgical site prior to surgery increases the likelihood of postoperative surgical site infections. Studies have indicated that shaving the surgical site before surgery can cause a change in or loss of protective skin flora at the incision line, as well as micro trauma of the area increasing the colonization of bacteria, (Celik & Kara, 2007). The Institute for Healthcare Improvements, (IHI) has recommended the avoidance of shaving surgical sited unless it is absolutely necessary for the procedure. They recommend using clippers to remove hair before surgery, outside of the operating room, (IHI, 2013). A2a. Basis for Practice The basis for changing the procedure of shaving hair from the operative site is the result of several studies and research articles related to surgical site infections, (SSI). Recommendations have also been put out by the Centers for Disease Control and Prevention, (CDC) and the Joint Commission on Hospital Accreditations, (TJC). Other research methods were used from Cochrane Wound Group Specialized Register, The Cochrane Central Register of Controlled Trials, Ovid MEDLINE, and Ovid EMBASE, (Tanner, Norrie, & Melen, 2011). After review of these studies hospital administrators have implemented changing procedures of postoperative surgery; advising surgeons to avoid the use of razors for hair removal of a surgical site unless absolutely necessary. A2a. Rationale Until recently it was thought that shaving hair from the incision site would reduce infections because hair was viewed as a haven for bacteria to colonize. After a lot of review of studies by the CDC; it has been found that the use of razors to remove hair results

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