Protocol Library

Evidence-based prevention protocols organized by phase of care

13 protocols

Preoperative

Patient Selection & Risk Stratification

Identify patients at elevated risk for surgical site infection prior to scheduling or proceeding with elective procedures.

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Preoperative

Preoperative Skin Preparation

Reduce the microbial burden on the patient's skin at and around the intended surgical site to the lowest achievable level before incision.

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Preoperative

Clipping Timing & Technique

Establish evidence-based standards for the timing, extent, and method of hair removal from the surgical site.

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Preoperative

Surgical Site Antisepsis

Select and correctly apply antiseptic agents to achieve maximal reduction in viable organisms at the surgical site immediately prior to draping and incision.

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Preoperative

Perioperative Antibiotic Prophylaxis

Administer systemic antibiotic prophylaxis at the correct time, dose, and duration to reduce SSI risk in appropriate surgical cases, while avoiding unnecessary antibiotic use that contributes to antimicrobial resistance.

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Intraoperative

Aseptic Technique & Sterile Field Maintenance

Maintain an uncompromised sterile field throughout the procedure by establishing clear boundaries, enforcing behavioral discipline, and responding immediately to any breach.

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Intraoperative

Surgical Draping Methods

Correctly apply sterile surgical drapes to isolate the prepared surgical site from the patient's surrounding (non-sterile) body surfaces, equipment, and the environment.

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Intraoperative

OR Traffic Control & Environmental Management

Minimize airborne and contact contamination within the operating room by controlling personnel movement, door activity, and environmental conditions during surgery.

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Intraoperative

Instrument Handling & Sterilization

Ensure all instruments and implants used in surgery are properly decontaminated, packaged, sterilized, and maintained in sterile condition until the moment of use.

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Postoperative

Wound Management & Dressing

Apply appropriate wound closure and primary dressing to protect the surgical site during the initial healing phase, minimize contamination from the environment, and facilitate early detection of complications.

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Postoperative

Bandaging Protocols

Apply and manage bandages for postoperative wounds in a manner that protects the site, supports healing, prevents self-trauma, and allows regular assessment.

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Postoperative

Post-op Monitoring & Early Detection

Establish a structured postoperative monitoring protocol that enables early identification of signs consistent with surgical site infection, allowing timely intervention before superficial infection progresses to deep or organ-space disease.

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Postoperative

Antibiotic Stewardship Decisions

Apply evidence-based criteria to antibiotic prescribing decisions in the postoperative period, ensuring that antimicrobials are used when genuinely indicated, at the correct dose and duration, and that antimicrobial resistance implications are considered for every prescription.

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