Friday, June 15, 2018

For the first time since 1999, the CDC makes new recommendations for the prevention of surgical related infections...

CDC used thousands of studies to the relevant situation such as prevention in SSI surgical site infections, they narrowed it down to a mere 170 studies in order to issue these final recommendations, the first of any recommendations since 1999.  Remeber that the CDC states that most of the recommendations that were made back in 1999, these recommendations were made based on expert opinion rather than evidenced-based recommendations.


So these new recommendations are evidenced-based recommendations and should be taken very seriously.  These recommendations are:



-Patients should shower or bathe (full body) with soap (antimicrobial or nonantimicrobial) or an antiseptic agent on at least the night before surgery.

-Antimicrobial prophylaxis should be administered only when indicated and timed such that a bactericidal concentration of the agents is established in the serum and tissues when the incision is made.

-Skin prep in the OR should be done with an alcohol-based agent unless contraindicated.

-Clean and clean-contaminated procedures, additional prophylactic antimicrobial agent doses should not be administered after the surgical incision is closed in the OR, even when a drain is being used.

-Topical antimicrobial agents should not be applied to the surgical incision.

-During surgery, glycemic control should be implemented using blood glucose target levels less than 200 mg/dL.

-Normothermia should be maintained in all patients.

-For patients with normal pulmonary function undergoing general anesthesia with endotracheal intubation, an increased fraction of inspired oxygen should be administered during surgery and immediately after extubation in post-op.

-Blood transfusions should not be withheld from surgical patients as a means to prevent SSIs.


Which ones of these will you be making your surgery center compliant too?  For the better quality outcomes for all surgical patients, these techniques should be adopted immediately and invited across the continuum of care of the entire US region of the world. 

Tuesday, June 12, 2018

You won't believe how much registered nurses are making today?

Registered nurses in California and Hawaii earn the highest average annual wage for RNs in the U.S. at $102,700 and $96,990, respectively, according to the Bureau of Labor Statistics. After California and Hawaii are the District of Columbia, Massachusetts, and Oregon.

Here is the average hourly and annual wage for registered nurses in all 50 states, plus the District of Columbia, based on the most recent BLS data gathered in May 2017, listed in alphabetical order.

Alabama
Hourly: $27.83
Annual Wage: $57,890

Alaska
Hourly: $42.07
Annual Wage: $87,510

Arizona
Hourly: $36.11
Annual Wage: $75,110

Arkansas
Hourly: $28.28
Annual Wage: $58,810

California
Hourly: $49.37
Annual Wage: $102,700

Colorado
Hourly: $34.89
Annual Wage: $72,570

Connecticut
Hourly: $38.56
Annual Wage: $80,200

Delaware
Hourly: $35.18
Annual Wage: $73,180

District of Columbia
Hourly: $43.32
Annual Wage: $90,110

Florida
Hourly: $31.20
Annual Wage: $64,890

Georgia
Hourly: $32.09
Annual Wage: $66,750

Hawaii
Hourly: $46.63
Annual Wage: $96,990

Idaho
Hourly: $31.02
Annual Wage: $64,520

Illinois
Hourly: $34.66
Annual Wage: $72,090

Indiana
Hourly: $30.02
Annual Wage: $62,450

Iowa
Hourly: $27.85
Annual Wage: $57,930

Kansas
Hourly: $28.82
Annual Wage: $59,940

Kentucky
Hourly: $29.58
Annual Wage: $61,530

Louisiana
Hourly: $30.56
Annual Wage: $63,560

Maine
Hourly: $31.68
Annual Wage: $65,890

Maryland
Hourly: $36.18
Annual Wage: $75,250

Massachusetts
Hourly: $42.95
Annual Wage: $89,330

Michigan
Hourly: $33.23
Annual Wage: $69,120

Minnesota
Hourly: $37.28
Annual Wage: $77,540

Mississippi
Hourly: $27.74
Annual Wage: $57,700

Missouri
Hourly: $30.43
Annual Wage: $63,300

Montana
Hourly: $31.87
Annual Wage: $66,280

Nebraska
Hourly: $29.91
Annual Wage: $62,210

Nevada
Hourly: $40.86
Annual Wage: $84,980

New Hampshire
Hourly: $33.67
Annual Wage: $70,040

New Jersey
Hourly: $39.43
Annual Wage: $82,010

New Mexico
Hourly: $33.58
Annual Wage: $69,840

New York
Hourly: $40.12
Annual Wage: $83,450

North Carolina
Hourly: $30.08
Annual Wage: $62,560

North Dakota
Hourly: $30.35
Annual Wage: $63,140

Ohio
Hourly: $31.49
Annual Wage: $65,500

Oklahoma
Hourly: $29.63
Annual Wage: $61,640

Oregon
Hourly: $42.68
Annual Wage: $88,770

Pennsylvania
Hourly: $33.57
Annual Wage: $69,820

Rhode Island
Hourly: $36.85
Annual Wage: $76,650

South Carolina
Hourly: $30.59
Annual Wage: $63,630

South Dakota
Hourly: $27.41
Annual Wage: $57,010

Tennessee
Hourly: $28.87
Annual Wage: $60,050

Texas
Hourly: $34.65
Annual Wage: $72,070

Utah
Hourly: $30.31
Annual Wage: $63,050

Vermont
Hourly: $33.44
Annual Wage: $69,560

Virginia
Hourly: $32.69
Annual Wage: $67,990

West Virginia
Hourly: $29.03
Annual Wage: $60,380

Washington
Hourly: $38.37
Annual Wage: $79,810

Wisconsin
Hourly: $33.27
Annual Wage: $69,200

Wyoming
Hourly: $31.20
Annual Wage: $64,900

Laundry Services in HEALTHCARE

Know about the CDC regulations with doing laundry in your facility

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