Perioperative Shaving Essay

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Perioperative shaving

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Date

Perioperative shaving

* Describe the process or procedure you have chosen and why you think it needs change.

In a surgical procedure, it is better to remove the hair from site of surgery before the operation starts. This perioperative shaving is normally carried out a night before the surgery. The procedure is normally perceived to make surgery less risky. The hair is removed by either use of razors, clippers or creams. The patients that remove hair are found to have a lesser degree of infection than those that do not remove hair before surgery. It is found that shaving hair a night before are safer that shaving right before the surgery. The process needs to be changed because the shaving often results into cuts that are home of infection themselves(Waddington, 2008). Besides that, the difference between infections with and without hair removal is very small.

A. Explain who determined the basis for the practice.

The perioperative shaving is carried out in different manners and different medical bodies regulate it. The Dutch Working Party on Infection Prevention laid down the foundations for regulation of the hair removal prior to surgery (Tanner, Woodings, and Moncaster, 2006). There have been many trials to prove which methods are safer and when to remove hair.

b. Explain the rationale for making the decision for the procedure.

The rational for hair removal before surgery is to reduce or eliminate the chances of infection. This helps in achieving the true essence of surgery i.e. to eliminate and treat the disease without increasing the chances of damaging the site of surgery. However, it is found that there are not many differences in the rate of infection with and without the hair removal yet some infections can be very nasty (Guideline for Prevention of Surgical Site Infection, 1999, 2009). It is therefore suggested either not to remove hair and simply wash them with antiseptic solutions or to use a method that is less infectious.

C. Explain why the practice is performed this way.

Removing the hair from site of surgery is done by simply removing hair with razor, cream or clippers. The hair removal is performed a night or few hours or right before the surgery. These methods are very simple as well as quick. It is this why the doctors and nurses prefer to do perioperative shaving this way.

3. Review of the literature

There are studies that guide how and why to remove hair before the surgery. An evidence based practice establishesthat the use of clippers right before the surgery is most effective in those cases that require removing hair from site of surgery (Waddington, 2008). Without removing the hair, the surgeons have a lesser clarity and visibility that also hinders the surgery. The study revealed that removing hair through clippers was most safe and resulted into least number of infections. The goals for Joint Commission's national patient safety revealed in year 2008 that it is priority "to reduce the risk of healthcare associated infections". It was suggested by the nursing care institutes to therefore reduce the use of razors and shift to clippers in order to have a cleaner environment for surgery. It was found that about 22% infections in medical treatment were surgical site infections. This is a big proportion of the infections hence the physicians are concerned to introduce new methods that are more effective. There are already many methods are used and also there are suggestions to quit perioperative shaving if it is counterproductive by spreading infection (Weise, Wille, and Broek, 2005). The patients can benefit by using clippers since the number of infections particularly reduces in patients with facial, head, and neck surgery needs.

4. Explain what the clinical implications of this practice might be, based on your review of the literature.

It can be deducted from the findings in literature that the surgery particularly in the hairy areas like face, head and neck require to have a clean environment. This can be done either by cleaning hair and skin or removing the hair. The presence of hair makes it difficult to operate by reducing clarity of site. It is not only convenient but also clean and safe to remove hair prior to surgery (Tanner, Woodings, and Moncaster, 2006). However, the hair removal using razors is less effective than the clippers. The clippers help reduce the number of infections and to remove hair from roots. Therefore, the conventional method of removing the hair through razors should be changed. Although it requires less time to remove hair using razors, it is less effective in removing germs. Also there are chances of cutting the skin. Hence the clinical implementations of the research are to change the methods of perioperative surgery using clippers instead of the razors. This will provide a clean environment for surgery as well as help reduce cuts and infection.

5. Discuss whether the procedure could be done better, more efficiently, or more cost-effectively.

Razor shaving is the most quick and cost effective method of removing hair (Waddington, 2008). However the cuts and spread of infections make it less effective. Hence, despite the fact that the procedure is cost effective. Having said that razors are cost effective, they can be replaced by a safer method. Two potential solutions can be to train the physicians further on the razor shaving prior to surgery or to quit shaving. Both the solutions are less practical hence it is better to use the alternative i.e. to use the clippers since it is found to be less infectious. The replacement can be initiated slowly in the beginning where the clinic makes the staff habitual in using the clippers. After sometime, it can be made a mandatory requirement to abandon the use of razors. With time the medical staff will learn to gain speed with clipper hair removal. Since the clippers hardly result into cuts, the procedure does not need to be done a night before and can be done a few hours prior to the surgery (The impact of perioperative hair removal on surgical site infection, 2003).

6. Discuss how you would involve key stakeholders in the decision to change this procedure or comply with a proposed change

The proposed change is to replace the existing method of perioperative shaving i.e. razor shaving with the clipper hair removal. The stakeholders in perioperative shaving are the medical staff, the patients and their attendants. In medical staff, the nurses normally shave the patient hair from site of surgery and the doctors are involved during surgery. Involving the stakeholders in decision to change the procedure is simple. The patients will be told about the facts and statistics that there are more chances of infection in razor shaving than the clipper hair removal. The doctors on the other hand can be told that clipper hair removal favors shaving by providing a cleaner site since the clipper removes hair from roots. Based on the facts, the argument can easily win the support of patients and the medical staff treating them (The impact of perioperative hair removal on surgical site infection, 2003).

Difficulties and Barriers

There are somedifficulties in interpretingthe findings regarding the perioperative shaving. Since it is easy for both the patient and the nurses to remove hair through razors, there are fewer chances that they agree to changing the method. Razor shaving is less painful as well as quick. The patient needs to recognize that after razor shaving, the hair grow rapidly in the surgery site hence making it unclean and uncomfortable. Hence it is better to use clippers that remove hair from roots thus the hair will take longer to grow and the site will remain clean for longer. It seemed initially that it is hard to prove that clipper hair removal is a better option. However, it can be said that proving the fact is easy but convincing staff and patients is a little harder. The barriers to accepting the change are the time of shaving and long tradition of use of razors. The staff is not ready to adopt change. The nurses may take long times in hair removal to prove that the time required in hair removal is unnecessary thus avoiding the effort to remove hair by safe and more clean method. Besides the nurses, the patient can also resist due to the pain during hair uprooting and may prefer razor shaving that is painless.

Identify at least two strategies that you and your team could use to overcome these barriers to change.

To face the barriers in accepting change of methodology, various distinct strategies can be used. Communicating the advantages and taking pain reducing measures can be helpful. The patient as well as medical staff should be communicated about advantages of using clippers over the razors. The nurse resistance can be overcome by telling them that the new method saves them from pain of cleaning infectious wounds caused by razors. Besides briefing the patient about advantages, also he or… [END OF PREVIEW]

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