Other Titles
Implementing Preoperative Bathing Protocols in the ED for Adult Hip Fracture Patients [Poster Title]
Other Titles
Rising Star Poster/Presentation
Abstract
Surgical site infections (SSIs) following hip fracture surgeries in adults are severe complications that increase morbidity, mortality, and healthcare costs. Preoperative bathing, particularly with chlorhexidine gluconate (CHG), reduces the risk of surgical site infection after hip fracture surgery by decontaminating skin flora, such as Staphylococcus aureus. Compliance with preoperative bathing protocols remains low, especially among adult patients admitted through emergency departments. To address the gap in preoperative bathing compliance, a quality improvement initiative will implement a preoperative bathing protocol using CHG wipes in the emergency department for adult hip fracture patients. Currently, there is a lack of evidence regarding the improvement of preoperative bathing compliance in hip fracture patients. Literature suggests that a standardized, evidence-based preoperative bathing protocol and educational intervention should be implemented to reduce hospital-acquired infections, such as central line-associated bloodstream infection (CLABSI). Therefore, a preoperative bathing protocol will be implemented in the emergency department along with nursing education on the evidence-based protocol, evaluated through pre- and post-educational assessments and compliance measurements via EHR audits.
Notes
Reference list included in attached document file.
Sigma Membership
Beta Sigma
Type
Poster
Format Type
Text-based Document
Study Design/Type
Quality Improvement
Research Approach
Translational Research/Evidence-based Practice
Keywords:
Peroperative Bathing, Emergency Department, Adult Hip Fracture Patients, Chlorhezidine Gluconate
Recommended Citation
Jang, Mihyun; Maynard, Susan; Matter, Sheri; and Sillner, Andrea, "Designing a QI Initiative: Preoperative Bathing in the ED for Adult Hip Fracture Patients" (2025). Biennial Convention (CONV). 93.
https://www.sigmarepository.org/convention/2025/posters_2025/93
Conference Name
48th Biennial Convention
Conference Host
Sigma Theta Tau International
Conference Location
Indianapolis, Indiana, USA
Conference Year
2025
Rights Holder
All rights reserved by the author(s) and/or publisher(s) listed in this item record unless relinquished in whole or part by a rights notation or a Creative Commons License present in this item record. All permission requests should be directed accordingly and not to the Sigma Repository. All submitting authors or publishers have affirmed that when using material in their work where they do not own copyright, they have obtained permission of the copyright holder prior to submission and the rights holder has been acknowledged as necessary.
Review Type
Invited Presentation
Acquisition
Proxy-submission
Date of Issue
2025-12-10
Designing a QI Initiative: Preoperative Bathing in the ED for Adult Hip Fracture Patients
Indianapolis, Indiana, USA
Surgical site infections (SSIs) following hip fracture surgeries in adults are severe complications that increase morbidity, mortality, and healthcare costs. Preoperative bathing, particularly with chlorhexidine gluconate (CHG), reduces the risk of surgical site infection after hip fracture surgery by decontaminating skin flora, such as Staphylococcus aureus. Compliance with preoperative bathing protocols remains low, especially among adult patients admitted through emergency departments. To address the gap in preoperative bathing compliance, a quality improvement initiative will implement a preoperative bathing protocol using CHG wipes in the emergency department for adult hip fracture patients. Currently, there is a lack of evidence regarding the improvement of preoperative bathing compliance in hip fracture patients. Literature suggests that a standardized, evidence-based preoperative bathing protocol and educational intervention should be implemented to reduce hospital-acquired infections, such as central line-associated bloodstream infection (CLABSI). Therefore, a preoperative bathing protocol will be implemented in the emergency department along with nursing education on the evidence-based protocol, evaluated through pre- and post-educational assessments and compliance measurements via EHR audits.
Description
This quality improvement project aims to improve compliance with preoperative bathing for adult hip fracture patients by implementing the protocol in the Emergency Department (ED). Despite evidence supporting preoperative bathing to reduce surgical site infections, adherence remains low. After conducting a literature review, a standardized, evidence-based protocol with nursing education will be implemented in the ED.