Improving Antibiotic Prophylaxis Prior to Cesarean Section

Sunday, June 14, 2015

Title: Improving Antibiotic Prophylaxis Prior to Cesarean Section

Promenade Ballroom (Long Beach Convention Center)
Carol Spruill, MSN APRN CPHQ , Children's Memorial Hermann Quality and Safety, Children's Memorial Hermann Hospital, Houston, TX
Kendra Folh, BSN RN , Women's Services, Children's Memorial Hermann Hospital, Houston, TX

Discipline: Childbearing (CB), Women’s Health (WH)

Learning Objectives:
  • Understand the importance of timing in antibiotic administration to decrease the incidence of surgical site infection following cesarean section.
  • Using quality improvement tools to define the problem.
  • Demonstrate the relationship between efficient processes and clinical outcomes.

    • Submission Description:
    Variable practices and unclear role definition by anesthesia and nursing were found to disrupt the timing of antibiotic administration raising the risk of Surgical Site infection. Pre-data showed almost 18% of antibiotics were not given within the recommended time limit. A quality team of anesthesiologists, nurses and pharmacists used quality improvement methods to understand the problem and develop a new process for antibiotic delivery.

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    The Association of Women's Health, Obstetric and Neonatal Nurses is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.