2023年10月19日 · • Always confirm wound class with surgeon at the end of the surgery. • Circulator’s documentation of wound class should match surgeon’s dictation. • Open, fresh accidental wounds • Major breaks in sterility during surgery • Spillage from the GI tract • Incisions with nonpurulent inflammation CLASS I/CLEAN SURGICAL WOUND

Use the Algorithm below to help determine wound classification for surgical procedures. During the Procedure: Was there: Pus, purulence or abscess? Peritonitis? Clinical evidence of infection? Perforated viscera*prior to incision? Devitalized tissue requiring dissection/ resection? Traumatic wounds greater than 4 hours old

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Class I: Clean “These are uninfected operative wounds in which no inflammation is encountered and the respiratory, alimentary, genital, or uninfected urinary tracts are not entered. In addition, clean wounds are primarily closed, and if necessary, drained with closed drainage.

2023年10月10日 · This handy pocket guide describes the four classifications of surgical wounds to identify patients at risk of surgical site infection. It can be downloaded to use as a quick reference tool. 1. Download. AORN's Surgical Wound Classification Tree is available to assist in decision making for surgical wound classification. Reference:

2023年8月17日 · The clinical significance of proper wound classification lies in its ability to help predict the likelihood of surgical site infections, postoperative complications, and reoperation. Correctly classified wounds can potentially aid in assessing …

Use the Algorithm below to help determine wound classification for surgical procedures. During the Procedure: Was There: • Pus, purulence or abscess? (If during index surgery, this may be considered PATOS)* • Peritonitis? • linical evidence of infection • …

An understanding of what constitutes a wound class is important for the perioperative nurse to accurately assess and document wound classifica-tion. Decision algorithms can help in making these determinations (Figure 1). Clean/Class I Wounds A clean or class I surgical wound is one that does not enter the respiratory, gastro-intestinal (GI ...

For accurate documentation, both surgeons and circulating RNs must understand the definitions of each wound class and the potential impact of inaccu-rate wound-class assignment.

Successful care of surgical wounds begins with a comprehensive assessment of both the wound and the patient, including a clear understanding of the type and class of surgical wound. Psychosocial factors affecting healing and well-being, are essential to consider as well.