Date of Graduation

Fall 12-17-2021

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

Program

MSN project

First Advisor

Lisa Brozda, RN MSN CNS

Abstract

Abstract

Problem: The increasing rates of surgical site infections (SSIs) after cesarean delivery have a negative impact on patient morbidity, mortality, postoperative fevers, trauma, and hospital costs.

Context: Interventions are a necessity for this population however, there is lack of preventative practice utilized in the labor and delivery unit to reduce the rates of post cesarean SSIs.

Interventions: The preventative evidenced based practice of vaginal preparation with 10% povidone-iodine was implemented on women in the operating room before their cesarean procedure. Educational materials such as informative presentations, videos, and posters were created to educate nursing staff on the implementation of vaginal preparation.

Measures: Auditing charting documents of nursing staff through EpicSystems was assessed to make sure that the implementation of vaginal preparation was done correctly. Surveys were conducted and handed out to nursing staff to measure barriers.

Results: Leading results in auditing documentations consisted of most nursing staff performing vaginal preparation (91.2% yes 8.8% no). Major barrier responses from nursing staff for not implementing the practice were due to emergent situations (77.3%), not knowing where supplies are located (22.7%), not knowing how to perform the practice (22.7%), and not knowing the significance of implementation (18.2%).

Conclusion: The intervention of vaginal preparation has a strong significance in being a preventative practice that reduces SSIs after cesarean delivery. However, due to constraints of time further adjustments and observations must be made to evaluate the effectiveness.

Keywords: Vaginal preparation, cesarean section, cesarean procedure, cesarean delivery, labor and delivery, postpartum infections, maternal morbidity, post-cesarean infections, endometritis, surgical site infection, antiseptic solutions.

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