Date of Graduation

Winter 12-11-2015

Document Access

Project/Capstone - Global access

Degree Name

Master of Science in Nursing (MSN)


School of Nursing and Health Professions

First Advisor

Elena Capella



The Clinical Nurse Leader project took place at a 106-bed community hospital in Washington. The microsystem has five operating rooms where they provide outpatient, and inpatient surgical procedures. The goal of this project is to reduce and sustain a near zero number of surgical site infections by implementing the use of a no rinse 2% CHG cloth in the surgical patient. The specific aim of the project is to reduce the rate of SSIs by 80% by December 31st, 2015. Due to a lack of a standardized care, specifically designed for the prevention of SSIs, the microsystem is experiencing a higher rate of SSIs than desired. Methods utilized in this project were data of the current SSI rates for fiscal year 2015, and unit assessment. The data revealed that the microsystem had incurred a total of 12 SSIs, which cost a total of $249,420 to treat. The cost of implementation of the 2% CHG cloth annually is $12,168. The pre-intervention results found variations in preoperative skin preparation, and a lack of compliance. Interventions included the standardization of preoperative skin process, developing education for staff and patients, and determining how product would be dispersed to patients. The specific aim goals will not be actualized until data analysis is completed on December 31st, 2015.