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Despite the name, posts by the Secret Surveillance Blogger (SSB) are about surgical site infection surveillance (not about someone undertaking secret surveillance, sorry).  Whether you are new to surveillance or reminiscing about those heady 'surveillance startup' times, we hope you will identify with SSB.

 

SSB posts are for entertainment and reflection for colleagues undertaking surveillance duties and do not represent the Cardiac SSI Network.

 

If you would like to post a comment on your surveillance experience, please use the ONLINE FORUM on the menu bar.

The Secret SSI Surveillance Blog

November 30, 2019

Working in surveillance, it is hard not to develop a strong view on patient underwear. 

Pants? I am pro-pants. As hospital gowns are increasingly styled to cover the derriere, I still think pants (including disposable ones) are practical step to reducing the risk of Gram-negative bacteria in surgical wounds. 

And a bra? Yes, for ladies, a bra postop,...

March 21, 2018

When I first started with surveillance, I felt an inordinate amount of pressure to never miss an SSI. As a result, I have binder after binder with notes of wound reviews and thousands of patient labels as testament that not only did I see the wound, but that I also reviewed the relevant medical notes.  I rarely took more than four days off at a tim...

February 16, 2018

When I first became a cardiac surveillance nurse, I learnt the obvious quickly: hospital gowns are the bane of efficient wound reviews. 

Let me begin by saying I am all for #endPJparalyis. But before this terrific campaign started, and anyway for the early post-operative days, I feel for the cardiac patient. I wouldn't want to wear anything other th...

February 11, 2018

For too long, orthopaedic surgery has been the belle of the UK surveillance world. But outside of mandatory surveillance, cardiac surveillance is where it is really happening.  Innovation in reducing SSI?  Endoscopic vein harvest, minimally invasive approaches, internal fixation systems, external sternal supports, surgical bras, digital pictures of...

February 4, 2018

A good snapshot audit is a thing of beauty.

An easy, practice-level check that things are ticking along nicely in SSI prevention.  A fast review of what's happening as measured against your local guideline, standard operating procedure or policy. Take Patient Preparation/Hair removal element: Hair removed with clippers? Tick. Area sufficiently clipp...

January 27, 2018

Like managing the data, determining what was and what wasn't a SSI was also strangely difficult. Armed with definitions and classifications from the Health Protection Agency (HPA) (now Public Health England), I would set out on the units and wards, visiting every patient and examining every chest, leg and radial wound that there was to see. In thos...

January 15, 2018

1st Stage: "The data are wrong."
2nd Stage: "The data are right, but it is not a problem."
3rd Stage:  "The data are right. There is a problem, but it is not my problem."
4th Stage:  "The data are right. There is a problem, and it is my problem."

Source: Institute for Healthcare Improvement

I remember back in the beginning, when I was first seconded...

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If you think you may know who SSB is, please keep it to yourself (but if you do run into SSB, you can buy them a drink, and serve it with a cheeky wink so that they know, that you know...)