In this edition of the eBulletin the team have put together some tips to help with frequently found errors when entering data. First up we take a look at some common inaccuracies found when entering data for a haemodialysis event as well as surgical antibiotic prophylaxis. Look out for more tips on other modules in future eBulletins.
Be careful to enter the central lines correctly. Most central lines in the haemodialysis outpatient are tunnelled. It is rare to have a non-tunnelled central line, e.g. vascath, in the outpatient. If you are unsure please contact VICNISS.
Differentiate and accurately record antibiotics given as surgical prophylaxis (SAP or Prophylaxis) or given for treatment of infection (Treatment).
What is the difference between antibiotics given for prophylaxis or treatment?
Prophylactic antibiotics are administered with intent of preventing infections at the surgical site and usually given just prior to surgery. Sometimes if the surgery is delayed or for antibiotics that have a long half-life (such as IV vancomycin), prophylactic antibiotics can be started 1-2 hours prior to procedure.
Treatment antibiotics are usually started some time (sometimes days before) prior to the procedure. They are also sometimes redosed (especially if they are due to be given anyway) or commenced by the anaesthetist (e.g., in emergency procedures). Antibiotics given as part of ‘Treatment’ should not be recorded as SAP even if dose is given within 1 hour of surgery. There is a separate section on the web form to document non-SAP/treatment antibiotics received in the 24 hours of surgery.
Why is it important to capture antibiotic in the correct part of the form
Both SAP & Non-SAP antibiotics are considered in assessment of SAP compliance – choice, dose, timing & duration.
Here is an example where capture of antibiotic in the “Prophylaxis” or “Treatment” table is important
Mr RJ underwent hip prosthesis implantation on 5 August 2021 at 0900.