Please refer to the Joint Commision for the most recent SCIP measures.

For questions about the website, please contact Satyen Tripathi

© 2018 Emory Healthcare


SCIP for Surgery

SCIP indicators are best practices to be followed for all surgical patients. Compliance with these Joint Commission and CMS sponsored measures is publicly reported.

Pre-Op
Inf-2
Appropriate prophylactic antibiotic selection for surgical procedures
VTE-1
Surgery patients with recommended venous thromboembolism prophylaxis (VTE) ordered
Perioperative
Inf-1
One hour prior - Prophylactic antibiotic given within one hour prior to surgical incision (two hours prior for vancomycin)
Inf-6
Appropriate hair removal from surgical area (NO shaving with razors)
Card-2
Patients on beta-blocker therapy prior to admission receive a beta-blocker during the peri-operative period (24 hours pre-op or intra-op). Per STS*, all cardiac surgical patients receive a beta blocker within 24 hours of first incision.
*STS = Society of Thoracic Surgeons
SCIP-10
Peri-operative Temperature Management - Documentation of active warming used intra-operatively OR at least one body temperature > 36ºC within 30 minutes prior to or 15 min after Anesthesia End Time
Post-Op: Day 1 and 2
Inf-3
Prophylactic antibiotics discontinued within 24 hours after surgery end time (48 hours for cardiac)
Inf-4
Cardiac surgery patients with controlled 6 a.m. post-op serum glucose
Card-2
Surgery patients on beta-blocker therapy prior to admission received a beta-blocker on POD1 or POD2
SCIP-9
Remove urinary catheter within 2 days of operation - or - document valid reasons for leaving in place.
VTE-2
Surgery patients receive appropriate VTE prophylaxis within 24 hours post-op

Prophylactic Antibiotic Regimens for Surgery

Pre-op order sets / PowerPlans contain detailed antibiotic options

CABG - Cardiac/Thoracic/Vasc
Normal
cefazolin - or - cefuroxime
MRSA risk
(vancomycin - or - clindamycin) usually with cephalosporin1
Allergy*
(vancomycin - or - clindamycin) ± gram negative coverage1
Hip/Knee Arthroplasty
Normal
cefazolin
MRSA risk
vancomycin - or - cefazolin1
Allergy*
(vancomycin - or - clindamycin) ± gentamicin1
Colon
Normal
cefoxitin - or - cefazolin with metronidazole
Allergy*
(vancomycin - or - clindamycin) ± gram negative coverage
Hysterectomy
Normal
cefazolin2 - or - ampicillin/sulbactam
Allergy*
clindamycin with gentamicin
Neuro (craniotomy)
Normal
cefazolin - or - naficillin
MRSA risk
vancomycin ± cefazolin1
Allergy*
vancomycin ± gentamicin1
Other procedures
See order sets / PowerPlans

* Serious allergic reactions to penicillins/cephalosproin include hives or other rash occurring within 24 hrs. of starting drug, angioedema, bronchospasm, anaphylaxis or exfoliative dermatitis.

1 If gram-negative pathogens are a concern, add a second agent, cefazolin for MRSA risk or, for beta-lactam allergy, a single dose of gentamicin or aztreonam. Use second agent routinely for cardiac/CABG cases.

2 If bowel entered or entry anticipated, add metronidazole.

© 2018 Emory Healthcare