Surgical Caps (Surgeon's Cap or Skull Cap) vs. Bouffants CMS JCAHO TJC AORN

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One surgeon's plight for the hospital to keep supplying the disposable surgeon's cap for operating room use. Centers for Medicare & Medicaid Services (CMS) backed by The Joint Commission (TJC or JCAHO) and the Association of Operating Room Nurses (AORN) has declared that the skull cap could be worn no longer. Only disposable bouffant caps provided by the hospital would be acceptable attire. The rollout of this new surgical hat policy offered no scientific evidence to justify the decree.

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15 окт 2024

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Комментарии : 12

@melinawilx 9 лет назад

I work in a veterinary hospital as a technician for both our surgical & internal medicine departments. It is difficult to get all my hair into a bouffant alone because my hair is super thick, curly & medium-length. All the baby hairs at my neck always hang out of the bouffant. If I pull the bouffant back to cover it, my hairline at my forehead becomes exposed ~1". Simple fix: I wear a surgical cap with a bouffant over it, exactly as was demonstrated at the very end of the video. My hair stays 100% secured this way, for any amount of time I need with no adjustments.

@mman004 10 лет назад

Why are people who are not actively performing surgeries or ultimately in charge of patients in the OR setting making all the decisions? I think its horrible that assistants are making all the major decisions for the leaders. CMS,TJC JCAHO, AORN should not be making decisions for the surgeon. Decisions about the OR should only come from surgeons! Until I see some unbiased data showing that bouffants lower post-surgical infection rates when compared to surgical caps then should changes be made!

@Lisa-gh3rr 9 лет назад

The AORN Guideline only says: A clean surgical head cover or hood that confines all hair and completely covers the ears, scalp skin, sideburns, and nape of the neck should be worn. So your solution is perfectly acceptable.

@laurashope9387 10 лет назад

i did have a thought … Is there a disposable cover available for the headlights ???

@MrJuen007 10 лет назад

It would be foolish to go through all that trouble. Just put the disposable surgical caps (skull caps) back on the shelf. It is no trouble to wear the bouffant over the skull caps.

@edo1123 10 лет назад

I can definitely get behind wearing skull caps for forehead protection and comfort. However, since all the hair has to be covered it would need to be in concert with the bouffant. The only issue I see is with compliance. The reason skull caps are being removed from ORs is because they do not cover all the hair and because they are not worn with the bouffant.

@MrJuen007 10 лет назад

It is easy to make a hospital policy for bouffants to be worn over the skull caps, if the surgeon chooses to wear a skull cap. It would be that easy. Make the policy clear and enforce it: "Must wear a bouffant even if you have the skull cap on." The operating across the United States needs to supply the skull caps in addition to the bouffants, so surgeons can wear both, for those who wish to use the skull caps, especially for those who choose to protect their forehead from head gear. If you were to allow personalized (washable fabric) skull caps to be worn under the bouffants, that would be worse than having disposable skull caps available. Rarely do people wash personalized skull caps daily or frequently. It is common sense to supply the disposable, single-use skull caps in the operating room, rather than allowing people to wear personalized head garments under the bouffants.

@tmoore121 10 лет назад

Mr. You and me Not to mention that we've no evidence that bouffant caps actually decrease the incidence of hair shedding considering that the elastic band is looser than most people tie their scrub caps and that the bouffants move a lot more than scrub caps, allowing for whatever it is we're supposedly shedding to fall out. Furthermore, it's sort of ridiculous that those of us who aren't sterile in the OR are supposed to wear these as well. The odds of my hair making it from the head of the bed, over the drapes, and into the surgical site causing an SSI seem extremely low. This is before even beginning to consider that I'm wearing V-neck scrubs with no undershirt (OMG home-laundered!), so that my chest hair just pokes out of the top as well. And arm hair. So I suppose the next mandate will be for cleanly waxed chests and long-sleeve scrub jackets. Which we all know that the elastic bands around the wrists are definitely not fomites. /sarcasm. This is all nonsense, pure and simple. So there are a couple case-reports of SSI's related to hair/skin in the OR, so now lets switch to a completely unvalidated head covering based on a couple case reports. If we did this with anything else we'd be laughed out of the science community.