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The CleanCision is a device that combines a retractor with infection control mechanisms with the aim to prevent surgical site infections. Surgical wound infection is a common, dangerous, and costly complication. CleanCision was designed by surgeons and infection control experts to reduce the rate of surgical wound contamination and better the outcomes for patients. The CleanCision system is made of a waterproof material that protects the surgical wounds by covering them and the surrounding tissues, while providing irrigation and suction along the edge of the wound.

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The device is placed into the wound and pulled apart in an intuitive fashion, opening like a flower. The expanding wheel-like device opens and holds the wound retracted for easy access and prevent hands or instruments from touching the incision. The irrigation liquid of choice by the clinical staff is pumped through the CleanCision system to help wash the bacteria that may be present on the wound, therefore preventing infections.

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The CleanCision has a porous layer that touches the skin so that irrigation fluid can be delivered in and out, and a protective outer layer that does not let liquids through. The use of CleanCision was initially focused on abdominal surgery and particularly colorectal surgery which has the highest risk of surgical site contamination. Since the invention of this device 61% reduction in surgical site infections and 66% in reduction of contamination have been reported (medgadget, 2017).

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Pros

CleanCision is the first in class, advanced irrigating wound protection devices to provide self-retaining wound retraction

Provides continuous wound edge protection, and intraoperative wound edge irrigation

Provides protective seal to the surrounding wound tissues

CleanCision system provides reduction in surgical wound contamination

It gives the surgical team more control over the surgical site

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Cons

Implementation among surgical teams might be difficult due to lack of readiness for change

“Although it’s too early to tell how significantly the device can reduce SSIs, Dr. Papaconstantinou has yet to find a downside” (Stern, 2016)

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I think investing on a device like CleanCision will be of great benefits to both patients and the organization. CleanCision use will improve the reduction of surgical wound contamination, surgical sites infections which ultimately improve the patients’ outcomes and recovery with short hospital stay and indirectly improve the organization’s revenue.

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Surgical sites infections (SSIs) remains one the most prevalent and serious problem associated with colorectal surgery due to bacterial contamination at the surgical sites (Papaconstantinou et al. (2018). Advanced Tissue (2016) documented that SSIs infect up to 300,000 people per year and this places a large financial burden on the health care system. These can result in patients delay recovery, prolong hospital stay and increase cost.

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My strengths are empathy, consistency, learner, responsibility and intellection

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For effective implementation of the project, I will include the following individuals in my team.
Angelica – chosen because of her analytical ability. She will be able to logically and intellectually assess the causes, rates of surgical sites infections and project the positive effects of the use of CleanCision in decreasing wound contamination and infection.
Carter – chosen because of his communication skills. Carter will assist in putting together the proposed plan and present it to the leaders of the organization for approval.

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Andrew – An activator. Andrew’s fearless attitude will assist in following up with the proposed ideas and ensure that appropriate decisions are made.

Amelia – Chosen because of her adaptability. Amelia is flexible ability and comfortable in times of change will motivate others in the team to accept the changes.
Randall – Chosen because of his responsibility characteristics. Randall has the trusted and committed ability to follow through with the implementation and execution of the task and ensures that the proposed outcomes were achieved.

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CleanCision - Maintaining a Healthy Incision

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CleanCision is a first-in-class, advanced technology system that is used during surgery to fight and defend against the most pervasive sources of infection to maintain a healthy surgical incision

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Advanced Tissue (2016). New device prevents surgical site infections. Wound infections.
Retrieved from https://www.advancedtissue.com/2016/10/new-device-prevents-surgical-           infections/
Medgadget (2017). CleanCision system FDA cleared to retract and protect abdominal surgical wounds.
Retrieved from https://www.medgadget.com

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Papaconstantinou, H.T., Ricciardi, R., Margolin, D.A., Bergamaschi, R., Moesinger, R.C., Lichliter, W.E & Birnbaum, E.H., (2018). A novel wound retractor combining continuous irrigation and barrier protection reduce incisional contamination in colorectal surgery. World Journal of Surgery, pp 1-8. doi: 10.1007/s00268-018-4568-z

Stern, V. (2016). Device Shows Promise in Preventing Surgical Site Infections. General Surgery  News. Retrieved from   https://www.generalsurgerynews.com/Article/PrintArticle?articleID=37826