In addition to the proper use of prophylactic antibiotics and good surgical technique, other factors under the control of the operative team have been demonstrated to affect significantly the risk of SSI. These other factors include avoiding shaving the operative site. This preventive measure provides opportunities for improvement in most hospitals.

Changes for Improvement

• Remove all razors from operating room and supply area
• Perform hair removal when necessary with clippers right before surgery
• Establish protocol for when and how to remove hair in affected areas
• Provide patient education and materials on appropriate hair removal techniques to prevent shaving at home 
• Avoid shaving heart surgery patients for EKG conducted shortly before surgery