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<p class="MsoNormal"><b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif">Attention Inpatient Orthopedic & Neurosurgery Providers<o:p></o:p></span></b></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#A20000">Effective Wednesday November 19, 2025:
</span></b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:black">in effort to reduce / eliminate surgical site infections a new preoperative workup order is available in Epic for neurosurgery and orthopedics. The
<b>Orthopedic Neurosurgery Spine Fusion Infection Prevention Bundle</b> order set is available from Prep for Surgery, as well as in other ordering activities.
<o:p></o:p></span></p>
<p class="MsoNormal" style="margin-top:2.0pt;line-height:105%;page-break-after:avoid">
<u><span style="font-family:"Calibri",sans-serif;color:purple;mso-ligatures:none">Updated Content<o:p></o:p></span></u></p>
<ul style="margin-top:0in" type="disc">
<li class="MsoNormal" style="line-height:105%;mso-list:l1 level1 lfo3"><span style="font-size:11.0pt;line-height:105%;font-family:"Calibri",sans-serif;color:black;background:white;mso-ligatures:none">HbA1c lab measurement with intraoperative glucose checks
when abnormal. </span><span style="font-size:11.0pt;line-height:105%;font-family:"Calibri",sans-serif;background:white;mso-ligatures:none"><o:p></o:p></span></li><li class="MsoNormal" style="line-height:105%;mso-list:l1 level1 lfo3"><span style="font-size:11.0pt;line-height:105%;font-family:"Calibri",sans-serif;color:black;background:white;mso-ligatures:none">MRSA nares assay with perioperative antibiotic coverage if
positive.</span><span style="font-size:11.0pt;line-height:105%;font-family:"Calibri",sans-serif;background:white;mso-ligatures:none"><o:p></o:p></span></li><li class="MsoNormal" style="line-height:105%;mso-list:l1 level1 lfo3"><span style="font-size:11.0pt;line-height:105%;font-family:"Calibri",sans-serif;color:black;background:white;mso-ligatures:none">CHG wipes for all patients prior to surgery.</span><span style="font-size:11.0pt;line-height:105%;font-family:"Calibri",sans-serif;background:white;mso-ligatures:none"><o:p></o:p></span></li><li class="MsoNormal" style="color:black;line-height:105%;mso-list:l1 level1 lfo3">
<span style="font-size:11.0pt;line-height:105%;font-family:"Calibri",sans-serif;background:white;mso-ligatures:none">Redosing of antibiotics during surgery, as appropriate for BMI.</span><span style="font-size:11.0pt;line-height:105%;font-family:"Calibri",sans-serif;mso-ligatures:none"><o:p></o:p></span></li></ul>
<p class="MsoNormal" style="margin-left:.25in"><span style="font-family:"Calibri",sans-serif;color:black"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:black">To review details, click the link:
</span><b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#0070C0"><a href="https://www.upstate.edu/training/intra/epic/documents/ortho_neuro_spine_fusion_infection_prevention_bundle.pdf"><span style="color:#0070C0">Orthopedic Neurosurgery
Spine Fusion Infection Prevention Bundle</span></a></span></b><span style="font-size:11.0pt;font-family:"Calibri",sans-serif;color:#0070C0"><o:p></o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt;font-family:"Calibri",sans-serif"><o:p> </o:p></span></p>
<p class="MsoNormal"><span style="font-size:11.0pt">Thank you,<o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
<p class="MsoNormal"><span style="mso-ligatures:none"><img border="0" width="425" height="133" style="width:4.427in;height:1.3854in" id="Picture_x0020_1" src="cid:image001.png@01DC5936.45ECDFD0"><o:p></o:p></span></p>
<p class="MsoNormal"><o:p> </o:p></p>
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