Perioperative pharmacology: antibiotic administration

Linda Wanzer1, Bradlee Goeckner, Rodney W Hicks

  • 1Perioperative Clinical Nurse Specialist Program, Uniformed Services University of Health Sciences, Graduate School of Nursing, Bethesda, MD, USA.

AORN Journal
|March 1, 2011
PubMed

Insights

Preventable medication errors in antibiotic administration during surgery are common. Enhancing perioperative nursing education and ensuring access to resources can improve safe antibiotic use and prevent surgical site infections.

Area of Science:

  • Anesthesiology
  • Nursing
  • Pharmacology

Background:

  • Accurate antibiotic administration is vital for perioperative patient care.
  • Pharmacologic aspects of antibiotics are frequently misunderstood, leading to errors.
  • Medication errors involving antimicrobials occur across the perioperative period.

Purpose of the Study:

  • To highlight the significance of accurate antibiotic administration in perioperative care.
  • To identify common medication errors associated with perioperative antimicrobial use.
  • To emphasize the role of perioperative nurses and managers in ensuring safe antibiotic practices.

Main Methods:

  • Review of common antimicrobial medication errors in the perioperative setting.
  • Discussion of strategies for perioperative nurses to enhance safe antibiotic administration.
  • Identification of resources available for improving perioperative antibiotic use.

Main Results:

  • Common errors include omitted/duplicate/incorrect doses and administration to allergic patients.
  • Perioperative nurses can improve safety through education and communication.
  • Access to standards, accurate information, and assistive technologies is crucial for managers.

Conclusions:

  • Improving perioperative antibiotic administration requires a multi-faceted approach.
  • Enhanced education, communication, and resource availability are key to reducing medication errors.
  • Adherence to guidelines and utilization of available tools support safe surgical site infection prevention.

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