STEP 3: SURGICAL DECOLONIZATION:
HEART INSTITUTE CASES ONLY:
Scheduled Procedure
CBC
(no diff
unless
noted)
CMP TSH
PT/PTT
(with
protime
INR)
ABO Rh A1c ECG
Urine
(w/culture if
indicated)
MRSA
Swab
Chest
X-ray
Beta
HCG
COVID-19 PCR
Transcatheter Aortic Valve
Replacement (TAVR)
CBC (with diff) X X X within 1 w X X within 2 w
All Cardiovascular Operating
Room (CVOR) cases
X X X X X
within 90 d of
surgery
X X X within 1 m
required
for all
female
patients
between
10-55
years old
Laser Lead Extraction (LLE) X X X X X X X within 1 m
Version history: Published to Teams - 09/28/2022
COVID-19 PCR testing is
required for all ADULT and
PEDIATRIC scheduled cases
within 3 days before non-
emergent/non-urgent
surgeries & aerosol
generating procedures,
unless patient has tested
positive in the 90 days
prior to surgery. IF DELAY
OF PROCEDURE MAY
CAUSE HARM, DO NOT
DELAY FOR TESTING.
Povidone Iodine allergy
Large Joint Arthroplasty
Large Joint Revision
Orthopedic surgeries with implants
(including fracture hardware)
Spinal Surgery
Neuro Surgery
MRSA wihin 30 d of surgery
MRSA & MSSA within 30 d of
surgery
None
HEART
INSTITUTE
CASES
Planned Procedure
No hx of MRSA in last 5 years
History of MRSA in the
past 5 years
For MRSA / MSSA Swab guidance, please
refer to the surgical decolonization policy in
PolicyStat (click this link).
No allergy to
povidone iodine
Modified COVID testing; approved by regional surgery leadership
09/15/2022; layout modified to improve usability
