Surgical Instruments

Latest Issue of OR Manager
December 2017
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Scanner detects lost OR instruments

Earnest Peachy, a perioperative tech, and Shandlee Woodward, a student nurse intern, are removing a trash bag from the scanner. Safety checklists are not the only concept the operating room has gleaned from aviation. Ten years ago, the 26-room OR suite at the Ohio State University (OSU) Medical Center in…

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By: OR Manager
September 1, 2010
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Lean project helps to revitalize an SPD

Missing instruments and supplies can be one of the OR's biggest frustrations. Chasing down instruments or retrieving items during a case wastes time, irritates surgeons, and prolongs the patient's time under anesthesia. At Exempla Good Samaritan Medical Center in Lafayette, Colorado, chronic problems had eaten away at morale. "We wanted…

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By: Pat Patterson
March 1, 2010
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Preventing retained surgical item: What role does technology play?

A patient needs major surgery to remove 5 laparotomy sponges left behind during a previous case. The investigation finds that during an exploratory laparotomy, the circulating nurse introduced a 5-pack of sponges into the sterile field but did not enter the count on the worksheet or white board. Relief staff…

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By: Pat Patterson
November 1, 2009
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Heavy instrument sets shed pounds

Narance, right, reviews the inventory list for a reorganized set with employee Eric Johnson. Amajor orthopedic case can take 30 instrument trays, some weighing as much as 40 pounds. A Bookwalter retractor alone is over 25 pounds. Hysterectomy sets can top 30 pounds. Day after day, OR and central service…

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By: OR Manager
February 1, 2008
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Counts off in 1 in 8 general surgery cases

Surgical count discrepancies occur surprisingly often, in about 1 in 8 general surgery cases in a new study. The counts took an average of 13 minutes to resolve. In 60% of cases, the discrepancy was a misplaced item, such as a sponge on the floor or in the trash. The…

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By: OR Manager
December 1, 2007
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Benchmarking GI endoscope data

With the attention focused on best practices, evidence-based care, and similar measurements, it is no surprise that the endoscope care questions I'm asked most often revolve around my experiences with other hospitals, endoscopy centers, and office endoscopy practices. What is the average age of GI scopes at other facilities? Is…

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By: Nancy Vacante, RN, BS
November 1, 2007
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Is it time to add instrument tracking?

ORs probably have as much money tied up in their instrument inventory as in surgical supplies, from $1 million to $5 million. Yet automation for instrument tracking is much less common than other materials management technologies. (See related article.) The need for keeping track of your instrument dollars is "similar…

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By: OR Manager
August 1, 2007
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New weight limit for instrument sets

Anew standard for the first time sets a weight limit of 25 pounds for rigid sterilization containers and their contents. In recent years, orthopedic and neurosurgery loaner sets, in particular, have gotten bigger and heavier, causing strain for the staff. There are also concerns about whether these big sets can…

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By: OR Manager
May 1, 2007
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A quest for a perfect OR inventory

Top: Steve Stout, OR business manager, and his staff reorganized the $1.5 million inventory of orthopedic plates and screws. Bottom: Have-available bins provide for just-in-case supplies. Aperfect OR inventory—that's the goal of the OR business management staff at Poudre Valley Hospital in Fort Collins, Colo. They've come a long way.…

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By: OR Manager
May 1, 2007
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Number of retained objects falls after count practices reinforced

The number of items unintentionally left behind after surgery remained at zero for the second full year after counting practices were reinforced at the University of Minnesota Medical Center (UMMC) in Minneapolis. In contrast, 8 such incidents were reported in the year and a half before the project. In Minnesota,…

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By: OR Manager
April 1, 2007
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