Surgical Instruments

Latest Issue of OR Manager
July 2018
Home Periop Nursing > Perioperative Practice > Surgical Instruments

A ‘cockpit checklist’ reduces defects in instrument sets

Checklists are a common safety strategy in the OR. Why not have a checklist for the sterile processing department (SPD)? A “cockpit checklist” has helped reduce defects in instrument sets at Virginia Mason Medical Center in Seattle, Washington, by serving as the final quality assurance audit before a set enters…

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By: OR Manager
April 1, 2013
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Have you taken steps to avoid the abuse of IUSS?

I have heard the following statement from OR personnel: “We use rigid sterilization containers and run a 270-275ºF (132-135ºC) prevacuum steam sterilization process in our OR. So we no longer use IUSS.” Is that an IUSS cycle? IUSS, or immediate-use steam sterilization, was formerly known as flash sterilization. This article…

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By: OR Manager
March 1, 2013
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Lumens and endoscopes: Meeting cleaning basics

Narrow-lumened instruments and endoscopes are one of your biggest reprocessing challenges. They have the highest risk of being improperly processed, notes Michelle J. Alfa, PhD, FCCM, a researcher in health care-associated infections. If the lumens and channels of endoscopes are not cleaned properly, high-level disinfection or sterilization may not be…

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By: OR Manager
August 1, 2012
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How to add more teeth to your loaner set policy

It’s one thing to have a policy on managing loaner instrument sets. But how do you put teeth in your policy so these sets can be reprocessed in time to provide safe care and comply with professional guidelines and regulatory requirements? Readers have asked how to get administrative support for…

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By: OR Manager
June 3, 2012
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Evaluating surgical instrument repair options

When its instrument repair contract was up for review last year, the University of Virginia (UVA) Medical Center decided to look at the bigger picture. Rather than evaluating vendors solely on price, it looked for a company that was willing to partner in meeting its goals. The evaluation of 6…

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By: OR Manager
April 7, 2012
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Tips on making the most of instrument repair

Here is some advice from experts on a program to ensure clean, functioning instruments.   Take a proactive approach Sharp, well maintained instruments are critical to patient safety, surgeon satisfaction, and smooth OR case flow. Kerrison rongeurs, for example, “should punch cleanly, not rip, tear, or pull,” says Rick Schultz,…

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By: OR Manager
April 6, 2012
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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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