Surgical Instruments

Latest Issue of OR Manager
December 2020
Home Periop Nursing > Perioperative Practice > Surgical Instruments

New recommendations issued for instrument care and cleaning

New recommendations developed from evidence-based research have been added to AORN’s Guideline for Care and Cleaning of Surgical Instruments. Several of these changes will have an impact on the quality of processing in sterile processing (SP) areas. This latest version, released on October 12, 2020, includes industry changes that have…

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By: Susan Klacik, BS, CRCST, ACE, CIS, FCS
November 17, 2020
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Timely delivery needed to ensure safety of loaned instruments

Imagine that during a total joint surgical procedure, debris comes out of a surgical instrument and lands directly inside a patient’s open wound. Although such a scenario is rare, when it does occur, it creates a major patient infection risk. Many standards and guidelines recommend best practices that can help…

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By: Susan Klacik, BS, CRCST, ACE, CIS, FCS
October 21, 2020
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Successful supply chain management in an ASC

With more technologically advanced procedures being performed in ambulatory surgery centers (ASCs), it’s increasingly important to monitor data on supplies and manage physician preferences for particular implants. Physicians don’t always realize that reimbursement is lower for many procedures performed in an ASC than in hospitals, and therefore they may not…

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By: Fawn Esser-Lipp, MBA, BSN, RN, CASC, CNOR
October 21, 2020
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Joint Commission releases sentinel event stats for first half of 2020

Editor's Note The Joint Commission on August 12 released its sentinel event statistics for the first half of 2020. From January 1 through June 30, the Joint Commission reviewed 437 sentinel events. The most frequently reported events were in the following categories: Care management, 165 Surgical or invasive procedures, 131…

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By: Judy Mathias
August 13, 2020
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Monitoring implant contracts can save millions of dollars

Orthopedic implants comprise a significant percentage of an OR’s costs, so effectively managing contracts for these items can help OR leaders in hospitals and ambulatory surgery centers (ASCs) bolster the bottom lines of their organizations. “The contract is your best mechanism to control the influx of non-anticipated items, resolve overcharges,…

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By: Cynthia Saver, MS, RN
July 22, 2020
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Different timetables, similar challenges seen in elective surgical caseloads

Resuming elective surgical procedures is critical for recovering revenue lost during the early phase of the COVID-19 pandemic and treating patients whose health may have been compromised while awaiting surgery. Timetables and protocols for resuming those procedures tend to differ by facility, but OR leaders nationwide feel that “we’re all…

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By: Elizabeth Wood
June 17, 2020
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Defining 'wants' vs 'needs' drives success of instrument standardization

Hospitals nationwide have thousands of unique instrument trays that take up valuable space on their shelves. Many trays are cluttered with rarely used instruments that are there “just in case.” The problem can be particularly acute in large health systems. Across Cleveland Clinic’s multiple locations in northeast Ohio, for example,…

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By: Judith M. Mathias, MA, RN
June 17, 2020
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Is your SPD ready for a post-COVID world?

While responding to demands of the COVID-19 pandemic, perioperative leaders are busy preparing staff and departments for life after the initial shock subsides. Chief among their preparations are strategies to address the glut of demand for surgery due to postponement of elective and nonessential surgical procedures. Naturally, many focus on…

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By: Derrick Bransby, MBA
June 17, 2020
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Readying your SPD for a post-COVID world

Editor's Note While responding to demands of the COVID-19 pandemic, perioperative leaders also are busy preparing staff and departments for life after the initial shock subsides. Chief among their preparations are strategies to address the increased demand for surgery because of postponement of elective and nonessential surgical procedures. The sterile…

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By: Judy Mathias
May 14, 2020
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Cost savings achieved through sharing equipment

It’s been said we live in a sharing economy: We share our homes through companies like Airbnb, and we share our cars through companies like Uber and Lyft. So it’s not surprising that organizations are now sharing equipment, including OR equipment, with positive results. For example, Kaiser Permanente Southern California…

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By: Cynthia Saver, MS, RN
May 12, 2020
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