Surgical Instruments

Latest Issue of OR Manager
February 2022
Home Periop Nursing > Perioperative Practice > Surgical Instruments

Techniques for using sterilization containers, case-by-case basis

Sterilization containers are used in many surgery departments. They offer many benefits, including providing an exceptional barrier to microorganisms, protecting instruments from damage, and eliminating torn wrappers. These benefits can only be realized if the sterilization containers are used properly, however. Guidance for the use of sterilization containers is given…

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By: Susan Klacik, BS, FCS, ACE, CHL, CIS, CRCST, AAMIf
January 20, 2022
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Quality monitoring for decontamination process

The foundation of sterilization is cleaning. How can we be sure that the mechanical cleaning equipment being used is producing clean medical devices? There are methods available to verify that the mechanical equipment used to clean medical devices is functioning appropriately. ANSI/AAMI ST79:2017 Comprehensive guide to steam sterilization and sterility…

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By: Susan Klacik, BS, FCS, ACE, CHL, CIS, CRCST, AAMIf
November 17, 2021
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Participate in survey on effects of COVID-19 on evacuation of surgical smoke

Editor's Note Please participate in an important nationwide perioperative survey on surgical smoke evacuation. The purpose of the research led by Brenda Ulmer MN, RN, CNOR, is to determine evacuation behaviors in hospitals before COVID-19, and then note changes as the virus continued to spread in the US. Ulmer and…

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By: Judy Mathias
November 10, 2021
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AORN to launch ‘Center of Excellence in Surgical Safety: Prevention of RSI’

Editor's Note AORN announced on August 15 that it will launch a new “Center of Excellence in Surgical Safety: Prevention of RSI.” Facilities will be recognized as Centers of Excellence for implementing a surgical team-based program to prevent retained surgical items (RSI). The complimentary program, sponsored by the AORN Foundation…

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By: Judy Mathias
August 16, 2021
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Researchers raise the alarm on splashing during reprocessing--Part 2

Part 1 of this two-part series discussed the splashes and the potential for exposure to pathogens that personnel face daily in sterile processing and endoscopy departments, as well as the current guidelines and strategies for reducing exposures (OR Manager, July 2021, pp 1, 9-11, 15). These risks were derived from…

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By: Judith M. Mathias, MA, RN
July 20, 2021
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New term clarifies instrument point-of-use treatment

What exactly is required to prepare instruments for transport to the decontamination room after a surgical procedure? Point-of-use cleaning, which may also be referred to as precleaning, has been used to describe instrument preparation at the point of use after a surgical procedure. But both point-of-use cleaning and precleaning have…

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By: Susan Klacik, BS, CRCST, ACE, CIS, FCS
July 20, 2021
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FDA: Class I recall of Medtronic angiographic guidewire

Editor's Note The Food and Drug Administration (FDA) on July 2 identified the recall by Medtronic Vascular of its angiographic guidewire component as Class I, the most serious. The recall was initiated because the devices were not sterilized before being shipped to hospitals. The guidewire is used during angiography or other interventional…

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By: Judy Mathias
July 6, 2021
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Researchers raise the alarm on splashing during reprocessing--Part 1

Does it really matter if surgical instruments are submerged in cleaning solution when technologists or nurses scrub them after a case? Is there a reason for the 3-foot separation between dirty and clean areas? Do germs stop at the red line? During the COVID-19 pandemic, much attention has been focused…

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By: Judith M. Mathias, MA, RN
June 22, 2021
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Risk of COVID-19 transmission via electrocautery plume

Editor's Note In this Canadian experimental study, SARS-CoV-2 was not detectable in aerosolized electrocautery plume generated from any of the conditions investigated. The researchers mimicked surgery by applying electrocautery at 25 W using three different methods (monopolar cut, monopolar coagulate, and bipolar electrocautery) for 1 minute on raw chicken breast.…

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By: Judy Mathias
May 24, 2021
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ANSI/AAMI ST79 amendments refine sterilization practices

Amendments have been added to the Association for the Advancement of Medical Instrumentation (AAMI) standard ANSI/AAMI ST79, Comprehensive Guide to Steam Sterilization and Sterility Assurance in Health Care Facilities. The standard, which is used in healthcare facilities to guide their sterilization processes, is considered a useful resource to promote best…

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By: Susan Klacik, BS, CRCST, ACE, CIS, FCS
May 19, 2021
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February 2022
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