Coronavirus Disease 2019 (COVID-19) is a global pandemic that led the United States to declare a national emergency and implement a ban on all elective diagnostic and therapeutic procedures, as well as elective surgery in inpatient and outpatient settings. On March 19, the Ambulatory Surgery Center Association (ASCA) released guidance…

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Editor's Note This study from Stanford University tests five methods for disinfecting N95 masks and finds that heating them preserves their filtration efficiency for 50 cycles of disinfection. In the study, instead of analyzing N95 masks, which were needed by healthcare workers, the researchers examined pieces of the fabric used…

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Editor's Note The Occupational Safety and Health Administration (OSHA) on April 24 issued interim guidance on the reuse and decontamination of N95 and other filtering-facepiece respirators during the COVID-19 pandemic. OSHA notes that the National Institute for Occupational Safety and Health (NIOSH) has identified research that suggests the following methods…

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Editor's Note In this study from BJC HealthCare and Washington University School of Medicine, St Louis, a multidisciplinary team that included surgeons created a new process for disinfecting and reusing N95 masks, using vaporized hydrogen peroxide. The process allows healthcare workers (HCW) to reuse masks up to 20 cycles, and…

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Editor's Note The Joint Commission on April 23 announced that it supports the Centers for Disease Control and Prevention’s new recommendations that healthcare facilities “. . . implement source control for everyone entering a healthcare facility (eg, healthcare personnel, patients, visitors), regardless of symptoms . . .” Source control involves…

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The COVID-19 pandemic has created unprecedented strains on hospitals and healthcare systems, leaving many organizations with limited resources to care for severely ill patients. States, regions, hospitals, and health systems have had to reassess their resources, identify bottlenecks, and develop strategies for increasing critical care capacity. Creating the critical care…

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OR nurses are being asked to serve in positions outside the operating room and experiencing changes in their schedules, and they are concerned about the uncertainty surrounding the COVID-19 pandemic. To support OR nurses during this time of crisis, AORN has been holding town hall Q&A webinars with infection preventionists,…

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The impact of COVID-19 has been devastating, especially for those who have lost loved ones or income due to sudden unemployment. For healthcare workers and emergency services providers, fear of contracting the disease is now a daily part of life. The virus has commanded exclusive coverage in OR a.m. for…

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The hazards of surgical smoke are well documented. As far back as 2004, AORN began publishing guidelines to reduce exposure to surgical smoke and aerosolized particles during operative and invasive procedures. These guidelines can also be adopted to help protect COVID-19 patients and frontline healthcare staff who are exposed to…

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Health systems nationwide are examining policies and procedures related to their resources, staffing, and scheduling to prepare for anticipated patient surges due to COVID-19. In late March, I talked with perioperative physicians and administrators from two health systems with rapid increases in COVID-positive cases, which have prompted significant changes in…

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