Onus on OR managers to scope out competency of endoscopy staff
Recent highly publicized outbreaks of infections linked to improper reprocessing of flexible endoscopes have raised concerns about infection prevention in gastrointestinal endoscopy procedures. Because of the headlines, legislatures are hearing from their constituents that they are fearful of being exposed to infections, and legislatures are getting involved. The Society of…
For optimal OR design, play by the rules and get expert advice
Designing an OR suite involves detailed planning, knowledge of regulations, an interdisciplinary team, a laser focus on process, and even a little bit of luck. Keeping all the balls in the air requires a master juggler, and OR managers are uniquely suited for that role. Architects and planners use guidelines…
Using chemical sterilants and high-level disinfectants in health care facilities
The update of the Association for the Advancement of Medical Instrumentation American National Standard Chemical sterilization and high-level disinfection in health care facilities, ANSI/AAMI ST58:2013, is available for purchase and should become part of health care facilities’ evidence-based library. Below is a brief description of the contents of the recommended…
Guidelines addressing preoperative assessment of geriatric patients aim to enhance outcomes
The number of elderly people in the US is on the rise, and so is the number of older patients having surgery. However, while advances in technology and techniques may make surgery more feasible for those age 65 and older, ensuring successful outcomes for this cohort is challenging. Specific guidelines…
Key OR design, construction changes proposed
Key changes are being proposed in the OR design and construction guidelines that are used by the Joint Commission, federal agencies, and 42 states. OR leaders may wish to offer comments. Comments are accepted until November 22, 2012, on the draft 2014 Guidelines for Design and Construction of Health Care…
New consensus statement for cardiac cath labs
For the first time, cardiac catheterization laboratory personnel have a document defining best practices, including time-outs, infection prevention, and preprocedure checklists. The statement, from The Society for Cardiovascular Angiography and Interventions (SCAI), issued in March 2012, is the first to represent consensus on the operation of cath labs, the lead…
Updated AORN RPs for laser safety
Updated AORN recommendations on laser safety cover safe practices wherever lasers are used in the health care facility. The recommendations reflect the new ANSI Z136.3 Safe Use of Lasers in Health Care Facilities standard, expected shortly from the Laser Institute of America. AORN's revised "Recommended practices for laser safety in…
CMS updates anesthesia guidelines
An occasional column on accreditation expectations. The Centers for Medicare and Medicaid Services (CMS) on January 14, 2011, issued a Survey and Certification Memorandum revising the interpretive guidelines for anesthesia services. The American Society of Anesthesiologists (ASA) has been announcing the success of its dialog with CMS and has identified…
AORN RPs generate lively discussion
Proposed revisions to AORN recommended practices (RPs) on surgical attire and prevention of unplanned retained items (formerly counts) generated lively discussion at the AORN Congress in March in Denver—as they are likely to do in ORs across the country. The proposals were open for public comment on the AORN website,…
Are you up to speed on flash sterilization?
Flash sterilization is a fact of life in operating rooms—an item is dropped during a case, a surgeon brings a special instrument that needs to be sterilized, and so on. Professional organizations recommend keeping flash sterilization to a minimum. If it must be done, it must be done properly. The…
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