Tag: Infection Prevention

CMS replaces flash sterilization with IUSS

The Centers for Medicare & Medicaid Services (CMS) has replaced the term “flash sterilization” with “immediate use steam sterilization” (IUSS) in surgical settings. The change in terminology, which applies to Medicare-participating hospitals, critical access hospitals, and ambulatory surgical centers that are subject to Conditions of Participation or Conditions of Coverage,…

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By: OR Manager
December 16, 2014
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Reusable protective eyewear tied to greater risk of contamination

Protective eyewear is supposed to prevent infectious materials from reaching the eyes of OR staff, but recent research has revealed a link between reusable protective eyewear and an increased risk of cross contamination and infection. “We found that the protective eyewear itself can be a causal factor in ongoing contamination,”…

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By: OR Manager
December 16, 2014
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Former OR Manager of the Year directs team at Nebraska biocontainment unit

Two OR nurses are part of a diverse team that cares for Ebola patients at the Nebraska Biocontainment Patient Care Unit in Omaha, and the team’s nursing director is Shelly Schwedhelm, MSN, RN, a former OR Manager of the Year. “I chose OR nurses to be on the team because…

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By: OR Manager
November 17, 2014
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Consider a wider range of potential complications to improve patient safety

Reducing preventable complications is a high priority, especially in light of readmission penalties. A recent data analysis by Premier, Inc, has identified 86 high-impact potential inpatient complications (PICs) associated with increased inpatient mortality, costs, and length of stay (LOS). In their study of 530 inpatient facilities, Premier, a healthcare performance…

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By: OR Manager
September 22, 2014
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Environmental cleaning in sterile processing areas

Thorough environmental cleaning limits the number of microorganisms that can be transferred to the patient and the healthcare provider, thus helping to prevent healthcare-associated infections. A team consisting of perioperative nursing, sterile processing, environmental services, and infection prevention staff needs to be established to develop cleaning procedures for all areas…

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By: OR Manager
August 15, 2014
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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…

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By: OR Manager
June 16, 2014
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Don't err on air pressure: Joint Commission is watching

Moving quickly up the ranks of the top 10 most frequently scored standards for Joint Commission accreditation is EC.02.05.01. At the end of 2012, this standard was just barely in tenth place, with 34% of hospitals noncompliant. By the first half of 2013, it had moved to fourth place and…

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By: OR Manager
June 16, 2014
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OR traffic data demonstrate need to reduce door openings

Although limiting OR traffic can help reduce surgical site infections (SSIs), doing so can be a challenge in a busy OR. Two hospitals recently completed projects that successfully reduced traffic. At the University of Iowa Hospitals and Clinics (UIHC) in Iowa City, a guideline for limiting door openings significantly reduced…

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By: OR Manager
June 16, 2014
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A risk analysis of the steam sterilization process can improve patient safety

The steam sterilization process is complex and includes a number of important steps: decontamination, preparation and packaging, sterilization, quality control, sterile storage, and product distribution. The effectiveness of this process cannot be determined by inspection or testing of each product, and because sterility assurance is a probability function, it must…

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By: OR Manager
May 12, 2014
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Are you correctly using rigid sterilization containers for IUSS?

Although immediate-use steam sterilization (IUSS) is a safe method to sterilize emergently contaminated instruments, inappropriate use may lead to an increased risk for surgical site infection, according to a study in the American Journal of Infection Control. This study stated the only acceptable indicator for use of IUSS based on…

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By: OR Manager
February 20, 2014
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