Faster, safer brain drill used for first time in life-saving neurosurgery
Editor's Note A patient undergoing emergency neurosurgery at Northwestern Medicine became the first to benefit from a neurosurgical drill designed to eliminate the need for hand-crank operation. According to a March 5 report from Northwestern, the procedure occurred in October at Northwestern Memorial Hospital, “when Northwestern Medicine neurosurgeon Matthew Potts, MD used…
Why OR leaders should revisit sterile processing basics
Sterile Processing Department (SPD) managers and technicians know a thing or two about pressure. In a recent webinar covering sterile processing basics, Cori L. Ofstead, MSPH, president and CEO of Ofstead & Associates, Inc, and Abby Smart, MPH, research associate, cited the example of a 480-bed hospital that performed 13,650…
Managing immediate use steam sterilization
Immediate use steam sterilization (IUSS, a standard steam sterilization cycle with little to no dry time) is considered safe for patient care when the processes recommended in Association for the Advancement of Medical Instrumentation (AAMI) standards and AORN guidelines are followed. IUSS is a valuable option in an emergency. Lack…
AAMI: Time, temperature, humidity affecting cleanliness of instruments, medical devices
Editor's Note Researchers for a long time have expressed concern about how time and temperature might contribute to changes that affect the cleaning and sterilization of instruments. However, there have been few studies examining these claims. A September 2023 study in Biomedical Instrumentation and Technology from the Association for the…
AHA urges EPA to ensure proposed EtO standards don’t disrupt healthcare delivery
Editor's Note In a June 27 letter, the American Hospital Association (AHA) urged the Environmental Protection Agency (EPA) “to avoid disrupting healthcare delivery through the unintentional fracturing” of the medical device supply chain with its proposed ethylene oxide (EtO) standards. The EPA proposes: reducing EtO emissions by 80% adding new…
Tackling internal objections to single-use device reprocessing
Many healthcare professionals are aware of single-use device reprocessing and its benefits. According to the Association of Medical Device Reprocessors, the savings generated by such programs can strengthen a facility’s financial sustainability and help provide a path for more responsible environmental stewardship. Sometimes, ambulatory surgery centers (ASCs) may experience situations…
A team approach to reducing instrumentation, costs during the age of COVID-19
ORs rebounding from the financial impact of COVID-19 are looking for ways to reduce expenses. With rising costs coming from all angles of the economy, some have adopted systemwide processes to reduce, streamline, and improve surgical instrumentation sets. Two major health systems, the Cleveland Clinic and Thomas Jefferson University Hospital…
Effective orientation vital for a sustainable workforce: Part 2
Orientation is the backbone of a sustainable workforce. Part 2 of OR Manager’s two-part series focuses on the orientation of experienced and per diem nurses, social onboarding, and how the pandemic has affected orientation, post-orientation efforts, and evaluation. Experienced nurses Experienced OR nurses are typically placed on the fast…
Tracking orientation, competencies, and skillsets in the OR—Military style
GENERAL Disclaimer: The views expressed in this article are those of the author(s) and do not necessarily reflect the official policy of the Department of Defense or the US Government. Developing OR nurses for the future is a goal of all OR managers. Orientation programs can vary depending on the…
FDA: Reprocessing changes for certain Karl Storz urological endoscopes
Editor's Note The Food and Drug Administration (FDA) on April 4 issued a letter to healthcare providers and users saying the agency is aware that current reprocessing instructions for certain urological endoscopes manufactured by Karl Storz are inadequate and are being updated by the company. In the letter, the FDA…
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