Reusable surgical instruments are subjected to a decontamination process. Which means they are cleaned, inspected, packaged, sterilized transported and stored after every use on a patient. The purpose of the packaging system is to keep the instruments sterile until they are used, and to allow them to be opened aseptically when they are used. The international standard ISO 11607-1 describes the requirements for sterile barrier systems (packaging), while the ISO 11607-2 standard describes validation of packaging processes. This standard is applicable to the medical industry, to health care facilities (hospitals, doctors and dentists).
Much has been written about the transition of OR lighting away from traditional incandescent technology to LED technology. By now, some of the advantages of LED roll off the tongue; less heat, longer life, better energy efficiency. But these advantages are just the beginning.
If the point of new technology is to provide better patient outcomes, only one of these often stated advantages, less heat, directly applies. LEDs radiate much less heat than incandescent bulbs, so the surgeon and staff are more comfortable important during long cases). And cooler light means less heat in the surgical field, reducing the risk of drying out exposed tissue. There are several other advantages of LED lighting, beyond reducing heat, that have direct clinical benefits.
Cleaning surgical instruments in an Automated Washer Disinfector:
Decontamination of a surgical instrument is a complex process that involves a number of steps and processes.
Cleaning is the first critical step of the process. If instruments are not cleaned they cannot be sterilised. Residual debris remaining on an instrument after cleaning will impede sterilization.
Healthcare workers in the operating room are exposed to radiation during a multitude of surgical procedures as visualisation may be required in orthopaedics, neurology, urology and cardiothoracic surgery. New technologies and techniques have allowed clinicians to perform complex diagnostic and interventional procedures. Exposure to radiation in the operating room often occurs during the taking of standard x-rays and during fluoroscopy, often incorporating the use of a C-arm. Read more
Medical devices/surgical instruments are used throughout the hospital to perform procedures on patients on a daily basis. These procedures are performed in theatre, the ward, maternity and doctors rooms. Contaminated devices need to be transported safely to the CSSD to be decontaminated. Contaminated devices should be transported in a manner that will ensure the safety of the staff and other patients. For this reason it is best to transport contaminated devices in closed, durable, and easy to decontaminate trolleys. It is not acceptable to transport contaminated items on open trolleys only covered with a piece of linen. Linen is not impermeable and will not contain pathogenic soils and microorganisms. Read more
A needle stick (NSI) injury can be defined as an accidental skin penetration wound caused by a suture needle or a hallow bore needle. A sharps injury (SI) is a skin penetrating wound caused by a sharp device like a scalpel, trocar, scissors, drill bit, broken glass or a saw blade. Blood and body fluid exposure occurs when a splash of these fluids comes into contact with skin or mucous membranes. Operating room nurses are continuously at risk for a needle stick or sharps injuries and blood or body fluid splashes as a result of the nature of the work they do. Read more
Traditional hip surgery involves making a 20-30 cm incision over the hip, the muscles are split or detached from the hip and the hip is dislocated. This is done so the surgeon can remove the ball joint and insert a metal implant into the femur.
Minimally invasive total hip replacement allows the surgeon to perform the hip replacement through one or two 10 cm incisions. The surgical procedure is similar but there is less dissection of the muscle and soft tissue. As a result the following benefits of minimally invasive total hip replacement have been reported: Read more
This year contaminated flexible endoscopes have reached the number one spot as the highest Health Technology Hazard, according to the 2016 ECRI institute’s Top 10 Health Technology Hazards report. Flexible scopes were fourth on the list in 2015 and sixth on the list in 2014.
In addition to this alarming news the FDA ordered Custom Ultrasonics to recall all of its endoscope reprocessors. The recall is the FDA’s latest move to reduce the spread of antibiotic-resistant bacteria via dirty endoscopes, particularly duodenoscopes. There have been at least six outbreaks (some of which resulted in patients dying) of multidrug-resistant bacteria associated duodenoscopes, even when the proper reprocessing instructions were followed. Read more
According to Mark Duro (AORN; 2016) we can improve our medical device reprocessing through education and audits. In September 2015 the CDC (Centres for Disease Control) and the FDA in America issued a health advisory urging hospitals to assess their medical device decontamination processes. The focus point of this advisory was to ensure that all staff that are reprocessing medical devices have been adequately trained in reprocessing. According to the CDC and the FDA staff should be trained when they are first employed, when new devices are purchased, when manufactures instruction are changed (as is the case with duodenoscopes) and they should have a refresher course annually. This training should be hands-on as all staff need to physically demonstrate they are able to decontaminate particular devices. Although it is critical that staff have theoretical knowledge (for example knowledge gained from the CSSD Foundation Course sponsored by SafMed) it is equally as important that staff demonstrate physical competencies. Read more
I found this blog on the website Caring for the Caregiver (see link below)
7 Strategies for Dealing With Negative People A guest Post by Jacqueline Whitmore
We know that dealing with negative colleagues can take its toll. Use these seven strategies to better deal with negative people in your life. Read more