To complete this SafMed Express E-Learning Module simply click on the above link to access the article. Once you have read and studied the article click on the below test link and answer all the questions.
Our previous Express Learning referred to the three variables in positioning for surgery, which are the patient, the procedure, and the tools.
During this session we will delve into more detail around Patient considerations needed to prevent injury to the patient, during positioning.
Don’t forget to fill in your name and e-mail address on the test so we can send you your certificate of completion once you have passed the test!
Man’s earliest attempt to provide lighting for tasks began in prehistoric times with the use of fire for illumination. From burning pine knots to lighting walking paths to using a wick in a Grecian lamp, the technology of illumination progressed slowly. After many injuries and accidents with oil and gas lamps, Thomas Alva Edison developed the first practical incandescent lamp in 1879. Since then, lighting technology using artificial light sources has steadily improved.
Maintaining Sterility During Transport and Storage
Utmost care is taken in the CSSD to clean, check, assemble, pack and sterilize instruments sets, bowl packs, gown packs and linen. It is essential that these items are then transported and stored in such a manner as to maintain sterility. According to Nancy Chobin, sterility maintenance is directly affected by packaging materials, storage methods and conditions, handling practices, and methods of distribution.1
KEN has developed KEN NetCom, an innovative, network-based software that ensures easy and reliable communication between users and technical staff with the machines to which the system is selected. KEN NetCom appears as a website on the online PCs and therefore software must not be installed on the department or institution’s own PCs.
KEN XML Connect
Another option is to get the machine to deliver a continuous data stream to a larger system. More and more large hospitals invest in quality assurance systems where data is gathered from many different types of machines. These machine types can be washing machines, autoclaves, x-ray equipment, scanners, dishwashers, etc.
Such a system, typically consisting of one or more computers connected to a large server, is a solution that accommodates the user’s interest in presenting all the collected data in a particular way. Therefore, KEN has chosen XML standard communication for these major systems.
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.
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
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