Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.
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4 2 O U T P AT I E N T S U R G E R Y M A G A Z I N E O N L I N E | F E B R U A R Y 2 0 1 4 Leaders and staff need to work together to minimize distractions and multitasking while the surgical count is being performed. Using tech- nology to assist in identifying and counting sponges, laps and other items should be implemented to supplement the manual count proce- dure. Count policies and procedures should be examined and revised to reflect the AORN Recommended Practices as the standard used in every OR. Leaders should provide education and set expectations to include every member of the perioperative team. 2 Pressure ulcers. I refer to pressure ulcers as a hidden adverse event in an outpatient surgical facility, because we sel- dom witness or are informed of a pressure ulcer resulting from a surgical procedure in our centers. But they're out there. Of the more than 1 million patients who acquired a pressure ulcer in 2011, one- fourth acquired them in the perioperative setting, according to an arti- cle in Ostomy Wound Management. The most common area for a pressure ulcer? The heel. Preventing pressure ulcers begins with knowing the pathophysiol- ogy of a pressure ulcer and the risk factors that could result in one. Your nurses must know how to use positioning devices appropriate- ly to disperse pressure points, thus decreasing the risk for a pres- sure ulcer. Be sure your team has the appropriate positioning devices to use. Test and document competencies of every periopera- tive nurse during orientation and at least once annually thereafter. Inspect the positioning devices before each use to confirm the device is not compromised. Nurses must also know how to transfer a patient from the stretcher to the OR table and the OR table to the stretcher to avoid skin shearing. The literature states that centers per- forming surgery on patients greater than 157 pounds should have transfer devices available in every OR. Surgery's 2 most common posi- C O M P L I C A T I O N S www.xenex.com | 800-553-0069 1. e eÄect of portable pulsed xenon ultraviolet light aÅer terminal cleaning on hospital-associated Clostridium diÉcile infection in a community hospital by Joanne Levin, Linda S. Riley, Christine Parrish, Daniel English, Sehoon Ahn; AJIC : American Journal of Infection Control 20 May 2013 (10.1016/j.ajic.2013.02.010). http://www.ajicjournal.org/article/S0196-6553(13)00249-6/abstract 2. Simmons S, Morgan M, Hopkin T, Helsabeck K, Stachowiak J, Stibich M. Impact of a multi-hospital intervention utilizing screening, hand hygiene education and pulsed xenon ultraviolet (PX-UV) on the rate of hospital associated meticillin resistant Staphylococcus aureus infection. JIP: Journal of Infection Prevention 1757177413490813, !rst published on June 5, 2013 as doi:10.1177/1757177413490813. http:// bji.sagepub.com/content/early/2013/06/05/1757177413490813.abstract 3. Stibich M, Stachowiak J, Tanner B, Moore L, Chemaly R. Evaluation of a Pulsed-Xenon Ultraviolet Room Disinfection Device for Impact on Hospital Operations and Microbial Reduction. ICHE. 2011; 32 (3):286-288 4. Quezada R, et al [Poster Session]. Evaluation of a Pulsed-Xenon Ultraviolet Room Disinfection Device for Impact on Contamination Levels of MRSA. VA National Research Week Symposium. Temple, TX. April, 2012. INTRODUCING THE NEW MEMBER OF THE TEAM The Only Patented Pulsed Xenon UV Disinfection System 5 Minute UV Disinfection Robot 53% Reduction in C. diff Infections 1 57% Reduction in Hospital-Wide MRSA Infection Rates 2 0 VRE Cases in Isolation Rooms 3 25% Faster Than Chemical Cleaning 4 Published Peer Reviewed Outcome Study in AJIC Published Peer Reviewed Outcome Study in JIP Published Peer Reviewed Outcome Study in ICHE Evaluation Presented at VA National Symposium OSE_1402_part2_Layout 1 2/6/14 2:56 PM Page 42