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Why Can't He Eat or Drink After Midnight? - March 2016 - Subscribe to Outpatient Surgery Magazine

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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We knew we had a major sterilization (and schedul- ing!) concern when we began noticing an increas- ing number of holes in our blue wrap: punctures, pin- holes, tears and shelf-slices. What were the culprits? Were the hot instruments melting the wax coating on the wrap onto the wire stor- age rack? Were we carelessly slamming wrapped items on the shelves? We even asked each staff member who han- dled a wrapped instrument to initial the pack if there were no holes in it. In the end, we blamed the increased number of holes on the corners of the metal containers. It was as if some- one had taken a box cutter and made a small slice in the wrap. Sometimes the slice would go all the way through so you could see the blue towel that's used for cushioning. Think about why blue wrap punctures and tears so frequently. It's because you handle a wrapped set by the sterile barrier. The very fab- ric that protects the instrument set and maintains the sterile barrier is what you grab onto when you put the wrapped set on a shelf, slide it across a table or place it on the case cart. M A R C H 2 0 1 6 • O U T PA T I E N TS U R G E R Y. N E T • 1 0 3 • PROOF OF STERILITY x 2 A rigid container can tell you that the items inside have been sterilized — the dot on the orange plastic padlock changes from blue to black and the strip on the white ID card changes from white to black. George Corona, ORT

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