Study: Inadequate precleaning can jeopardize sterilization of surgical tools
Editor's Note This study by William A. Rutala, PhD, MPH, and colleagues at the University of North Carolina at Chapel Hill, which compared three low-temperature sterilization technologies to steam sterilization of simulated inadequately precleaned surgical tools, found steam sterilization to be the most effective and with the largest margin of…
CDC urges communities, hospitals to prepare for spread of coronavirus
Editor's Note In a February 25 telebriefing, the Centers for Disease Control and Prevention (CDC) warned that the novel coronavirus (COVID-19) will spread in the US, and hospitals and communities should begin ramping up their preparedness efforts, AHA Today reports. The CDC urged communities to implement non-pharmaceutical interventions or community…
Challenges in achieving high-level endoscope disinfection
Editor's Note In this review article, Cori L. Ofstead, MSPH, and associates highlight the reasons endoscope reprocessing is often ineffective and microbes frequently remain on endoscopes after high-level disinfection. Among the reasons: non-adherence to guidelines use of damaged endoscopes use of insoluble products during endoscopy insufficient cleaning contaminated rinse water…
FDA: Class I recall of Abbott coronary dilatation catheters
Editor's Note The Food & Drug Administration on February 19 identified the recall by Abbott Vascular of its NC Trek RX and NC Traveler RX Coronary Dilatation Catheters (diameter 4.0 mm, 4.5 mm, and 5.00 mm) as Class I, the most serious. The recall was initiated because of failure of…
Breathing easier in a smoke-free health system
Controlling electrosurgical smoke is a major challenge in many ORs. In 1996, the National Institute for Occupational Safety and Health published a policy on controlling smoke from lasers and electrosurgical procedures, and over the years, studies have linked adverse health effects with electrosurgical smoke exposure. Yet healthcare providers have differing…
Back to basics: How collaboration can improve PACU patient flow
Healthcare technology can be a great thing, but nurses at Abington—Jefferson Health, in Abington, Pennsylvania, have discovered that sometimes stepping back from it is the best way to make progress. Going low-tech was the key that unlocked patient flow gridlock that had plagued the postanesthesia care unit (PACU). Before 2017,…
Using project management principles to hardwire ERAS protocols
Implementation of Enhanced Recovery After Surgery (ERAS) at Virginia Commonwealth University (VCU) Health System in Richmond has been achieved through project and change management tools that transform the current state to the desired future state. To hardwire ERAS protocols in the OR as well as the ambulatory and acute care…
How prepared is your ASC to handle a surgical emergency?
Surgical errors and emergencies can happen at any time, at any facility. For ambulatory surgery centers (ASCs), a major challenge is finding official guidance on the topic. For the most part, it’s up to the individual facility to craft its own policies, competencies, and drills for OR emergencies. “The Association…
Use of internationally educated nurses in US hospitals
Editor's Note US hospitals with more internationally trained nurses have more stable, educated, nursing workforces, and collaboration among healthcare professionals is not hindered, this study finds. Researchers analyzed 2013 survey data from the National Database of Nursing Quality Indicators that included responses from 24,045 nurses (2,156 were trained outside the…
Specialists advise on coronavirus preparedness
Editor's Note Hospitals should prepare now for an influx of seriously ill patients infected with the new coronavirus (COVID-19), critical care specialists advised in a panel discussion February 17 at the Society of Critical Care Medicine’s annual congress in Orlando, Florida. A significant influx of seriously ill patients will put…
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