Povidone iodine noninferior to chlorhexidine gluconate for preoperative skin antisepsis
Editor's Note Amid continued debate about the best choice of preoperative skin antiseptic, findings published in JAMA June 17 show that povidone iodine in alcohol offers similar outcomes to chlorhexidine gluconate when used in alcohol. The randomized clinical trial included 3,360 patients in 3 tertiary care hospitals in Switzerland, 2,187…
Effective orientation vital for a sustainable workforce: Part 2
Orientation is the backbone of a sustainable workforce. Part 2 of OR Manager’s two-part series focuses on the orientation of experienced and per diem nurses, social onboarding, and how the pandemic has affected orientation, post-orientation efforts, and evaluation. Experienced nurses Experienced OR nurses are typically placed on the fast…
Tracking orientation, competencies, and skillsets in the OR—Military style
GENERAL Disclaimer: The views expressed in this article are those of the author(s) and do not necessarily reflect the official policy of the Department of Defense or the US Government. Developing OR nurses for the future is a goal of all OR managers. Orientation programs can vary depending on the…
FDA: Class I recall of Avid Medical convenience kits
Editor's Note The Food and Drug Administration on June 25 identified the recall by Avid Medical of its convenience kits for medical-surgical procedures as Class I, the most serious. The company is recalling those kits that contain BD/Carefusion’s Chloraprep 3 mL applicator because of the risk of contamination of the…
FDA: BD recalls certain lots of ChloraPrep
Editor's Note The Food & Drug Administration announced on April 20 that Becton, Dickinson and Company (BD) was recalling certain lots of its ChloraPrep Hi-Lite Orange 26 mL Applicator. ChloraPrep is used as an antiseptic to prepare a patient’s skin before surgery. The recall was initiated because the Applicator, which…
The Joint Commission releases 2020 sentinel event statistics
Editor's Note The Joint Commission, on March 24, released its sentinel event statistics for 2020, which totaled 794. The top five most frequently reported events were: Falls: 170 Unintended retention of a foreign object: 106 Suicide: 81 Delay in treatment: 76 Wrong-site surgery: 68. The Joint Commission’s Office of Quality…
Joint Commission conducting both virtual and onsite surveys in 2021
The Joint Commission stopped doing most onsite surveys and reviews from March 16 to May 31, 2020, in response to the COVID-19 pandemic. During that time, they developed processes for conducting offsite or virtual events, and as of mid-December, more than 1,200 offsite surveys and reviews had been conducted across…
Say goodbye to skin injuries in surgical patients
Hospital-acquired pressure injuries (HAPIs) fall under the care management serious event category, and the literature suggests the incidence of a pressure injury following surgery or a procedure may contribute to more than half of all hospital-related skin injuries. Furthermore, the Centers for Medicare & Medicaid Services (CMS) has defined numerous…
Risks, benefits of using CHG for handwashing
Editor's Note Because of the potential risk of selecting mutants carrying genes for cross-resistance to chlorhexidine gluconate (CHG) and antibiotics, it is advisable to reserve the use of CHG for purposes other than hand hygiene, this study finds. A review of studies showed no significant difference in healthcare-associated infection rates…
BD receives FDA approval for sterile CHG skin prep solution
Editor's Note Becton, Dickinson and Company (BD) announced on April 30 that it had received Food & Drug Administration (FDA) approval for BD ChloraPrep skin preparation with sterile solution. This new product is the only fully sterile chlorhexidine gluconate (CHG) antiseptic skin preparation commercially available in the US. The FDA’s…
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