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Aubrey Dyer
Whiteboard Documentation of Lap Sponges
2 55
Hi all! I have a super nitpicky question! Over my (relatively short) period in the OR, I've seen RN Circulators ...
Aubrey Dyer Category Documentation 5d
Jamie Nelson Jamie Nelson 4d

@Aubrey Dyer you should count sponges in the numbers they are packaged – laps 5, raytec 10. You can review the AORN ...

Christina DeCorte
23 Hour Observation
16
Hi All!! Our ASC is looking to begin offering 23 hour observation for some elective plastic surgery patients and ...
Christina DeCorte Category Documentation 5d
Jamie Nelson
Non-Biologic Implant Reporting & Tracking
20
Hello, We use TrackCore to track our biologic implants and report them to the manufacturer, but we do not use it for ...
Jamie Nelson Category Documentation 5d
Michelle Madrid
Estimating Blood Loss
1 70
Does anyone have a policy on estimating blood loss in the OR that you would be willing to share?
Michelle Madrid Category Documentation 14d
Tami Taylor Tami Taylor 6d

@Michelle Madrid
I have been dreading this. Did you have any luck?

Rachel Demeter, MHI, BSN, RN, CNOR
Bilateral Implant Documentation
45
No wrong answers here! If a surgeon asked for an implantable item that could be cut and used in separate locations in ...
Rachel Demeter, MHI, BSN, RN, CNOR Category Documentation 20d
Julie Moramarco
Identify the exact AORN Standard that Addresses the ...
2 139
Identify the exact AORN Standard that Addresses the Guidelines for Start-Time and End-Time documentation for ...
Julie Moramarco Category Documentation Apr '23
Colleen Snell Colleen Snell Apr '23
Our protocol for start time is local injection or incision and end time is application of dressing immediately ...
Alexandra Luoma
Surgical Start Time
41
Wondering if there is information out there on what constitutes as an official surgical start time? ...
Alexandra Luoma Category Documentation Apr '23
Gretchen Collette
ASC with no Director of Nursing
51
Does anyone work at an ASU without a Director of Nursing? My facility has an Administrator and Clinical ...
Gretchen Collette Category Documentation Mar '23
Patricia Delgrosso
Surgical request called in vs written
1 32
The written surgical request form has long been considered the “order” for the treatment as surgery. How do you ...
Patricia Delgrosso Category Documentation Mar '23
Merle Santos Merle Santos Mar '23

@Patricia Delgrosso , I am not sure about the “order”. We still have posting sheets that MD, PA and NP fills out with ...

Sarah Miller
Vaginal packing - is it a sponge or a dressing?
9 127
This subject came up in our organization. I have always recognized it as a dressing and documented it as such. There ...
Sarah Miller Category Documentation Mar '23
Jodee Helm Jodee Helm Mar '23

@Sarah Miller We most definitely count it as a countable item.

Shelley Moore
Death in OR with trauma patient before surgery start
6 106
We recently had a trauma patient who expired and no surgical intervention occurred. With our Cerner EMR we have to ...
Shelley Moore Category Documentation Mar '23
Sabrina Darnell Sabrina Darnell Mar '23

@Shelley Moore I'n not sure that this is the appropriate action, we do not have trauma cases at my little Critical ...

Rachel Demeter, MHI, BSN, RN, CNOR
Documentation of absorbable hemostatic agents?
10 285
How are your organizations documenting the use of absorbable hemostatic agents in the OR? Supply or implant?
Rachel Demeter, MHI, BSN, RN, CNOR Category Documentation Mar '23
Stella Yau Stella Yau Mar '23

@Rachel Demeter supply

Alyssa Youngquist
Counts in Total Joints
2 77
Looking to see what the standard is for counts for total joints (non-robotic). Does your facility do an initial, ...
Alyssa Youngquist Category Documentation Feb '23
Care Brown Care Brown Feb '23

We do initial and final, of sponges and sharps.

Care Brown, MBA, BSN, RN
OR Circulator
Memorial Health, Decatur, IL

Nicole Reyes
External fixators as implants
3 86
How does everyone chart external fixators? Technically they are not an implant since they are being removed ...
Nicole Reyes Category Documentation Jan '23
Marie Stehling Marie Stehling Jan '23

@Nicole Reyes because you have screws going into the patient's body/bone and the patient is leaving with those ...

Ashley Sampson
Cost Analysis Format for Sterile Processing
1 44
Hello, would anyone have a cost analysis document-format that has been used for figuring out the cost of ...
Ashley Sampson Category Documentation Jan '23
Dorey Meyer Dorey Meyer Jan '23

@Ashley Sampson
following…. I am interested as well

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