Patient Care and Safety

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When to do a final instrument count

30

Checking to see what practice is across the nation regarding final instrument count. Do you do the final ...

Van Ngo Category Patient Care and Safety 24d

Betadine allergy and surgical prep alternative

6 161

Does anyone have a policy and procedure on Betadine allergy and alternatives for surgical prep for specifically ...

Panna Tailor Category Patient Care and Safety Nov '23

27d

@Panna Tailor Hello Panna,

In my experience, the type of prep was left to surgeon discretion. If a surgeon wanted to ...

Phase 1 Discharge Criteria

45

What discharge criteria are you all using when transferring patient from Phase 1 to Phase 2 of recovery?

Jessi King Category Patient Care and Safety Nov '23

XLIF positioning with tape

2 56

Is anyone having difficulties steering a surgeon to utilize an appropriate lateral positioning device in place ...

Leora Brown Category Patient Care and Safety Oct '23

Oct '23

@Leora Brown

We use the AliMed Lateral positioning Set. It does not require us to lift the patient and place an ...

Eosin staining prostate biopsies

3 26

Our pathology department is asking us to apply Eosin stain to our prostate biopsies, at the sterile field, prior to ...

Darrell Powell Category Patient Care and Safety Oct '23

Oct '23

@Darrell Powell
We are just placing directly in formalin. One thing we have started doing is putting about 5 cc of ...

Scope of CST in Second Assist Role

38

Does anyone have a policy to share that can clarify the scope of practice for the CST in the 2nd scrub role (AKA Second ...

Michelle Fulop Category Patient Care and Safety Oct '23

Patient positioning

2 76

Hello everyone! I am looking for information on AORN regarding tape utilization for patient positioning. It's my ...

Maribel Martinez Category Patient Care and Safety Oct '23

Oct '23

I would be interested as well. Several of our ophthalmologists tape the head.
Thanks

Fire Risk Score

2 103

AORN uses the Fire Safety score of ABCD &E. Many hospitals use 123. Is there rationale for 123? The AORN ...

Ena Roseman Category Patient Care and Safety Sep '23

Sep '23

@Ena Roseman
Hi Ena,

The fire safety assessment process is getting a refresh with the update of the Guideline for a ...

Labeling of Additives to IV Bags using Marking Pens

3 88

Can anyone provide an update on this practice? It is my understanding that when an IV bag is spiked either with Epi or ...

Sheila Piasecki-Haines Category Patient Care and Safety Sep '23

Sep '23

Sheila: Reach out to the makers of the IV bags or consult the MIFU for the products. You will find the guidance there.

Pediatric Surgical Counts

4 54

Hi All, I am a perioperative Clinical Nurse Specialist at a Pediatric facility in Wisconsin. We are currently ...

Matthew Beier Category Patient Care and Safety Sep '23

Sep '23

@Matthew Beier

One wouldn’t do instrument counts prior to all adult surgeries. The same applies to children, and ...

Handoff before completion of operation

36

Good Day, can you direct robust information regarding handoff of either circulatory nurse or scrub nurse DURING ...

Rosemary Lawrence Category Patient Care and Safety Sep '23

Surgical Counts: Does your institution use wand/ ...

3 74

Hi, I hope all is well. I am an Perioperative Nurse leader at New York Presbyterian Hospital. Do your operating ...

Holly Ream Category Patient Care and Safety Sep '23

Sep '23

@Holly Ream
Hi I work in a 20 OR suites Level 1 trauma center and although we are not currently using any adjunct ...

Medication instructions on pre-op call, especially ...

2 45

Hello! I worked at a acute care hospital-based surgery department for 16 years, then moved a year ago and have a new ...

Melissa Barritt Category Patient Care and Safety Sep '23

Sep '23

I work in a critical access hospital and we have always had the direction that holding blood thinners such as ...

Radiopaque sponges being cut and used for dressings in ...

2 31

I am reaching out to ask other facilities, either who are burn centers or perform burn cases in the OR, what their ...

Lisa Morgenthaler Category Patient Care and Safety Sep '23

Sep '23

@Lisa Morgenthaler
Cutting x-ray detectable sponges is not a practice I have seen or our system would approve of.

Several CVOR questions

1 31

What role does your CVOR perform during TAVR procedures? Assist with the procedure or just remain on S/B? S/B in the ...

Lori Griffith Category Patient Care and Safety Aug '23

Aug '23

We perform TAVRs in both Cath Lab and the Main OR once a week. When we first started the program in the Cath Lab we ...

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