Clinical Topics - ORNurseLink

ORNurseLink discussion boards are provided to foster peer-to-peer dialogue and information sharing. Discussion posts are the opinions of the individual and not of AORN. AORN does not monitor these discussions for clinical accuracy or adherence to AORN guidelines. Questions for AORN nursing staff may be directed to AORN’s clinical consult line at (800) 755-2676 on Tuesdays from 9am - 1pm MST.

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Recent Topics

Dual Action Rongeurs

5

Needing some advice - how does your CSSD keep dual action rongeurs open during automated washing? Do you make use of ...

Rosemary Lawrence Category Sterilization and Disinfection 1d

Chemical burns after skin prep with chlorhexidine ...

16

Good afternoon, I am working for a private healthcare facility in South Africa. The preferred skin prep solution ...

Erna Roos Category Patient Care and Safety 3d

Axillary roll - covered or uncovered?

1 41

We have had some surgeons that like axillary rolls covered with a pillow case but then they inevitably end up in the ...

Amelia Bielen Category Equipment 4d

3d

Based on this, I would say uncovered.

According to the AORN Guideline for Positioning the Patient, positioning ...

passing between 2 sterile fields

28

If the patient is prepped but not draped yet, are they considered a sterile field? ie. if i were to pass between the ...

Carmelina Lamanna-Petta Category Infection Prevention / Aseptic Practice 4d

Tray Liners

12

Good Morning, We have been noticing some of our trays have brown discoloration on the paper liners. Has anyone else ...

KIMBERLY WALLEY Category Sterilization and Disinfection 4d

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

4d

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

Personal Cooling Fan

4 65

Looking for input on this subject. We have several scrub staff members that run VERY warm. As in obvious sweat on the ...

Jennifer Olin Category Ambulatory Surgery 5d

4d

Fan on the body could spread skin cells into the air and seem like a bad idea. I would recommend ice vests for your ...

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

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

Students

24

Does anyone have a policy and orientation guidelines for students in the operative area?

Joyce Mackler Category Ambulatory Surgery 11d

Face to Face Hand off of Patient from Preop to OR and OR to ...

2 65

Looking for ideas on how to implement change for this. I like the Comprehensive Surgical Checklist from AORN but ...

Kimberli McGarvey Category Patient Care and Safety 12d

11d

@Kimberli McGarvey

Our pre-op developed a hand off paper that we put in front of the chart and has all important ...

Code Status for Outpatient DaySurgery

2 38

I want to hear from as many as possible about what you all do in your facilities! If you can provide your references as ...

Emily Hardin Category Patient Care and Safety 12d

5d

@Emily Hardin . All of our patients are full code while in the ASC. We ask about their advance directives, living ...

Local cases in Procedure Room

1 41

Does anyone in SC perform local cases in their procedure room? If so, what parameters do you go by like air exchanges ...

David Prevatt Category Infection Prevention / Aseptic Practice 12d

11d

The CDC has a list of total air exchanges / hour for procedure rooms. I believe it is 15 and hasn't changed for several ...

CPR requirement for surgeons in ASC

2 70

Good morning I am looking for documentation to support requiring our Ophthalmologists have CPR certification. I ...

Patricia Feimer Category Ambulatory Surgery 12d

11d

@Patricia Feimer
At our ASC we had all of our docs ACLS trained because they are considered attending for our CRNA. ...

Propofol

2 87

Does your ASC sign out propofol? What is your process?

Jennifer Clayton Category Ambulatory Surgery 13d

12d

Yes, We sign it out with narcotics. We don't witness waste, but we track the vials used per patient.

Recent Topics

Dual Action Rongeurs

Chemical burns after skin prep with chlorhexidine ...

Axillary roll - covered or uncovered?

passing between 2 sterile fields

Tray Liners

Whiteboard Documentation of Lap Sponges

Personal Cooling Fan

23 Hour Observation

Non-Biologic Implant Reporting & Tracking

Students

Face to Face Hand off of Patient from Preop to OR and OR to ...

Code Status for Outpatient DaySurgery

Local cases in Procedure Room

CPR requirement for surgeons in ASC

Propofol

Clinical Topics Subcategory List

Ambulatory Surgery

Documentation

Environmental Cleaning

Equipment

Infection Prevention / Aseptic Practice

Patient Care and Safety

Sterilization and Disinfection

Worker Safety

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