AORN Journal
Volume 91, Issue 3 , Pages 399-406 , March 2010

Clinical Issues—March 2010

  • Bonnie Denholm, RN, BSN, MS, CNOR (Perioperative Nursing Specialist)
    • ,
  • Mary Ogg, RN, MSN, CNOR (Perioperative Nursing Specialist)
    • ,
  • Mary Ogg, RN, MSN, CNOR (Perioperative Nursing Specialist)

References 

    Flash sterilization
  1. Recommended practices for sterilization in the perioperative practice setting. In: Perioperative Standards and Recommended Practices. Denver, CO: AORN, Inc; 2010;p. 457–480
  2. In: ANSI/AAMI ST79: 2006 and A1: 2008—Comprehensive Guide to Steam Sterilization and Sterility Assurance in Health Care Facilities. Arlington, VA: Association for the Advancement of Medical Instrumentation; 2006;p. 73;75
    Eye protection
  1. Recommended practices for prevention of transmissible infections. In: Perioperative Standard and Recommended Practices. Denver, CO: AORN, Inc; 2010;p. 277–287
  2. Regulations (Standards—29 CFR) (Bloodborne pathogens—1910.1030.(d)(3)(x): masks, eye protection, and face shields). Occupational Safety and Health Administration http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=STANDARDS&p_id=10051#1910.1030(d)(3)Accessed October 7, 2009
  3. Employer payment for personal protective equipment; final rule. 72(220) Fed Regist. (November 15, 2007) 64341-64430. Occupational Safety and Health Administration http://www.osha.gov/pls/oshaweb/owadisp.show_document?p_table=FEDERAL_REGISTER&p_id=20094Accessed October 7, 2009
  4. Standard precautions. Centers for Disease Control and Prevention http://www.cdc.gov/ncidod/dhqp/gl_isolation_standard.htmlAccessed October 7, 2009
  5. Mansour AA, Even JL, Phillips S, Halpern JL. Eye protection in orthopaedic surgery (An in vitro study of various forms of eye protection and their effectiveness). J Bone Joint Surg Am. 2009;91(5):1050–1054
  6. Davies CG, Khan MN, Ghauri AS, Ranaboldo UK. Blood and body fluid splashes during surgery: the need for eye protection and masks. Ann R Coll Surg Engl. 2007;89:770–772
  7. Wines MP, Lamb A, Argyropoulos AN, Caviezel A, Gannicliffe C, Tolley D. Blood splash injury: an underestimated risk in endourology. J Endourology. 2008;22(6):1183–1187
  8. Keogh IJ, Hone SW, Colreavey M, Walsh M. Blood splash and tonsillectomy: an underestimated hazard to the otolaryngologist. J Laryngol Otol. 2001;115(6):455–456
  9. Aisien AO, Ujah IA. Risk of blood splashes to masks and goggles during cesarean section. Med Sci Monit. 2006;12(2):CR94–CR97
  10. Jagger J, Bentley M, Tereskerz P. A study of patterns and prevention of blood exposures in OR personnel. AORN J. 1998;67(5):979–987
  11. HIV prevalence estimates—United States, 2006. MMWR Morb Mortal Wkly Rep. 2008;57(39):1073–1076http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5739a2.htmAccessed October 7, 2009
    Reusing medication syringes and tubing
  1. Dangers associated with shared multidose vials. Pa Patient Saf Advis. 2008;5(2):68;http://www.psa.state.pa.us/ADVISORIES/AdvisoryLibrary/2008/Jun5(2)/Pages/68.aspxAccessed October 7, 2009
  2. APIC position paper: safe injection, infusion and medication vial practices in healthcare. Association for Professionals in Infection Control http://www.apic.org/Content/NavigationMenu/GovernmentAdvocacy/PublicPolicyLibrary/Safe_injection_policy_paper_06_2009.pdfAccessed October 7, 2009
  3. Healthcare-associated outbreaks of hepatitis, 1998-2008. HONOReform http://67.228.183.132/∼hardtime/HONOR/occurrences.htmlAccessed October 7, 2009
  4. Acute hepatitis C virus infections attributed to unsafe injection practices at an endoscopy clinic—Nevada, 2007. MMWR Morb Mortal Wkly Rep. 2008;57(19):513–517http://www.cdc.gov/mmwr/preview/mmwrhtml/mm5719a2.htmAccessed October 7, 2009
  5. Comstock RD, Mallonee S, Fox JL, et al. A large nosocomial outbreak of hepatitis C and hepatitis B among patients receiving pain remediation treatments. Infect Control Hosp Epidemiol. 2004;25(7):576–583http://www.journals.uchicago.edu/doi/pdf/10.1086/502442?cookieSet=1Accessed October 7, 2009
  6. Siegel JD, Rhinehart E, Jackson M, Chiarello L Healthcare Infection Control Practices Advisory Committee. 2007 Guideline for Isolation Precautions: Preventing Transmission of Infectious Agents in Healthcare Settings. Atlanta, GA: Centers for Disease Control and Prevention; 2007;http://www.cdc.gov/ncidod/dhqp/pdf/guidelines/Isolation2007.pdfAccessed October 7, 2009
  7. Position statement number 2.13 (Safe practices for needle and syringe use). American Association of Nurse Anesthetists http://www.aana.com/WorkArea/showcontent.aspx?id=18966Accessed October 7, 2009

  indicates that continuing education contact hours are available for this activity. Earn the contact hours by reading this article, reviewing the purpose/goal and objectives, and completing the online Learner Evaluation at http://www.aorn.org/ce. The contact hours for this article expire March 31, 2013.

 The authors of this column have no declared affiliations that could be perceived as potential conflicts of interest in publishing this article.

PII: S0001-2092(09)00973-9

doi: 10.1016/j.aorn.2009.12.009

AORN Journal
Volume 91, Issue 3 , Pages 399-406 , March 2010

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