AORN Journal
Volume 92, Issue 3 , Pages 322-334, September 2010

Reducing the Risks Associated With Loaner Instrumentation and Implants

Abstract 

Surgical facilities borrow specialty surgical instrumentation and implants from vendors and other facilities to provide needed inventory to perform scheduled procedures without the burden of purchasing these items. Borrowing has many advantages, including reduced costs and the ability to expand services offered, but borrowed items must be handled and processed in a consistent way to ensure safe patient care. Instruments and implants must be received in time to be properly reprocessed by the borrowing facility. Lack of planning on the part of a hospital or vendor, lack of communication, lack of appropriate policies to guide the processing of items, increasingly complex instrumentation, and increasing workloads are factors that can contribute to lapses in processing requirements and, ultimately, risk to patients and staff members. Improving communication and policies and procedures can improve the quality and safety of loaner instrumentation and implant use.

Key words: loaner instrumentation, loaner implants, instrument safety, instrument processing, sterilization, sterile processing department

 
  • 1 Williamson J. New committee aims to ease orthopedic set concerns. Healthcare Purch News. 2009;33(10):33-35.
  • 2 Informing and Industry: IAHCSMM expands member offerings, targets orthopedic set challenges. OR Today. 2009;9(10):14-15.
  • 3 International Association of Healthcare Central Service Materiel Management. Complex surgical instruments. In: Central Service Technician Manual. 7th ed. Chicago, IL: International Association of Healthcare Central Service Materiel Management; 2007:197-235.

  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 Examination and Learner Evaluation at http://www.aorn.org/CE. The contact hours for this article expire September 30, 2013.

PII: S0001-2092(10)00663-0

doi:10.1016/j.aorn.2009.12.032

AORN Journal
Volume 92, Issue 3 , Pages 322-334, September 2010