Examining SSI Prevention Measures According to the Evidence

Until further research can definitively pinpoint pathogenesis, it is imperative that clinicians engage in evidence-based preventative measures. Uckay, et al. (2010) assert that four preventative measures are considered as having a high level…

Official Word on Femtosecond Laser Reimbursement

The world of ophthalmology is all a buzz about the femtosecond laser and with the buzz comes a lot of confusion. The confusion is about how to correctly and legally code this type of cataract surgery and if any reimbursement from medicare…

Gojo Hand Hygiene Newsletter

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MH: A tool to help staff memorize what steps to take

Sign and Symptoms: Increase in: HR, CO2, jaw muscle rigidity and temperature. Acronyms: D Dantrolene must be administered immediately. Begin with 2.5mg/Kg. Multiply the patients weight in kg by 2.5 mg and you will get you initial dose. R Reconstitute…

Nurses Role in Preventing SSI's

The nursing profession described its primary role as patient advocacy, central to this role is ensuring patient safety. In the outpatient setting this is especially true because a patient is admitted and receives a rapid sequence of care from…

5 Priorities for Surgery Centers in 2012

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PSS Consultants Regina Boore RN, BSN, MS, CASC and Debra Stinchcomb RN, BSN, CASC featured in Becker's ASC Review: "Ms. Boore and Ms. Stinchcomb have years of experience in surgery center management — as ASC administrators, consultants, association…

AORN Recommendation for Glucose Monitoring in the Peroperative Patient

Perform admission testing of the glucose level (BG) and HbA1C (not necessary in outpatient surgery). Consult medical staff member if BG > 180mg/dL. Initiate and become part of a collaborative effort to develop protocol for the surgical…

Mark the Site Right

The Joint Commission recently estimated that 40 wrong site surgeries occur each week. If that is correct that is a huge number and means all the efforts to minimize this never event are not working, but most likely it is that they are not being…

Propofol and Single Use vs. Multi-dose Vials

The ever-present use of multi-patient use from single dose vials is still practiced. In a recent survey by AORN 44% of respondents said they have observed a single dose vial of propofol accessed more then once. AORN recommendations on the…

A Simple Way to Screen for Sleep Apnea

Use this acronym to create a sleep apnea questionnaire: S Do you snore loudly? T Do you often feel tired, fatigued or sleepy during the day? O Has anyone observed you stop breathing while sleeping? P Have you been or are you being treated…