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NPO status compliance

We typically tell patients to be NPO after midnight if they are scheduled for a morning surgery. If surgery is scheduled for the afternoon, we tell them to keep their breakfast light: coffee or tea (with no milk) and/or juice, toast but no eggs. Prob...

9

Do You Allow Gel Manicures in the OR?

A reader writes: "I have gotten a lot of questions about if the Shellac nail polish is safe in the OR and don't feel there is enough information on this product to...

22

Cloth surgical caps

Does anyone have a policy re:cloth surgical caps in their facility? Are they against AORN standards?...

44

How do you transport contaminated instruments?

I work in a very small, 2-OR hospital. We're trying to comply with AAMI and AORN standards regarding the transportation of instruments from the OR to the decontamination room after a case. Decontam and sterile processing are just down a restricted ha...

14

Disputing the new endoscopy safety guideline

After reading ASGE's new guideline for GI endoscopy unit safety, I have to say that it's probably the worst-written guideline I've ever read. It sounds like it's been assembled by gastroenterologists who want a document that supports the way they wan...

11

An acceptable OR jacket?

Our ASC would like to provide jackets for our staff. We are looking at 100% polyester fleece from a nationally known catalog retailer. But I'm wondering: Is polyester fleece OK to wear in the OR?...

15

Blood transfusions in an ASC?

What are your thoughts regarding blood transfusions in an ASC setting? Many centers have policies stating that blood and blood products will not be administered, and that patients will be transferred to a more appropriate facility in the event that a...

10

Who Starts Antibiotics?

Which team memember is starting preoperative antibiotics in your facility? If no pharmacy is onsite at your facility, who prepares the antibiotic and does that differ from the person who starts the antibiotic?...

20

Patient Attire in the OR

We are a newly opened ASC doing ophthalmology procedures. The patients remain in street clothes that are covered with a hospital gown, shoe covers and bouffant cap for transport into the OR. I have been told that we do much more than other ASCs by ...

26

Seeking Patient Wait Times for Benchmarking Study

We're conducting a benchmarking study and your information would be greatly appreciated. Thanks. 1. How long does the patient wait in the waiting room before he/she is called back to Pre-op? 2. How early do you bring your patients in for their...

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