Home E-Weekly January 30, 2018

New AORN Guideline on Team Communication

Published: January 30, 2018

KEY TO COMMUNICATION The 2018 guide includes a new guideline on effective communication between perioperative team members.

The first evidence-based guideline for effective communication in the perioperative environment highlights AORN's 2018 Guidelines for Perioperative Practice. The collection of 32 guidelines, published each January, also includes updates to 5 established guidelines.

The new guideline for team communication covers key opportunities for communication throughout a patient's continuum of surgical care, such as briefings, surgical pauses and hand-overs. Evidence-based guidance also addresses opportunities to strengthen team communication, such as through simulation training.

"Every AORN guideline recommends team involvement and shared communication with all stakeholders on the perioperative team, yet research still identifies ineffective team communication as a common cause of adverse events," says Ramona Conner, MSN, RN, CNOR, editor-in-chief of AORN's Guidelines for Perioperative Practice. The new guideline expands upon and supersedes the Guideline on Transfer of Patient Care Information.

The Guideline for Positioning the Patient has been updated to include a new recommendation addressing neurophysiological monitoring used during surgery to detect positioning injuries in real time. Updates to the Guideline for Medication Safety include recommendations on handling hazardous medications such as antineoplastic drugs.

The remaining 3 updates involve name changes along with new recommendations. The guidelines for Medical Device and Product Evaluation cite new evidence showing the importance of involving the RN in the evaluation of medical products. The guidelines for Manual Chemical High-Level Disinfection discuss the ineffectiveness of some HLDs against pathogens such as HPV. And the updates to the Prevention of VTE explore many of the risk factors that should be assessed preoperatively.

"AORN is dedicated to making sense of this wealth of evidence by exploring the literature, rating the evidence, and shaping practice recommendations that perioperative practitioners can easily apply in their unique practice settings," says Ms. Conner.

JoEllen McBride, PhD

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