AORN Previews 2019 Guidelines Changes

2019 will bring noteworthy changes to Association of periOperative Registered Nurses (AORN) standards. In a The Periop Life blog, AORN shares a few of the more significant guidelines changes that can be found in the 2019 edition of its Guidelines for Perioperative Practice and provides tips to help meet these new standards.

The changes highlighted in the blog are as follows:

  • Cover the sterile field

  • Identify how traffic is limited in your operating room

  • Assess your air handling system

The blog also notes that look and organization of the guidelines has undergone significant changes. Access the blog here.

Infection Control Consulting Services (ICCS) anticipates additional changes and will share them if they are announced. Follow ICCS on LinkedIn so you don't miss new information and analysis.

Infection Control Lapses at NJ Surgery Center Possibly Expose Thousands to Bloodborne Pathogens

Alleged lapses in proper infection control practices for instrument sterilization and cleaning and medication injections may have exposed nearly 3,800 patients at a New Jersey ambulatory surgery center (ASC) to bloodborne pathogens, according to news reports and a letter sent by the ASC to its patients.

The 3,778 patients who underwent a procedure at the ASC between Jan. 1, 2018 and Sept. 7, 2018, were informed that they may have been exposed to hepatitis B, hepatitis C and human immunodeficiency virus (HIV).

As a statement from the ASC notes, the N.J. Department of Health closed the center for three weeks in September 2018 because "some members of our staff were not following proper sterile processing procedures and failed to comply with other regulations regarding the dispensing and storage of medication, as well as infection control planning and procedures." To date, there have been no reports of any infections or illness related to the poor infection control and prevention practices.

When it was closed, the ASC stated it took several corrective actions, including improving its infection control and medication dispensing procedures, hiring and training new staff, and cleaning and repairing all instruments by an outside resource.

Unfortunately, as Infection Control Consulting Services (ICCS) noted in a recent special report on safe injection practices, such alleged infection control and prevention lapses continue to occur at healthcare facilities throughout the country. ICCS works with organizations, including ASCs, hospitals and outpatient care settings, to develop proper policies and procedures that comply with current rules, regulations and guidelines and help ensure staff follow appropriate processes that help keep patients safe. To learn more about what ICCS can do for your facility, contact us.

Infection Prevention Tip: Be Careful How You Use 'Christmas Trees'

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If your organization uses "Christmas tree" adapters, which connects the oxygen tubing to the flow meter, make sure you are not reusing single-use versions of these devices.

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For these and all devices, ensure that if packaging states "single patient use" or "single-use only" or has the number 2 circled with a strike through it, you do not reuse and will discard/change the device between patients.

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If your facility uses the stainless-steel, reusable version of the Christmas tree adapter, ensure that you have specific disinfection instructions from the manufacturer and accountability for cleaning between patients. This device is difficult to disinfect, hence a more common approach is to use disposables.