AORN journal
-
Transmission of an infectious agent requires a source of infection, a mode of transmission, and a vulnerable host. The most important interventions for preventing infection transmission are hand hygiene and use of standard precautions for all patients. ⋯ This article discusses key takeaways from the "AORN guideline for transmission-based precautions," including using standard precautions; wearing personal protective equipment when exposure to blood, body fluids, or other potentially infectious materials is anticipated; and using contact precautions during care of patients known or suspected to be infected or colonized with pathogens transmitted by direct or indirect contact. Perioperative RNs should review the complete guideline for additional information and for guidance when writing and updating policies and procedures.
-
Cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy (HIPEC) is an extensive procedure used to treat peritoneal carcinomatosis, which is either primary or secondary to other cancers (eg, ovarian, colorectal, appendiceal) that have metastasized to the peritoneum. Morbidity, mortality, and quality of life have improved for patients selecting CRS with HIPEC as a cancer treatment. ⋯ The team created a written protocol for implementing CRS with HIPEC before patients were scheduled for surgery. This article explores the perioperative facets of implementing CRS with HIPEC and discusses care of the patient undergoing CRS with HIPEC, with a focus on perioperative nursing considerations.
-
Surgeons use lasers for a variety of inpatient and outpatient procedures. Perioperative nurses should have a basic understanding of the physics involved in producing the beam of energy and the risks associated with laser use. ⋯ It also discusses ways to prevent adverse outcomes associated with laser use and provides resources for additional information. By reviewing this article, perioperative nurses and leaders should be able to identify gaps related to laser safety that may be present in their organizations.