Bulletin of the American College of Surgeons
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Blood must be considered a toxic substance in the operating room. Members of the operating room team must exercise greater caution to prevent blood contact. Increased attention to the adequacy of barriers and avoidance of certain operating room behavior is important. ⋯ While no case of operating room transmission of HIV has yet been documented, it has no doubt occurred and will certainly be documented in the future. It is the responsibility of each member of the surgical team to be an advocate for his or her own protection in the operating room. A heightened awareness of our general behavior and particular attention to our use of sharp instruments and needles in the operating room will be our best line of defense.
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The National Practitioner Data Bank began operation on September 1, 1990, nearly a year after the final regulations for it were published in the October 17, 1989, Federal Register. One of two major provisions of the Health Care Quality Improvement Act (HCQIA) of 1986 (P. L. 99-660), the data bank is expected to have widespread implications for all surgeons and Fellows of the College. This article summarizes the effects it is anticipated the data bank will have on Fellowship and provides a general outline of the regulations that will affect surgeons.