This study shows marked geographical variation in prescribing for topical nasal agents in England. There is propensity for eastern districts to have higher rates of prescribing in England. Adopting prescribing trends as a surrogate marker for disease burden could allow allergy and endoscopic sinus surgery services to be concentrated to specific regions. This would provide more effective, economical treatment for both AR and RS.

indicates that contact hours (CH) are available for this activity. Earn the CH by reading this article, reviewing the outcome and objectives, and completing the Learner Evaluation at https://aorn.us/aug22-ci. Each applicant who successfully completes this program can immediately print a certificate of completion. Event: #22522Session: #0001 Fee: Free for AORN members. For non-member pricing, please visit https://aorn.us/aug22-ci.Contact hours for this article expire July 31, 2025. Nonmember pricing is subject to change. OUTCOMELearners will have an increase in or support of their nursing knowledge or skills related to use of sterile vests, bare arms for unscrubbed personnel, preventing thermal injury from electrosurgical devices, and preoperative site marking for minimally invasive procedures. OBJECTIVES1. Discuss practices that could jeopardize safety in the perioperative area. 2. Discuss common areas of concern that relate to perioperative best practices. 3. Describe implementation of evidence-based practice in relation to perioperative nursing care. ACCREDITATIONAssociation of periOperative Registered Nurses is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.

It seems like we are performing more laparoscopic procedures at our facility, and although we have not had to convert many to open procedures, we would like to be ready to manage these situations when they arise. How can we be better prepared?

THIS MONTH Selecting an antiseptic skin preparation agent according to the patient’s skin pigmentation Key words: preoperative patient skin antisepsis, surgical site marking pen, Fitzpatrick skin type scale, tinted antiseptic, ink visibility. Developing a preoperative bathing protocol Key words: preoperative bathing protocol, preoperative showering regimen, antiseptic soap, antiseptic solution, patient education. Decolonizing health care personnel Key words: methicillin-resistant Staphylococcus aureus (MRSA), multidrug-resistant organism (MDRO), colonization, transmission, nasal decolonization. Composition of bone cement and precautions for perioperative personnel Key words: bone cement, absorption exposure, methyl methacrylate (MMA), occupational hazards, personal protective equipment (PPE).

THIS MONTH Debris in sterilized instrument sets Key words: organic debris, inorganic debris, instrument sets, sterile processing, sterilizing agent.Preventing debris in sterilized instrument setsKey words: debris, instrument sets, sterile processing equipment, instructions for use (IFU), quality assurance.Bone cement precautions during pregnancyKey words: bone cement, exposure, methyl methacrylate (MMA), pregnant.Using a bed sheet or blanket for positioningKey words: patient positioning devices, improvised positioning device, pressure distribution, skin shear, pressure injury.Laundering of cloth head coveringsKey words: laundering, head covering, reusable cloth hat, surgical attire, disposable bouffant.