Implementing AORN Recommended Practices for Hand Hygiene

Patrick, Marcia; Wicklin, Sharon A. Van

doi:10.1016/j.aorn.2012.01.019

Cited by 14 publications

(10 citation statements)

References 13 publications

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“…Thus, this study was performed aiming at the improvement of a protocol for the prevention of injuries due to the surgical positioning of patients at a rehabilitation hospital by considering the profile and specificity of the patients assisted and the hospital characteristics. for the patient, as it promotes a calm environment for the start of procedures (12) . The data source was primary, and a data collection instrument (the same as that used by ELPO's author) (2) as well as ELPO were applied.…”

Section: Introductionmentioning

confidence: 99%

Risk for surgical positioning injuries: scale validation in a rehabilitation hospital

Nascimento¹,

Rodrigues

2020

Rev. Latino-Am. Enfermagem

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Objective: to validate the Risk Assessment Scale for the Development of Injuries due to Surgical Positioning in the stratification of risk for injury development in perioperative patients at a rehabilitation hospital. Method: analytical, longitudinal and quantitative study. An instrument and the scale were used in the three perioperative phases in 106 patients. The data were analyzed using descriptive and inferential statistics. Results: most patients showed high risk for perioperative injuries, both in the scale score with estimated time and in the real-time score, with a mean of 19.97 (±3.02) and 19.96 (±3.12), respectively. Most participants did not show skin lesions (87.8%) or pain (92.5%). Inferential analysis enabled us to assert that the scale scores are associated with the appearance of injuries resulting from positioning, therefore, it can adequately predict that low-risk patients are unlikely to have injuries and those at high risk are more likely to develop injuries. Conclusion: the scale validation is shown by the association of scores with the appearance of injuries, therefore, it is a valid and useful tool, and it can guide the clinical practice of perioperative nurses in rehabilitation hospitals in order to reduce risk for injuries due to surgical positioning.

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Section: Introductionmentioning

confidence: 99%

Risk for surgical positioning injuries: scale validation in a rehabilitation hospital

Nascimento¹,

Rodrigues

2020

Rev. Latino-Am. Enfermagem

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“…Perioperative RNs are patient advocates with the responsibility to ensure patient safety. Thus, they can use the results of the present study to reinforce their leadership role in educating OR team members and raising awareness of subconscious risk‐associated behaviors 7 . The results can be used as a valuable complement when implementing AORN's “Guideline for hand hygiene,” 8 stressing the importance of not only basic knowledge of routes of transmission of microorganisms, but also of practical training of aseptic technique in complex situations.…”

Section: Purpose and Research Questionmentioning

confidence: 82%

“…It is important that all OR team members take individual responsibility to follow hand hygiene guidelines in a context that supports correct behavior 7 . However, hand hygiene practice in health care can be seen as a social behavior influenced by peer pressure, norms, culture, and learning from colleagues, which can be a problem if the colleagues do not know how to implement hand hygiene during invasive care 42 .…”

Section: Discussionmentioning

confidence: 99%

Hand Contamination, Cross‐Transmission, and Risk‐Associated Behaviors: An Observational Study of Team Members in ORs

Megeus¹,

Nilsson²,

Karlsson³

et al. 2015

AORN Journal

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Team members in ORs have frequent hand contact with many surfaces and sites during high workload, thus increasing the risk for microorganism cross-transmission. This study aimed at identifying risks for hand contamination and microorganism cross-transmission during invasive procedures in ORs. We carried out observations during 22 daytime sessions and analyzed data using qualitative content analysis. The results revealed that clinicians' hands may be contaminated by self-contamination, via objects, or by touching the patient. Contamination may occur before, during, or directly after performing an invasive procedure requiring the use of aseptic technique, which risks cross-transmitting microorganisms. The results of the study contribute detailed knowledge about risk-associated activities and behaviors in relation to performing invasive procedures in the OR. This knowledge provides clinicians, managers, and educators with specific information that can be used in nursing and medical education and in quality improvement projects aimed at improving hand hygiene routines and enhancing aseptic technique.

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“…Water temperature has been investigated in a small number of studies with regards to hand washing. The updated Association of Perioperative Registered Nurses Recommended Practises for Hand Hygiene (2009) added a new statement to its recommendations that water temperature at the tap should be maintained between 105°F and 120°F (40.64–48.9°C) [ 31 ].…”

Section: Evidence-based Guidancementioning

confidence: 99%

Nebuliser hygiene in cystic fibrosis: evidence-based recommendations

Bell

Alexander

Carson

et al. 2020

Breathe

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Nebulised therapies are extensively used in the daily therapeutic management of cystic fibrosis both for mucociliary clearance and for the management of chronic infections. Extensive developments have been made in relation to nebulised drug delivery mechanisms and drug formulations, and guidelines have been prepared that have addressed the appropriate use of such therapies. However, due to these developments, a plethora of nebuliser devices and drug chambers exist, and frequently, the limited guidance provided in relation to nebuliser hygiene is to follow manufacturers' instructions. Such instructions are inconsistent and at times confusing, translating to an increase in the burden associated with nebuliser maintenance. An evidence-based universal guideline relating to nebuliser care and hygiene is urgently required that is applicable to both at-home use and inpatient use. This article reviews the scientific literature in order to propose an evidence-based approach to nebuliser hygiene to ensure optimum drug delivery, and infection prevention and control.Educational aimsTo understand the reasons why nebuliser hygiene is important.To give an overview of the current nebuliser care instructions that have been described by manufacturers, societies and the scientific literature.To outline the current nebuliser hygiene practices used by persons with cystic fibrosis in the home and hospital settings.To highlight areas that need further evaluation to promote optimum nebuliser care.To establish an evidence-based guideline for nebuliser hygiene in relation to cystic fibrosis.

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Implementing AORN Recommended Practices for Hand Hygiene

Cited by 14 publications

References 13 publications

Risk for surgical positioning injuries: scale validation in a rehabilitation hospital

Risk for surgical positioning injuries: scale validation in a rehabilitation hospital

Hand Contamination, Cross‐Transmission, and Risk‐Associated Behaviors: An Observational Study of Team Members in ORs

Nebuliser hygiene in cystic fibrosis: evidence-based recommendations

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