SESSION NAME NEW! Flip the Session: An Experiment in Content Delivery- The Latest on Two New Recommended Practices: Environmental Cleaning and Specimen Management
SPEAKERS Sharon A. Van Wicklin, MSN, RN, CNOR, CRNFA, CPSN, PLNC
Amber Wood, MSN, RN, CNOR, CIC, CPN
WEBINAR SESSION # 0164
DATE/TIME Tuesday, March 18, 2014, 4:30-5:30pm Central Time
LIVE SESSION # 0033
DATE/TIME Monday, March 31, 2014, 4-5pm Central Time
CONTACT HOURS (CH) 1.0 CH (webinar) + 1.0 CH Live or Repeat Session = 2.0 CH Maximum
SESSION OVERVIEW:
We heard your request-- more time for questions! On Tuesday, March 18, 2014, 3:30pm Mountain time, a webinar will be available for all registered attendees; a recording will be available for those unable to attend the live session. A brief overview will be presented discussing how the Recommended Practices (RPs) are developed. The remaining time will explore the new RPs: Environmental Cleaning and Normothermia. A live Q&A session will be held at the conference. Earn 1.0 CH for attending the webinar and another 1.0 CH for attending the live Q&A session by completing the appropriate evaluations.
In 2013, the Agency for Healthcare Research and Quality released an update to the 2001 report “Making Healthcare Safer.” A systematic literature review was conducted to evaluate the evidence of safety practices. This session will present the findings and practices relevant to perioperative practice, the practices recommended by AORN, and the relevant gaps in research. Get introduced to AORN's recommended practices (RPs) for 2014. The recommendation levels based on evidence and entered in each new RP will be explained and discussed. Assess your knowledge of RPs and the new evidence rating process. Translating evidence to the bedside can be difficult to understand and this session will explain how AORN translates the evidence to the RPs and how the perioperative nurse can implement them in practice.
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OBJECTIVES:
1. Identify key points from the AHRQ report.
2. Describe AORN's Recommended Practices that relate to the AHRQ findings.
3. Describe how the evidence is translated into a recommended practice.
4. Identify what is new in the recommended practices for 2014.
5. Describe what the level of recommendation means, including how to apply it in perioperative practice.
SPEAKER BIOGRAPHIES:
Sharon A. Van Wicklin, MSN, RN, CNOR, CRNFA, has more than 36 years of experience as a perioperative nurse. She has worked in all facets of the OR environment from scrub person to supervisor. Sharon received her BSN and MSN from Middle Tennessee State University. She is a member of Phi Kappa Phi, and the Sigma Theta Tau Honor Society of Nursing. Sharon holds certification in operating room nursing (CNOR), as an RN first assistant (CRNFA), in plastic and reconstructive surgical nursing (CPSN), and as a legal nurse consultant (PLNC). In her previous role as a perioperative educator, Sharon was responsible for the creation and coordination of educational projects, programs, and inservices designed to improve hospital processes for orientation and development of personnel in nine perioperative departments. Her work as a legal expert witness involves reading and reviewing medical records and testifying as to the standard of perioperative nursing care. Sharon is a member of the School of Nursing faculty of Middle Tennessee State University and the University of Phoenix. She truly enjoys her work as a nursing instructor helping to shape the hearts and minds of future perioperative nursing professionals. In her position as a Perioperative Nursing Specialist for the AORN, Sharon provides consultative services, authors various AORN publications, including recommended practices and Clinical Issues columns; and, represents AORN at various organizations and functions such as AAMI, IAHCSMM, and AATB. Sharon was recognized by AORN as a recipient of the Outstanding Achievement in the Application of Perioperative Clinical Research Award in 2005. This award recognizes a registered nurse whose application of perioperative clinical research reflects the goal of excellence in patient care.
Amber Wood, MSN, RN, CNOR, CIC, CPN, is a Perioperative Nursing Specialist at AORN. Prior to coming to AORN, she was an Infection Preventionist at a 427-bed acute care facility in Texas and served as an Institutional Review Board member. She was a circulating nurse in the OR at Children’s Medical Center in Dallas, Texas, where she also worked as a clinical research coordinator in the pediatric intensive care unit. Amber completed her BSN and MSN in Nursing Education at Texas Woman's University in Dallas, Texas. She is certified as a CNOR, infection prevention and control professional (CIC), and pediatric nurse (CPN).
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SPEAKER CONTACT INFORMATION:
Sharon A. Van Wicklin, MSN, RN, CNOR, CRNFA, CPSN, PLNC
Perioperative Nurse Specialist
AORN, Nursing Practice
Denver, Colorado
FACULTY DISCLOSURE:
Sharon Van Wicklin: 7. No conflict.
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• Part 1: Webinar
–Recording available:
Education Hub
http://www.aorn.org/Events/Webinars/
Previously_Recorded_Webinars.aspx
• Part 2: Live Session
–Monday, March 31st 4-5pm
Flip the Session
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Webinar Highlights
1. Multidisciplinary Teams
2. High Touch Objects
3. Enhanced Environmental Cleaning
4. Cleaning Methodology
5. Measurement of Cleanliness
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High Touch Objects in the OR
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High Touch Objects in Pre-&Postop Area
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SCENARIO
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• High Touch Objects
• Enhanced Environmental Cleaning
• Responsibility
• Missed Items
• Quality
Answers
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The events depicted in this scenario are fictitious.
Any similarity to any person is merely coincidental.
Disclaimer
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MEET THE PLAYERS
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The Patient
OR Director Infection Preventionist EVS Director
The Multidisciplinary Team
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The RN Circulator and Scrub RN
The Environmental Services (EVS) Personnel
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THE EVENTS
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End of Procedure
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End of Procedure
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End of Procedure
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Terminal Cleaning
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Acinetobacter baumannii
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Ventilator Cultures
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Interview
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Results
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How could this scenario have been prevented?
What cleaning strategies can be implemented?
High Touch ObjectsEnhanced Cleaning
Responsibility
Missed Items
Quality
Tool Kit
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www.aorn.org/clinicalpractice
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Top 5 key points:
1. Title change
2. Expanded content
3. Error prevention
4. Breast cancer specimens
5. Alternatives to formalin
Specimen Management
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AORN Headquarters
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Su
rgic
al A
ttire
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Sp
ecim
en
Ma
na
ge
me
nt
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Sp
ecim
en
Ma
na
ge
me
nt
Specimen Management: Answers
A. There is an unlabeled specimen in the container on the shelf (VI)
B. The specimen container is leaking (V.b.)
C. The breast biopsy specimen is drying on an absorbent towel (III.a.2.)
D. The breast biopsy specimen has not been fixed within one hour (III.a.1.)
E. The umbilical hernia specimen is falling off the sterile field (IV.b.)
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Where did the errors in this specimen
management scenario occur?
How could this tragic error have been
prevented?
Specimen Management: Scenario
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• Patient
• Interventional Radiologist
• Surgeon
• Perioperative RN
Specimen Management: Scenario
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