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SESSION NAME NEW! Flip the Session: An Experiment in Content … on 2 RPs.pdf · 2014-04-03 ·...

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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.
Transcript
Page 1: SESSION NAME NEW! Flip the Session: An Experiment in Content … on 2 RPs.pdf · 2014-04-03 · Kappa Phi, and the Sigma Theta Tau Honor Society of Nursing. Sharon holds certification

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.

Page 2: SESSION NAME NEW! Flip the Session: An Experiment in Content … on 2 RPs.pdf · 2014-04-03 · Kappa Phi, and the Sigma Theta Tau Honor Society of Nursing. Sharon holds certification

AORN Surgical Conference & Expo 2014 P a g e 2 o f 3

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).

Page 3: SESSION NAME NEW! Flip the Session: An Experiment in Content … on 2 RPs.pdf · 2014-04-03 · Kappa Phi, and the Sigma Theta Tau Honor Society of Nursing. Sharon holds certification

AORN Surgical Conference & Expo 2014 P a g e 3 o f 3

SPEAKER CONTACT INFORMATION:

Sharon A. Van Wicklin, MSN, RN, CNOR, CRNFA, CPSN, PLNC

Perioperative Nurse Specialist

AORN, Nursing Practice

Denver, Colorado

[email protected]

FACULTY DISCLOSURE:

Sharon Van Wicklin: 7. No conflict.

Page 4: SESSION NAME NEW! Flip the Session: An Experiment in Content … on 2 RPs.pdf · 2014-04-03 · Kappa Phi, and the Sigma Theta Tau Honor Society of Nursing. Sharon holds certification

3/25/2014

1

• 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

1

Webinar Highlights

1. Multidisciplinary Teams

2. High Touch Objects

3. Enhanced Environmental Cleaning

4. Cleaning Methodology

5. Measurement of Cleanliness

2

Page 5: SESSION NAME NEW! Flip the Session: An Experiment in Content … on 2 RPs.pdf · 2014-04-03 · Kappa Phi, and the Sigma Theta Tau Honor Society of Nursing. Sharon holds certification

3/25/2014

2

High Touch Objects in the OR

3

High Touch Objects in Pre-&Postop Area

4

Page 6: SESSION NAME NEW! Flip the Session: An Experiment in Content … on 2 RPs.pdf · 2014-04-03 · Kappa Phi, and the Sigma Theta Tau Honor Society of Nursing. Sharon holds certification

3/25/2014

3

SCENARIO

5

• High Touch Objects

• Enhanced Environmental Cleaning

• Responsibility

• Missed Items

• Quality

Answers

Page 7: SESSION NAME NEW! Flip the Session: An Experiment in Content … on 2 RPs.pdf · 2014-04-03 · Kappa Phi, and the Sigma Theta Tau Honor Society of Nursing. Sharon holds certification

3/25/2014

4

The events depicted in this scenario are fictitious.

Any similarity to any person is merely coincidental.

Disclaimer

7

MEET THE PLAYERS

Page 8: SESSION NAME NEW! Flip the Session: An Experiment in Content … on 2 RPs.pdf · 2014-04-03 · Kappa Phi, and the Sigma Theta Tau Honor Society of Nursing. Sharon holds certification

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5

The Patient

OR Director Infection Preventionist EVS Director

The Multidisciplinary Team

10

Page 9: SESSION NAME NEW! Flip the Session: An Experiment in Content … on 2 RPs.pdf · 2014-04-03 · Kappa Phi, and the Sigma Theta Tau Honor Society of Nursing. Sharon holds certification

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6

The RN Circulator and Scrub RN

The Environmental Services (EVS) Personnel

12

Page 10: SESSION NAME NEW! Flip the Session: An Experiment in Content … on 2 RPs.pdf · 2014-04-03 · Kappa Phi, and the Sigma Theta Tau Honor Society of Nursing. Sharon holds certification

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7

THE EVENTS

14

Page 11: SESSION NAME NEW! Flip the Session: An Experiment in Content … on 2 RPs.pdf · 2014-04-03 · Kappa Phi, and the Sigma Theta Tau Honor Society of Nursing. Sharon holds certification

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8

End of Procedure

16

Page 12: SESSION NAME NEW! Flip the Session: An Experiment in Content … on 2 RPs.pdf · 2014-04-03 · Kappa Phi, and the Sigma Theta Tau Honor Society of Nursing. Sharon holds certification

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End of Procedure

17

End of Procedure

18

Page 13: SESSION NAME NEW! Flip the Session: An Experiment in Content … on 2 RPs.pdf · 2014-04-03 · Kappa Phi, and the Sigma Theta Tau Honor Society of Nursing. Sharon holds certification

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10

Terminal Cleaning

19

20

Acinetobacter baumannii

Page 14: SESSION NAME NEW! Flip the Session: An Experiment in Content … on 2 RPs.pdf · 2014-04-03 · Kappa Phi, and the Sigma Theta Tau Honor Society of Nursing. Sharon holds certification

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11

Ventilator Cultures

21

Interview

22

Page 15: SESSION NAME NEW! Flip the Session: An Experiment in Content … on 2 RPs.pdf · 2014-04-03 · Kappa Phi, and the Sigma Theta Tau Honor Society of Nursing. Sharon holds certification

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Results

23

Page 16: SESSION NAME NEW! Flip the Session: An Experiment in Content … on 2 RPs.pdf · 2014-04-03 · Kappa Phi, and the Sigma Theta Tau Honor Society of Nursing. Sharon holds certification

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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

26

www.aorn.org/clinicalpractice

Page 17: SESSION NAME NEW! Flip the Session: An Experiment in Content … on 2 RPs.pdf · 2014-04-03 · Kappa Phi, and the Sigma Theta Tau Honor Society of Nursing. Sharon holds certification

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14

Top 5 key points:

1. Title change

2. Expanded content

3. Error prevention

4. Breast cancer specimens

5. Alternatives to formalin

Specimen Management

27

AORN Headquarters

28

Page 18: SESSION NAME NEW! Flip the Session: An Experiment in Content … on 2 RPs.pdf · 2014-04-03 · Kappa Phi, and the Sigma Theta Tau Honor Society of Nursing. Sharon holds certification

3/25/2014

15

29

Su

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al A

ttire

30

Sp

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ge

me

nt

Page 19: SESSION NAME NEW! Flip the Session: An Experiment in Content … on 2 RPs.pdf · 2014-04-03 · Kappa Phi, and the Sigma Theta Tau Honor Society of Nursing. Sharon holds certification

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31

Sp

ecim

en

Ma

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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.)

Page 20: SESSION NAME NEW! Flip the Session: An Experiment in Content … on 2 RPs.pdf · 2014-04-03 · Kappa Phi, and the Sigma Theta Tau Honor Society of Nursing. Sharon holds certification

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17

Where did the errors in this specimen

management scenario occur?

How could this tragic error have been

prevented?

Specimen Management: Scenario

33

• Patient

• Interventional Radiologist

• Surgeon

• Perioperative RN

Specimen Management: Scenario

34


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