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January 2022 Issue
Special Focus Issue: AORN Pre-Conference
This January issue includes a CE article on implementing contact precautions to prevent transmission of multidrug-resistant organisms, and a CE article on perioperative fire prevention and mitigation. The Clinical Issues column examines Mold in the OR, removing mold in the OR, cesarean delivery surgical site prep, and commercially available premoistened single- use mop pad use in an ambulatory surgery center.
Featured CE Articles
- An Overview of Dupuytren’s Disease for Perioperative Nurses
Dupuytren’s disease is a fibroproliferative condition that causes shortening, thickening, and fibrosis of the palmar fascia and a flexion deformity of metacarpophalangeal and proximal interphalangeal joints. Although the etiology is unknown, a variety of risk factors, such as age greater than 50 years, male sex, family history, or tobacco and alcohol use may lead to disease development. At the present time there is no cure and symptoms may recur; however, surgical procedures (eg, limited fasciectomy) and nonsurgical treatment (eg, needle aponeurotomy, injection of collagenase clostridium histolyticum) can help patients manage the disease’s symptoms. Patients may experience wound-healing complications after fasciectomy and skin fissures after needle aponeurotomy. Recurrence rates for needle aponeurotomy and collagenase clostridium histolyticum injection are similar. Perioperative nurses should provide individualized patient care during procedures, participate in effective team communication regarding patient needs, and provide patient education throughout the perioperative continuum.
- Hazardous and Harmful Chemicals in the Perioperative Environment
Perioperative personnel use a wide variety of toxic and hazardous chemicals (eg, formaldehyde, methyl methacrylate [MMA]), and safe use of such chemicals can reduce the risk of exposures that may cause personnel or patient harm. Hazardous chemicals can cause negative health effects (eg, skin corrosion, eye damage, carcinogenicity, reproductive or specific target organ toxicity) or damage to the environment of use (eg, explosions, fires, corrosion). Some chemicals (eg, glutaraldehyde) may have harmful properties, but the US Department of Labor’s Occupational Safety and Health Administration may not designate them as toxic and hazardous. There often are applicable federal, state, and local regulations that address handling, storage, and disposal of the harmful chemical; required education; and emergency procedures for spills or leaks.
- Cleaning the central core floor
- Wearing a cooling vest under a sterile gown
- Fluorescence-guided surgery
- Containment of used suture needles