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May 2016 Issue
This May issue includes featured CE content on strategies for successfully processing flexible endoscopes and guidance for administering moderate sedation/analgesia based on the updated “Guideline for care of the patient receiving moderate sedation/analgesia.” In addition, this month’s Clinical Issues column looks at variations in documenting surgical wound classification, wearing long-sleeved jackets while preparing and packaging items for sterilization, endoscopic transmission of prions, and wearing gloves when handling flexible endoscopes.
Back to Basics: Flexible Endoscope Processing
Flexible endoscopes are important tools in patient care, yet recent outbreaks of infections in patients who have undergone endoscopic procedures have increased awareness of how the complex design of these instruments makes them difficult to clean. This Back to Basics article focuses on flexible endoscope processing and provides sterile processing, endoscopy, and perioperative team members strategies for successful processing of these instruments.
Guideline Implementation: Moderate Sedation/Analgesia
The updated AORN “Guideline for care of the patient receiving moderate sedation/analgesia” provides guidance on RN administration of moderate sedation/analgesia within the scope of nursing practice as defined by the state board of nursing. The guideline addresses patient selection and assessment, staffing for the procedure, patient monitoring, medication administration, and criteria for postoperative discharge. This article focuses on key points of the guideline to promote safe care throughout the perioperative continuum for a patient receiving moderate sedation/analgesia.
Clinical Issues - May 2016
This month’s Q&A column addresses the following topics: variations in documenting surgical wound classification, wearing long-sleeved jackets while preparing and packaging items for sterilization, endoscopic transmission of prions, and wearing gloves when handling flexible endoscopes.