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September 2020 Issue

This September issue includes a CE article on recommendations for selecting and using packaging systems and educating personnel about their use based on the AORN “Guideline for sterilization packaging systems,” and a Back to Basics 2.0 CE article on preparing for and managing a malignant hyperthermia crisis. The Clinical Issues column explores surgical counts during a partial cystectomy, preparing the OR for patients who require airborne and contact precautions, and preoperative and postoperative transport of patients who require airborne and contact precautions.

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Featured CE Articles

Guidelines in Practice: Sterilization Packaging Systems

The updated guideline provides guidance for evaluating and selecting appropriate packaging systems based on compatibility with the items to be sterilized and the sterilization method, preparing items for sterilization, and verifying achievement of sterilization parameters. This article focuses on the guideline recommendations for selecting and using packaging systems and educating personnel about their use. A scenario provides an example in which a perioperative educator uses an audit tool to determine sterile processing and perioperative team members’ educational needs related to packaging systems and to evaluate the outcomes after an education session and competency verification activities.

Back to Basics 2.0: Malignant Hyperthermia

Malignant hyperthermia (MH) is a disorder that causes an acute life-threatening physiologic crisis in susceptible patients undergoing general anesthesia. Patients experiencing MH display signs of increased metabolism, including an elevated heart rate, an increased core temperature greater than 43.3° C (110° F), muscle rigidity, and increased end-tidal carbon dioxide levels; laboratory test results show increased blood acidity and alterations in other bodily chemicals. An MH episode may cause internal bleeding, neurologic damage, cardiac arrest, and death. This article discusses strategies to prepare for and manage an MH crisis.

Clinical Issues—September 2020

This month’s Q&A column addresses the following topics:

  • Surgical counts during a partial cystectomy
  • Preparing the OR for patients who require both airborne and contact
    precautions
  • Preoperative transport of patients who require both airborne and
    contact precautions
  • Postoperative transport of patients who require both airborne and
    contact precautions

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