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March 2021 Issue

This March issue includes a CE article on perioperative considerations for patients undergoing an anterior cervical discectomy and fusion, and a CE article on basic hand hygiene concepts that perioperative personnel can use to help decrease health care–associated infections. The Clinical Issues column explores surgical patients with glycemic controller devices and insulin pumps, using leftover IV fluids to clean the surgical incision site after closure, transferring patients from a prone position on the OR bed to a supine position on the stretcher, and more!

Featured CE Articles

1. Anterior Cervical Discectomy and Fusion: A Surgical Intervention for Treating Cervical Disc Disease

An anterior cervical discectomy and fusion (ACDF) is a procedure involving the removal of disc material to achieve neural tissue decompression and placement of a bone graft or interbody implant and a cervical plate and screws to stabilize the spinal column at one or more vertebral levels. This article briefly reviews the anatomy of the spine and treatment options for cervical disc disease; presents an in-depth review of the ACDF procedure, including the expected perioperative course and care considerations; and concludes with a case report of a 37-year-old woman who underwent an ACDF at the C5-C6 and C6-C7 vertebral levels of the spine.

2. Back to Basics 2.0: Hand Hygiene

The Healthcare Infection Control Practices Advisory Committee recommends that health care workers routinely perform hand hygiene as a simple and effective way to prevent health care–associated infections (HAIs). Although the recommendation to perform hand hygiene is a core infection prevention measure, the Centers for Disease Control and Prevention estimates that health care workers complete the hand hygiene process less than 50% of the time that it is indicated. This article provides a review of basic concepts related to hand hygiene that perioperative personnel can use to help decrease HAIs.

Clinical Issues

Clinical Issues—March 2021

This month’s Q&A column addresses the following topics:
  • Surgical patients with glycemic controller devices and insulin pumps
  • Using leftover IV fluids to clean the surgical incision site after closure
  • A certified surgical first assistant’s scope of practice after obtaining RN licensure
  • Using instruments outside the scope of the manufacturer’s instructions for use
  • Transferring patients from a prone position on the OR bed to a supine position on the stretcher

March Journal Issue