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November 2018 Issue
This November issue includes a CE article on innovations in the field of adjunctive technology designed to improve OR air quality include using UV disinfection and mobile UV disinfection plus high-efficiency particulate air filtration, and a CE article on interventions that can be implemented to address hypothermia. The Clinical Issues column explores easing discomfort from prolonged standing during surgical procedures, using antifatigue mats in the OR, maintaining an ergonomically correct OR bed height, and more.
Featured CE Articles
OR Air Quality: Is It Time to Consider Adjunctive Air Cleaning Technology?
Patients undergoing surgery may be at risk for infection from airborne particles such as dust, skin scales, respiratory aerosols, and hair fibers emanating from multiple sources in the OR, including personnel, heater-cooler devices, and surgical smoke. Surgical personnel are also at risk from exposure to surgical smoke, which can contain viable viral particles. During the past decade, innovations in the field of adjunctive technology designed to improve OR air quality include using ultraviolet disinfection and mobile ultraviolet disinfection plus high-efficiency particulate air filtration.
Back to Basics: Unplanned Patient Hypothermia
Perioperative nurses are responsible for identifying patients at risk for hypothermia and working with the entire surgical team to prevent this complication. Multiple interventions can be implemented to address hypothermia, including active or passive warming and warm IV and irrigation fluids. This Back to Basics article addresses patient assessment concerns, identifies a variety of evidence-based interventions that can prevent or mitigate perioperative patient temperature changes, and provides basic steps for perioperative RNs to follow to help prevent perioperative hypothermia in patients.
Clinical Issues—November 2018
November's column addresses the following topics:
- Walking patients to the OR
- Easing discomfort from prolonged standing during surgical procedures
- Using antifatigue mats in the OR
- Maintaining an ergonomically correct or bed height