This ebook is intended to supplement education and training of vascular vessel mapping protocols for creation of an endovascular arteriovenous fistula (endoAVF) utilizing the approach with dual magnetic catheters and application of radiofrequency energy to create an endoAVF (dual catheter system) anastomosis.

This ebook discusses foreign debris-initiated post-surgical complications and their associated pathological mechanisms. It reviews the sources of debris contamination, including a description of foreign microbody characteristics that can further amplify pathological responses. Strategies to determine the presence of lint in the OR and recommendations for minimizing their presence are highlighted.

This continuing education activity will address the role of environmental contamination in the transmission of HAIs, describe the latest research on environmental hygiene in the operating room (OR), and list the monitoring methods available to objectively evaluate environmental hygiene. Process improvement methods and new technologies such as self-disinfecting surfaces and “no touch” area cleaners utilizing ultraviolet (UV) irradiation and hydrogen peroxide vapor will be described.

The advantages of using an online system for direct access to valuable information about a procedure pack program will be discussed. The five key functions of an online pack management system will be outlined. Best practices for standardization of procedural supplies across an integrated delivery network or individual hospital will be described.

In the current era of antibiotic stewardship, with the prevalence of bacterial resistance to multiple antibiotic agents, there has been an interest in using perioperative antiseptics to reduce microbial contamination in the surgical site before closure and possibly reduce the need for antibiotic agents. This program is intended to better understand the proper implications of the different types of wound irrigations in relation to SSIs, cost, and efficiency.

This program summarizes the risks associated with handling needles and sharps in the healthcare environment and describes how implementation of a comprehensive sharps safety program can mitigate these risks.

There are several therapeutic modalities available today that either use the body’s natural thermoregulatory mechanisms to relieve pain, encourage healing, or enhance the body’s ability to maintain a normal core temperature. Therefore, nurses and other health- care professionals must remain aware of the use of localized temperature therapy as an effective treatment modality.

This educational program will explore how damage to the skin barrier can lead to alterations in the skin microbiome, contributing to conditions such as incontinence-associated dermatitis (IAD).

As healthcare systems continue to combat COVID-19, and the ongoing risk posed by Multidrug-Resistant Organisms (MDROs), ultraviolet (UV) room disinfection can be a valuable tool for enhanced environmental hygiene and surface disinfection. This program reviews the basics of how UV room disinfection devices inactivate microorganisms, the germicidal UV dose delivery required to achieve broad spectrum efficacy and the basics for evaluating and decoding UV device manufacturers’ claims and support, which can vary greatly.

This ebook is intended to supplement education and training of vascular vessel mapping protocols for creation of an endovascular arteriovenous fistula (endoAVF) utilizing the approach with dual magnetic catheters and application of radiofrequency energy to create an endoAVF (dual catheter system) anastomosis.

Both tube dislodgement and medical device-related pressure injuries can lead to significant morbidity and mortality for the patient and potential legal and financial risks for healthcare organizations. This learning activity will outline the incidence, complications, and costs of unplanned extubation and medical device-related pressure injuries.

An overview of the types of chest drains, indications for effective use and key management factors will be described. The safe and effective use of chest drainage systems will be discussed so that nurses can provide high quality care for their patients to achieve optimal care outcomes.

This continuing education activity will describe the structural differences between rigid and flexible endoscopes as well as surgical uses for both types of endoscopes. Additionally, the steps for cleaning and the Spaulding Classification System will be discussed as a basis for determining the appropriate sterilization method for flexible and rigid endoscopes.

In 2018 the European Society of Cardiology (ESC) and in 2017 the American College of Cardiology (ACC) in partnership with the American Heart Association (AHA) and Heart Rhythm Society (HRS) released guidelines focused upon the diagnosis and treatment of syncope. This course reviews the step-by-step approach outlined in the guidelines that should be performed for syncope patients of unexplained cause or cardiac-suspected syncope, including best-yield testing and the use of newer technology to detect cardiac-caused syncope.

This learning activity will focus on the stages of peripheral artery disease, best medical treatment options based on current guidelines, and various endovascular and surgical revascularization techniques, such as stenting, atherectomy, and thrombectomy.

Both tube dislodgement and medical device-related pressure injuries can lead to significant morbidity and mortality for the patient and potential legal and financial risks for healthcare organizations. This learning activity will outline the incidence, complications, and costs of unplanned extubation and medical device-related pressure injuries.

Benchmarking is a powerful management tool used as a point of reference and a way of measuring and comparing services within and/or outside the healthcare system. In this program you'll discover how benchmarking can help establish best practices, identify quality gaps, and help to improve efficiency, patient care and satisfaction, and financial outcomes.

This continuing education activity will describe observable symptoms of burnout, contributing factors, and opportunities to enhance resilience and prevent burnout. In addition, myths, facts, and recent events related to clinician burnout, will be explored.

Instances of accidental burns have been documented. Moreover, reports of burns resulting from prolonged exposure to traditional surgical lighting, particularly before the adoption of light emitting diode (LED) technology. This educational activity will identify patient risks associated with surgical lights and strategies for enhancing patient safety.

The increased need to navigate to areas impossible to locate through touch, and an increased focus on oncoplastic approaches, have led to the development of several wire-free localization techniques that alleviate some of the evidence-based disadvantages of wire-guided localization. This program aims to educate a broader audience on the latest localization techniques for breast conservation surgery with a specific focus on Radar Localization.