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).

Die laparoskopische Cholezystektomie (LC) ist die bevorzugte Behandlung für Gallensteine und andere Gallenblasenerkrankungen. Obwohl die LC mittlerweile ein sehr gängiges Verfahren ist, das häufig ambulant durchgeführt wird, birgt sie immer noch Risiken für den Patienten. Jedes Mitglied des perioperativen Teams, einschließlich der Krankenpflegekräfte, chirurgisch-technischen Assistenten und Sterilisationsfachkräfte, spielt eine entscheidende Rolle bei der Optimierung der Sicherheit und Wirksamkeit der LC. In dieser Lerneinheit werden die Inzidenz und Prävalenz von symptomatischen Gallensteinen, die wichtigsten chirurgischen Techniken zur sicheren Entfernung der Gallenblase und die kritischen Sicherheitsaspekte und -maßnahmen für die Wiederaufbereitung von laparoskopischen Instrumenten und für chirurgisches Material - wie z.B. Gallenkanal-Klemmen - erörtert, die bei jedem LC-Patienten dazu beitragen, Komplikationen zu vermeiden und ein optimales postoperatives Ergebnis zu erzielen.

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.

Learn how to manage the logistics of block scheduling and how to maintain efficient workflows for robotic surgeries by leveraging data and best scheduling practices. You’ll gain valuable tips for making strategic decisions around block release and using open time, with the end goal of reaching your program’s peak potential.

This continuing education activity is designed to help improve patient outcomes and safety by providing evidence-based practices, and the latest regulatory and scientific information available about sterile processing. You'll explore key steps in the manufacturing process of “premium” grade surgical instruments, clinical considerations used when selecting instruments, as well as the importance of water quality used for processing are discussed.

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 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.

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.

This CE activity will outline best practices for safe and effective inspection, processing and handling of rigid oral endoscopes, the Medical Device Manufacturers (MDM) instructions for use and guideline recommendations to ensure the instruments are patient ready.

This learning activity discusses alternative options for indwelling catheters that can reduce a patient’s risk for developing catheter-associated urinary tract infection (CAUTI), a hospital-acquired infection that increases with duration of use of an indwelling catheter and costs the United States healthcare system millions every year.

This education activity reviews the indications, contraindications, and methodology of enteral feedings and highlights the role of the multidisciplinary team in the care of patients requiring enteral nutrition. The types of feeding formulations will be discussed along with routes of delivery, common complications, and ways to mitigate these risks.

This program is a pivotal step towards mastering advanced fascial closure techniques, ensuring safer surgical outcomes and setting a higher benchmark in the prevention and management of port-site hernias.

La colecistectomia laparoscopica (CL) è il trattamento di elezione per la calcolosi biliare e altre patologie della cistifellea. Sebbene sia ormai una procedura molto comune, spesso eseguita in contesti ambulatoriali, presenta comunque dei rischi per il paziente. Ogni membro dell’équipe perioperatoria, inclusi infermieri professionali, strumentisti e addetti alla sterilizzazione, svolge un ruolo fondamentale nell’ottimizzazione della sicurezza e dell’efficacia della CL. Questa attività formativa tratterà l’incidenza e la prevalenza della calcolosi biliare sintomatica, le tecniche chirurgiche chiave stabilite per garantire una rimozione sicura della cistifellea nonché le attività e gli aspetti critici legati alla sicurezza per la rigenerazione degli strumenti laparoscopici e il materiale chirurgico, come le clip del dotto cistico, che consentono a ogni paziente sottoposto a CL di evitarne le relative complicanze e ottenere un risultato post-operatorio ottimale.

This program will cover the evolution and history of surgical gloves; glove perforations and sharps injuries; the infection risk for the glove wearer and patient; double gloving and glove changing research; best glove practices; and current guidelines and standards of practice for glove changing.

The operating room has traditionally been one of the highest revenue generators for healthcare organizations. This continuing education activity will provide the perioperative nurse with information on ways to improve inventory management in the operating room. It will review the challenges and opportunities associated with effective supply management, and provide specific strategies on product standardization, inventory management and reduction, reduction of waste, data analysis, and improved physician preference card management.

This program is specifically designed to enhance the skills of all team members. The focus is on the essential steps of cleaning, disinfecting, and maintaining surgical instruments, particularly clip appliers fundamental in heart surgeries.