{"title":"Effecting change in the path of a rhinoceros herd.","authors":"Muriel Shewcuk","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77061,"journal":{"name":"Canadian operating room nursing journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2003-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24106750","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Following the CJD protocol and decontamination processes (Table 1) as recommended in the Health Canada CJD Guideline will serve to prevent transmission of CJD via surgical instruments, "Preparation of the work area" and "safe handling of strong chemicals used for decontamination" are other topics that must be addressed by staff in the OR and SPD. The appendix offers a quick reference that summarizes many of the important points which staff in the OR caring for patients, and staff in SPD caring for instruments, need to be aware of.
{"title":"CJD decontamination of surgical instruments.","authors":"Linda Kingsbury","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Following the CJD protocol and decontamination processes (Table 1) as recommended in the Health Canada CJD Guideline will serve to prevent transmission of CJD via surgical instruments, \"Preparation of the work area\" and \"safe handling of strong chemicals used for decontamination\" are other topics that must be addressed by staff in the OR and SPD. The appendix offers a quick reference that summarizes many of the important points which staff in the OR caring for patients, and staff in SPD caring for instruments, need to be aware of.</p>","PeriodicalId":77061,"journal":{"name":"Canadian operating room nursing journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2003-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"24057498","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Why a RN first assistant? A look at the benefits....","authors":"Grace Groetzsch","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77061,"journal":{"name":"Canadian operating room nursing journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2003-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22511241","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Oh, those baby blues: when you are dealing with a child with PHPV.","authors":"Dawn Atwell","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77061,"journal":{"name":"Canadian operating room nursing journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2003-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22511240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A perioperative work environment based on values. Can it be so?","authors":"Muriel Shewchuk","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77061,"journal":{"name":"Canadian operating room nursing journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2003-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22511239","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
During the ten years that I have worked at the Canadian Nurses Protective Society, we have had numerous calls from Operating Room nurses questioning the practice of re-using single use medical devices in their facilities and voicing their concerns about possible harm to patients, themselves and potential liability exposure. Interest in this topic has been rekindled by the recent Saskatchewan case involving the death of a patient from variant Creutzfeld-Jakob Disease (vCJD) and possible transmission of vCJD to 71 patients who may have been exposed to the same endoscope as the deceased while in hospital. In this article, I propose to address some of the concerns related to the reuse of single use medical devices by focusing on the prevalence of this practice, the legal risks involved, regulation of this practice, and risk management.
{"title":"Reuse of single use medical devices.","authors":"Ann Tapp","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>During the ten years that I have worked at the Canadian Nurses Protective Society, we have had numerous calls from Operating Room nurses questioning the practice of re-using single use medical devices in their facilities and voicing their concerns about possible harm to patients, themselves and potential liability exposure. Interest in this topic has been rekindled by the recent Saskatchewan case involving the death of a patient from variant Creutzfeld-Jakob Disease (vCJD) and possible transmission of vCJD to 71 patients who may have been exposed to the same endoscope as the deceased while in hospital. In this article, I propose to address some of the concerns related to the reuse of single use medical devices by focusing on the prevalence of this practice, the legal risks involved, regulation of this practice, and risk management.</p>","PeriodicalId":77061,"journal":{"name":"Canadian operating room nursing journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2003-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22348009","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
As monetary constraints in health care increase, stakeholders search for avenues to ensure cost-effective care provision. In the perioperative environment one such avenue involves the group of health care providers supporting surgeons and patients during surgery--the surgical assistant. In Canada, general practice physicians predominantly fill this role. Another viable option promoted as a cost-effective alternative to the physician assistant is the Registered Nurse First Assistant (RNFA). The relationship between RNFA cost-effectiveness and role implementation and reimbursement is explored in this article. The importance of formally determining the cost-effectiveness of the RNFA through the utilization and development of research is presented.
{"title":"Determining the cost-effectiveness of the Registered Nurse First Assistant: the research link.","authors":"Marlene B Weeks","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>As monetary constraints in health care increase, stakeholders search for avenues to ensure cost-effective care provision. In the perioperative environment one such avenue involves the group of health care providers supporting surgeons and patients during surgery--the surgical assistant. In Canada, general practice physicians predominantly fill this role. Another viable option promoted as a cost-effective alternative to the physician assistant is the Registered Nurse First Assistant (RNFA). The relationship between RNFA cost-effectiveness and role implementation and reimbursement is explored in this article. The importance of formally determining the cost-effectiveness of the RNFA through the utilization and development of research is presented.</p>","PeriodicalId":77061,"journal":{"name":"Canadian operating room nursing journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2002-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22250663","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Survival tips in organizational chaos and change. \"What is now will not be in the future--the future is now\".","authors":"Muriel Shewchuk","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77061,"journal":{"name":"Canadian operating room nursing journal","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2002-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"22009778","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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