Operating Room

Pressure ulcers have become more prevalent in hospitals and nursing homes in the last decade, even though preventative protocols backed by clinical research have been shown to be effective. Pressure ulcers, also known as decubitus ulcers, are skin lesions associated with pressure, moisture, and other factors. They can affect any area of skin and are especially common on the sacral area, greater trochanter, heels and other areas with bony prominences. Without adequate blood flow, the affected tissue dies.  If not properly treated these ulcers can evolve into deep wounds that go down to the bone and lead to serious and potentially life-threatening infections.

Theres no question the healthcare industry is at a critical juncture. The pressure on healthcare providers to offer value without sacrificing quality has never been greater. But for change to happen, the responsibility to find innovative solutions to reduce costs and increase quality care must be shared equally by all stakeholders, including hospital executives, staff members and suppliers. With reform imminent and budgetary pressures mounting, the time for action is now. Its no longer enough for hospitals to implement short-term solutions such as staff or service cutbacks. To reduce healthcare costs without compromising the delivery of care, hospitals must devise and execute long-term, fully integrated sustainability solutions.

Hospital operating rooms (ORs) and ambulatory surgery centers (ASCs) must confront more than their fair share of challenges in the current healthcare environment. Many facilities are working with limited capital and non-capital budgets; facilities have cut back on spending. Volumes of surgical procedures have been reduced as a notable percentage of people are unexpectedly without insurance due to job losses. Those patients are procrastinating on surgical procedures while they search for new employment.

One of the most common questions related to the sterile processing department (SPD) is this little gem, asked by surgeons, nurses and scrub techs: why does it take so long to get our sets up to the operating room (OR)? The demand for faster turn-around of surgical instruments is constantly hampered by a number of time-related challenges. In addition, when processes are fragmented and the instrument management process is less than ideal, turnaround time can also increase.

While clinical activities on hospital floors such as injections or starting IVs pose the constant threat of percutaneous injuries, nowhere is the danger more real than in the fast-paced operating room environment. Knowing this, the Association of periOperative Registered Nurses (AORN), released at this year's Congress a sharps safety toolkit that puts into the hands of perioperative professionals the educational materials they need to advance their knowledge of safe practices when using sharps.