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Clinical Issues-November 2020.

Kristyn Seeman

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    |October 28, 2020
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    Summary
    This summary is machine-generated.

    Adhesive tape can cause pressure injuries and contamination during patient positioning. Proper aseptic technique is crucial for maintaining sterility of open wrappers to prevent contamination and ensure patient safety.

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    Area of Science:

    • Medical Devices
    • Surgical Safety
    • Healthcare Economics

    Background:

    • Patient positioning is critical in surgery, with adhesive tape sometimes used for fixation.
    • Maintaining sterility in the operating room (OR) is paramount to prevent surgical site infections.
    • OR time is a significant cost factor, necessitating efficient product evaluation and use.

    Purpose of the Study:

    • To evaluate the risks associated with using adhesive tape for patient positioning.
    • To assess the sterility of the unsterile border of open sterile wrappers.
    • To analyze the cost per minute of OR time and identify potential cost savings.
    • To investigate issues with multipacks containing an incorrect number of suture needles, posing a retained surgical item (RSI) risk.

    Main Methods:

    • Review of current practices in patient positioning using adhesive tape.
    • Microbiological assessment of wrapper borders after opening sterile packages.
    • Analysis of direct costs associated with OR procedures and product usage.
    • Auditing of suture needle counts in multipack surgical products.

    Main Results:

    • Adhesive tape use in patient positioning may lead to pressure injuries and contamination.
    • The unsterile border of wrapper flaps can compromise aseptic technique.
    • Variations in OR time costs highlight the need for perioperative efficiency.
    • Incorrect suture needle counts in multipacks increase the risk of retained surgical items (RSIs).

    Conclusions:

    • Adhesive tape requires careful consideration during patient positioning to mitigate risks.
    • Strict adherence to aseptic technique is essential when handling sterile wrappers.
    • Optimizing perioperative efficiency through product evaluation can lead to significant cost savings.
    • Improved counting procedures and package integrity are necessary to prevent retained surgical items.