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Related Concept Videos

Hand hygiene01:23

Hand hygiene

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Asepsis is the practice of preventing or breaking the chain of infection. The nurse employs aseptic techniques to prevent the spread of microorganisms and reduce the risk of diseases. Hand hygiene is the cornerstone of aseptic techniques and is classified into medical and surgical asepsis. Medical asepsis includes hand hygiene and the use of gloves. Surgical asepsis, or the sterile technique, refers to practices that render and keep objects and areas free of microorganisms.
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Handwashing I: Introduction and Types of Equipment01:18

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Handwashing is hand hygiene with plain or antimicrobial soap and water to physically remove dirt, organic material, and microorganisms. However, it may not kill all microorganisms. The handwashing procedure requires a hand wash basin, liquid soap, paper towels, a domestic waste bin, and disposable nail cleaner as optional equipment.
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Handwashing III: During the Procedure and Post-Procedure Steps01:15

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To wash hands properly, follow these steps:
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The pre-procedure steps of handwashing include removing jewelry and rolling up sleeves. However, many organizations allow staff to wear wedding rings.
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Types of Reports I: Hands-off Report01:25

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A hand-off report, also known as a change-of-shift report, is a crucial nursing process that ensures the smooth transition of patient care responsibilities between nursing staff.
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Healthcare Associated Infections II: Preventive Measures01:22

Healthcare Associated Infections II: Preventive Measures

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Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
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Lean and Green Hand Office-Based Hand Surgery: Does it Work?

Robert Van Demark1, Vanessa Smith1, Tate Blankespoor1

  • 1University of South Dakota Sanford School of Medicine.

South Dakota Medicine : the Journal of the South Dakota State Medical Association
|June 23, 2025
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Summary
This summary is machine-generated.

Implementing Lean and Green surgical packs in Wide-Awake local anesthesia office-based hand surgery significantly reduces costs and waste. This approach maintains high patient safety and satisfaction, proving effective for future healthcare delivery.

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Area of Science:

  • Orthopedics
  • Hand Surgery
  • Healthcare Management

Background:

  • US healthcare spending is projected to reach $5.3 trillion by 2025, representing 19.6% of GDP.
  • The US healthcare industry is a major national waste producer.
  • Lean and Green strategies can reduce operating room costs and waste without compromising patient safety.

Purpose of the Study:

  • To evaluate the safety, cost-effectiveness, and patient satisfaction of Wide-Awake local anesthesia office-based hand surgery.
  • To assess the impact of Lean and Green surgical packs on cost and waste reduction.

Main Methods:

  • Retrospective chart review of 437 office-based hand surgery cases over 12 months.
  • Analysis of infection rates, secondary procedures, patient satisfaction, and cost/waste savings.
  • Patient surveys on procedure comparison, recommendation likelihood, and willingness to repeat.

Main Results:

  • Superficial infection rate was 3.9%; no deep infections occurred.
  • Secondary procedure rate was 0.2%.
  • Lean and Green packs resulted in $4,650 cost savings and 2,211 lbs waste reduction.
  • Patient satisfaction was high: 99% rated the experience favorably and would recommend/repeat.

Conclusions:

  • Wide-Awake local anesthesia office-based hand surgery is safe, cost-effective, and highly satisfactory.
  • Lean and Green surgical packs enhance cost savings and reduce waste.
  • Combining these approaches is an effective strategy for future healthcare delivery.