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An electronic educational resource for ready reference in the OR.

Nurses and surgical technologists working on weekends or after hours may not always be familiar with a specific setup for an emergent surgical procedure. At St. Vincent Healthcare, Billings, Mont., an electronic tool was developed to address this concern. The Powerpoint-based Electronic Education Resource (PEER) system provides staff members with a quick, educational overview of surgical setup, patient positioning, and procedural steps.

Computer-Assisted Instruction↗

AORN guidance statement: perioperative staffing. Association of periOperative Registered Nurses.

One of the most important responsibilities of a perioperative nursing leader is the development of an effective staffing plan relative to surgical patients' needs. AORN recognizes there are a variety of settings in which perioperative RNs practice. This guidance statement is intended to serve as a guide for perioperative nursing leaders in developing a staffing plan and is designed to be adaptable to various practice settings.

Emergencies↗

Intraoperative nursing activities performed by surgical technologists.

In this study of delegated intraoperative nursing activities performed by surgical technologists (STs) in low-risk and high-risk surgical procedures, 343 OR directors, perioperative nurses, and STs from rural, community, and medical center hospitals reported that STs frequently perform activities related to surgical counts, the sterile field, and equipment and supplies. Surgical technologists do not frequently perform tasks related to patient transportation, teaching, medication administration, OR environment, patient monitoring, and patients' rights. The investigator used nine competency statements of intraoperative nursing as a framework for the research instrument. Data analysis determined that the levels of risk in patient situations affects how frequently STs perform transportation, teaching, sterile field, OR environment, and patients' rights activities.

Clinical Competence↗

Glove perforations in ophthalmic surgery.

To determine the potential rate of intraoperative parenteral exposure of physicians and patients caused by glove perforation during ophthalmic surgery, gloves were analyzed after 125 procedures. Gloves were collected from all surgical team members (surgeon, assistants, scrub nurse, and circulating nurse). The rate of glove perforation was significantly lower for the surgeon, 0.3% (one of 303 gloves) than for the assistants, 5% (ten of 202 gloves [P = .001]), scrub nurses, 16% (52 of 326 gloves [P = .0001]), and circulating nurses, 15% (43 of 293 gloves [P = .0001]); similarly, assistants had a significantly lower rate than did scrub nurses (P = .0001) and circulating nurses (P = .001). There was no statistically significant difference in number of perforations on the basis of surgery duration or type of ophthalmic procedure. These findings suggest that the risk of parenteral exposure during ophthalmic surgery is low for the surgeon, and higher for other surgical personnel. We also analyzed additional safety precautions. Further study is warranted to determine the effectiveness of precautions and to guide policy formulation.

Equipment Failure↗