BACKGROUND Despite the increasing use of Alcohol-Based Hand Rub solutions, few studies have quantified the concentrations of inhaled ethanol. OBJECTIVE The aim of this study was to assess ethanol exposure during hygienic and surgical hand disinfection practices. METHOD Ethanol concentrations were measured at the nose level of a wooden dummy and human volunteers. Two systems were used in par...

SURGICAL MASKS should cover the mouth and nose and be secured in a way that prevents venting at the sides of the mask. Reprinted from Perioperative Standards and Recommended Practices. Copyright© 2014, AORN, Inc. The updated “Recommended practices for surgical attire,” which will be electronically released Nov. 15, provide guidance for surgical attire, including scrub attire, shoes, jewelry, he...

The development of antisepsis in the late nineteenth and early twentieth centuries revolutionized health care. The time-honored technique of skin preparation is to scrub the entire operative area of the patient for 5 to 7 minutes with a germicidal detergent solution and then paint the region with an antimicrobial solution of either tincture of povidone-iodine (Betadine) or chlorhexidine. Althou...

The robotic nurse plays an essential role in a successful robotic surgery. As part of the robotic surgical team, the robotic nurse must demonstrate a high level of professional knowledge, and be an expert in robotic technology and dealing with robotic malfunctions. Each one of the robotic nursing team "nurse coordinator, scrub-nurse and circulating-nurse" has a certain job description to ensure...

Results Clear explanations with diagrams and photos are used to illustrate the differences of the most commonly used surgical instruments. We demonstrate how this affects needle and tissue handling, as well as performance. Tips are also given for scrub nurses on handling and loading left-handed instruments. We recommend a standard set that will allow Cardiothoracic Units to provide the essentia...

Mycobacterium goodii infection is uncommon and probably occurs via disruption of skin and bone integrity or the introduction of a foreign body into viscera, namely implantation of a prosthetic device. We describe a case of nosocomial, total knee arthroplasty–associated M goodii infection that required combined antibiotic and surgical therapy for clinical management. An infection control investi...

The non-technical skills of situational awareness and the formation of effective interpersonal relationships are essential to enhance surgical outcomes. However, most scrub practitioners demonstrate only tacit awareness of these skills and develop such qualities on an informal basis. Application of non-technical skills may be assessed formally, using a structured framework, to transform normati...

Background: Scrub typhus is prevalent in India although definite statistics are not available. Recent reports from several parts of India indicate that there is a resurgence of scrub typhus. There have been only few studies on scrub meningitis, most are case report. Methods: A prospective study done in Sir Padampat Mother and Child Health Institute, SMS Medical College, Jaipur to find cases of ...

BACKGROUND Hip fractures are common in the elderly and are likely to become more prevalent as the US population ages. Early functional status is an indicator of longer term outcome, yet in-hospital predictors of functional recovery, particularly time of surgery and composition of support staff, after hip fracture surgery have not been well studied. METHODS Ninety-nine consecutive patients und...