RESTRINGING INSTRUMENTS I am writ...

RESTRINGING INSTRUMENTS

I am writing in answer to a question and answer in the "Clinical issues" row of the April AORN Journal (page 835) The question was related to washing and restringing instruments in the OR after each conduct I certainly agree with the part of the answer that outlines correct cleaning practices and supports decontamination in a dedicated area separate from the OR. Instrument decontamination should not be done in ORs. I believe, however, that it is a cleanse person's responsibility to remove gros soil as it accumulates forward instruments intraoperatively to ensure that these items remain in working order and are easier to clean when it take rises time to process them in the decontamination area.

I must take issue, yet with the comment that indicates that restringing instruments is a "poor use of valuable OR time" and that instrument damage will be found On the contrary, it is when instruments are not restrung and are transported to decontamination in a haphazard fashion that damage take places At the end of a management it is only too easy for heavy instruments to be placed forward top of delicate ones, for ring handles to become tangled, and fine tips to become bent or chipped. A tangled mes of instruments ofttimes takes an inordinate amount of time to sort not at home in preparation for processing in decontamination.

To OR staff members who have in no degree done it, restringing instruments at the extremity of a procedure may appear like an impossibly time-consuming task; however, it can be done. Instruments do not have to be completely clean. Cleaning will come into view in the separate decontamination area. Instruments do not have to be checked for function and placed in correct order onward the stringer. That will be done in the preparation area of the sterile processing department (or OR).

I have worked in many ORs where restringing or pegging is an expectation of the clean nurse. It is done routinely and without difficulty. each OR nurse has a responsibility to defend instruments from damage. Restringing is common consistent and relatively easy way in which to do this. It is in no way substandard instrument care.

BARBARA BOLDING RN BSN MBA STERILE PROCESSING EDUCATOR AND CONSULTANT VANCOUVER, BC

DEFINING THE NURSING PROCESS

I just be pleased with reading the AORN Journal. It withholds me informed about current inclinations and professional practice issues. I particularly appreciate in what way you address the importance of a nursing language that articulates what we do--the nursing proces beyond the tasks that comprise a big part of our piece of works The nursing process is what drives it all and makes the interventions valuable.

A coworker who is not a give suck to has said, "I wish I had your job--you obtain to sit a lot!" It was a teasing remark, however I think that other health care providers are not aware of all that the nursing proces entails and by what means it benefits patients. We do a division almost automatically as part of our do job-work We do not routinely elaborate upon the steps of the nursing proces as we perform our duties and return patient care, so many do not understand exactly what we "do."

I am mostly concerned when unlicensed assistive personnel participate in tasks that affect patient care, similar as opening sterile supplies. I sometimes find breaks in technique. Each time I intervene, if it were not that what if I wasn't there? Needles to say, I have affection for when nurses like Brenda Gregory Dawes, RN MSN CNOR, and Suzanne C Beyea, RN PhD C are able to articulate from one side editorials and articles in the AORN Journal about our fresh specialized language--the Perioperative Nursing Data Set--why each patient deserves a perioperative succor Thanks for making it clear to others.

VICKI DREGER RN CNOR STAFF succor OAK LAWN, ILL

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