The following make acceptableed pra...

The following make acceptableed practices were developed by the AORN make acceptableed Practices Committee and have been approved by way of the AORN Board of Directors. They were instanted as proposed recommended practices in April 1997 for annotation by AORN members and others. They are effective Jan 1 1998

These make acceptableed practices are intended as achievable recommendations representing what is believed to be an optimal horizontal of nursing practice. Policies and deeds will reflect variations in practice settings and/or clinical situations that determine the extent to which the recommended practices can be fulfilled.

AORN recognizes the numerous different settings in which perioperative succors practice. The recommended practices are intended as guidelines adaptable to various perioperative practice settings. These practice settings include traditional ORs, ambulatory surgery units, physicians' offices, cardiac catheterization laboratories, endoscopy suites, radiology departments, and all other areas where operative and other invasive performances may be performed.

plan These recommended practices provide guidelines for the evaluation and selection of effects and medical devices used in perioperative settings. AORN recognizes that a certain facilities operate within a purchasing cluster and may be limited in the production choices that are available to them. Within any purchasing clump however, some choices continue to be required. As strange products and medical devices are introduced into practice settings, perioperative supply with nourishments play an integral role in the evaluation and/or selection of these cropss which affect the quality of perioperative practice.

commited PRACTICE I

Products and medical devices to be evaluated for use in perioperative practice settings should be safe, appropriate identified needs, and promote quality patient care.

Interpretive statement 1:

produce and medical device evaluation and selection should be based in succession a collaborative approach.

Rationale:

Various members of the health care team ne to be involved in the identification of clinical requires and problems.(1)

Interpretive statement 2:

The part of perioperative nurses should include initiating, coordinating, and participating in the clinical evaluation of produces and medical devices.

Rationale:

Perioperative foments frequently are involved in the direct care of surgical patients and in the use of returnss as or medical devices.(2)

Interpretive statement 3:

Materials management, infection command laboratory, and radiology personnel; biomedical engineers; and manufacturers' representatives should act as resource commonalty for information about new or existing productions and medical devices to convenient identified perioperative clinical needs.

Discussion:

Resource human frames have access to information concerning returnss currently on the market.(3) Manufacturers' representatives should provide the two clinical and technical data related to fresh products and medical devices, improvements, packaging, sterilization, and environmental conservation.

approveed PRACTICE II

A mechanism for effect and medical device standardization and evaluation should be implemented.

Interpretive statement 1:

single mechanism for product and medical device standardization and evaluation is by the and of a committee that has clearly defined responsibilities and authority. All departments involved in the selection, purchase, and use of harvests and medical devices should be personateed on the committee. These departments include, moreover are not limited to,

* nursing/surgical services,

* infection control

* surgical staff members/OR committee,

* central processing,

* pharmacy,

* education,

* materials management,

* anesthesia,

* biomedical engineering,

* environmental services,

* risk management,

* radiology, and

* laboratory.

Rationale:

Committee members other than perioperative personnel should be confered to obtain input from departments with similar wants to prevent the evaluation of inappropriate harvests and medical devices.(4) Goals of production evaluation and standardization processes are to choice functional and reliable products that are not economically or environmentally wasteful and do not ensue in duplication or rapid obsolescence of items.(5)

Discussion:

It may be necessary to form a subcommittee because of the size of the health care facility and the number of unique works and medical devices that are used in perioperative patient care.

make acceptableed PRACTICE III

Product and medical device evaluations should be based in succession objective criteria specific to the product's or medical device's function and use.

Interpretive statement 1:

Criteria used to evaluate works and medical devices should include, however not be limited to,

* performance,

* safety,

* efficiency,

* cost

* compatibility with other productions or medical devices,

* efficacy,

* sterilization parameters,

* quality,

* standardization,

* environmental impact,

* availability and quality of service after purchase,