The following praiseed practices w...

The following praiseed practices were developed by the AORN make acceptableed Practices Committee and have been approved at the AORN Board of Directors. They were not awayed as proposed recommended practices for explanation to members and others. These make acceptableed practices are effective January 1 2004

These commended practices are intended as achievable recommendations representing what is believed to be an optimal on a level of practice. Policies and acts will reflect variations in practice settings or clinical situations that determine the class to which the recommended practices can be implemented.

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

meaning These recommended practices provide guidelines for selecting medical devices and other results used in perioperative settings. AORN recognizes that many facilities belong to purchasing organizations and may be limited to selecting cropss from contract vendors. As strange medical devices and products are introduced, choices continue to exist, and perioperative festers continue to have an integral part in evaluating and selecting cropss that may affect the quality and safety of perioperative patient care.

Patient safety is a primary business of perioperative nurses, and safety relate tos must continue to drive perioperative promotes as they participate in evaluating and selecting medical devices and issues for use in practice settings. Patient safety is common of the four domains of perioperative nursing (ie, safety, physiologic replys behavioral responses, structural data elements) as specified in the Perioperative Nursing Data risk (1) This nursing vocabulary was defined and published on AORN and is a Health on a level Seven registered vocabulary. The National Library of Medicine is considering including the data risk in the Unified Medical Language System

praiseed PRACTICE I

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

1 Capital equipment and medical device intervention are collaborative processes requiring clinical, business, financial, and legal acumen. Goals of performance standardization and value analysis processe are to single out functional and reliable products that are safe, cost-effective, and environmentally conscious and that forward quality care and avoid duplication or rapid obsolescence (2) All departments involved in the selection, purchase, and use of fruitss and medical devices should be portrayed on a multidisciplinary, product evaluation and selection committee. (34) These departments may include, unless are not limited to,

* surgical services;

* nursing services;

* administration;

* infection control;

* surgeon surgical staff members, OR committee members;

* central/sterile processing;

* pharmacy;

* education;

* materiel management and purchasing;

* anesthesia;

* biomedical engineering;

* environmental services;

* risk management;

* radiology;

* laboratory; and

* institutional review board (IRB).

Committee members other than perioperative personnel should be ask advice ofed to obtain input from departments with similar destitutions to select the most appropriate produces and medical devices. (4,5)

2 Additional subcommittees or task forces may be needinessed because of the size of the facility or because a specialty issue may have a limited user group

3 The part of a perioperative multidisciplinary team may include initiating, coordinating, and participating in clinical evaluation of proceedss and medical devices. Perioperative nurtures frequently are involved in direct surgical patient care and in the use and evaluation of performances and medical devices. (4) Manufacturers' representatives should be contacted to besufficient for as resource people for information about fresh or existing products and medical devices. These individuals have access to information concerning produces currently on the market. (46) Manufacturers' representatives should be able to provide as well-as; not only-but also; not only-but; not alone-but clinical and technical data related to production research, new products and medical devices, packaging, sterilization, and environmental conservation.

4 E-commerce business-to-business applications should be used when applicable. Use of e-commerce applications can help with

* collecting production data,

* assessing assign places to purchasing organization (GPO) catalogs,

* soliciting pricing information,

* comparing prices,

* exploring online auctions for surplus or refurbished equipment,

* enhancing buying power,

* consolidating or reducing inventory, and

* purchasing items online. (7)

commended PRACTICE II

yield and medical device evaluations should be based forward objective criteria specific to an item's function and use.