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The AAMI recommended practice, Comprehensive guide to steam sterilization and sterility assurance in health care facilities, is a breakthrough standard in terms of its scope. AAMI has updated ST79 with the release of ST79:2010/A4:2013. Of particular importance, A4:2013 provides four new figures demonstrating the wrapping of items for steam sterilization and adds an annex focused on Moisture assessment. As of Oct. 25, 2013, purchasers of ST79 will receive ANSI/AAMI ST79:2010 and A1:2010 and A2:2011 and A3:2012 and A4:2014 as a single consolidated document. Among other changes from the 2006 edition of ST79, this revised and expanded second edition of ST79 includes guidance on the use and application of Class 6 emulating indicators, a chemical monitoring device fairly new to the United States. Because ST79 essentially consolidates five AAMI steam sterilization standards (whose content was reviewed and updated to reflect current good practice prior to being incorporated into ST79), it truly is a comprehensive guideline for all steam sterilization activities in healthcare facilities, regardless of the size of the sterilizer or the size of the facility, and provides a resource for all healthcare personnel who use steam for sterilization.
The effective sterilisation of any material or device to be implanted in or used in close contact with the human body is essential for the elimination of harmful agents such as bacteria. Sterilisation of biomaterials and medical devices reviews established and commonly used technologies alongside new and emerging processes.Following an introduction to the key concepts and challenges involved in sterilisation, the sterilisation of biomaterials and medical devices using steam and dry heat, ionising radiation and ethylene oxide is reviewed. A range of non-traditional sterilisation techniques, such as hydrogen peroxide gas plasma, ozone and steam formaldehyde, is then discussed together with research in sterilisation and decontamination of surfaces by plasma discharges. Sterilisation techniques for polymers, drug-device products and tissue allografts are then reviewed, together with antimicrobial coatings for 'self-sterilisation' and the challenge presented by prions and endotoxins in the sterilisation of reusable medical devices. The book concludes with a discussion of future trends in the sterilisation of biomaterials and medical devices.With its distinguished editors and expert team of international contributors, Sterilisation of biomaterials and medical devices is an essential reference for all materials scientists, engineers and researchers within the medical devices industry. It also provides a thorough overview for academics and clinicians working in this area. - Reviews established and commonly used technologies alongside new and emerging processes - Introduces and reviews the key concepts and challenges involved in sterilisation - Discusses future trends in the sterilisation of biomaterials and medical devices
Essentials of Perioperative Nursing, Fifth Edition is the ideal reference for new perioperative nurses as well as experienced nurses who need a refresher. Featuring objectives, course outlines, testing tools, and competency checklists, it is succinct and easy to use. Completely updated and revised, this new edition includes an introduction to the current clinical environment, elements of a culture of safety, and patient care unique to the ambulatory care setting. Essentials of Perioperative Nursing, Fifth Edition is perfect for operating room nurses, nurses studying to become operating room nurses, current operating room nurses needing to refresh and test their knowledge, and perioperative nursing students.Included with each new print book is an Access Code for a Companion Website featuring self-test questions, section questions, post-test questions, and additional study questions
"The concise, easy-to-access resource is aimed at nurses who are new to the operating room and the experienced nurses who guide them... The $30 book contains a wealth of current, evidence-based clinical practice information that perioperative nurses need daily." --Dan O'Connor, Outpatient Surgery Magazine "This pocket-size book offers concise information for rapid reference, step-by-step instructions for perioperative practices, and evidence-based content based on current perioperative standards and recommended practices. ÖNovice nurses, students, and seasoned preceptors will be delighted to learn how easily this go-to guide will provide immediate reference to perioperative practices and information, all while fitting into a pocket for easy retrieval." óKay Ball, PhD, RN, CNOR, FAAN Associate Professor, Nursing, Otterbein University, Westerville, Ohio Past President, Association of periOperative Registered Nurses From the Foreword This is a concise, easy-to-access resource for nurses who are new to the operating room (OR) and the experienced nurses who guide them. Condensing volumes of OR content into one pithy, pocket-size book, it contains a wealth of current, evidence-based clinical practice information perioperative nurses need daily. Based on current standards and recommended practices, it is organized to provide speedy access to critical information. Its lucid, step-by-step format helps new nurses to better understand the complex skills and techniques required in the OR. Focusing on safety and specific patient interventions, orientation information including supplies needed and important protocols is covered. It addresses personal and patient preparation, environmental concerns, and documentation requirements, and describes the wide range of specific technical skills needed by both circulating and scrub nurses. Each chapter introduces concepts and sets clear learning objectives. Also included is an overview of the most common surgical procedures. New perioperative nurses in orientation and their preceptors will find this book to be a welcome addition to the learning process. Key Features: Provides must-have OR orientation information for new nurses and their preceptors Contains key information on patient preparation, aseptic technique, surgical procedures, anesthesia considerations, and documentation Based on the most up-to-date evidence in the literature Includes Fast Facts in a Nutshell feature to reinforce important information
Assurance of Sterility for Sensitive Combination Products and Materials: New Paradigms for the Next Generation of Medical Devices and Pharmaceuticals discusses the medical device industry and existing challenges regarding the exciting new world of sensitive combination products (SCPs) and their terminal sterilization. This book reassesses the current assumptions to assure the patient's best interests are met in the development of increasingly rigorous sterilization methods used to counteract MRSA and other 'super-bugs'. In addition, the book discusses the special challenges faced with implantable medical devices, sterilization requirements and further methods needed for material selection and the design process. This book is unique in taking a holistic, end-to-end approach to sterilization, with a particular focus on materials selection and product design.
Essentials of Perioperative introduces peri-operative nursing through the framework of the nursing process and nursing diagnoses, rather than the former task-oriented approach. This Second Edition is thoroughly updated and expanded to include new material on universal precautions, blood borne pathogens, waste management, cost containment, the scope of perioperative nursing, the roles of the surgical team, and the perioperative nurse role of circulator and scrub nurse. Learning objectives are stated at the beginning of each chapter.
Prevention is the first line of defence in the fight against infection. As antibiotics and other antimicrobials encounter increasing reports of microbial resistance, the field of decontamination science is undergoing a major revival. A Practical Guide to Decontamination in Healthcare is a comprehensive training manual, providing practical guidance on all aspects of decontamination including: microbiology and infection control; regulations and standards; containment, transportation, handling, cleaning, disinfection and sterilization of patient used devices; surgical instrumentation; endoscopes; and quality management systems. Written by highly experienced professionals, A Practical Guide to Decontaminationin Healthcare comprises a systematic review of decontamination methods, with uses and advantages outlined for each. Up-to-date regulations, standards and guidelines are incorporated throughout, to better equip healthcare professionals with the information they need to meet the technical and operational challenges of medical decontamination. A Practical Guide to Decontaminationin Healthcare is an important new volume on state-of-the-art decontamination processes and a key reference source for all healthcare professionals working in infectious diseases, infection control/prevention and decontamination services.
This is the second edition of the WHO handbook on the safe, sustainable and affordable management of health-care waste--commonly known as "the Blue Book". The original Blue Book was a comprehensive publication used widely in health-care centers and government agencies to assist in the adoption of national guidance. It also provided support to committed medical directors and managers to make improvements and presented practical information on waste-management techniques for medical staff and waste workers. It has been more than ten years since the first edition of the Blue Book. During the intervening period, the requirements on generators of health-care wastes have evolved and new methods have become available. Consequently, WHO recognized that it was an appropriate time to update the original text. The purpose of the second edition is to expand and update the practical information in the original Blue Book. The new Blue Book is designed to continue to be a source of impartial health-care information and guidance on safe waste-management practices. The editors' intention has been to keep the best of the original publication and supplement it with the latest relevant information. The audience for the Blue Book has expanded. Initially, the publication was intended for those directly involved in the creation and handling of health-care wastes: medical staff, health-care facility directors, ancillary health workers, infection-control officers and waste workers. This is no longer the situation. A wider range of people and organizations now have an active interest in the safe management of health-care wastes: regulators, policy-makers, development organizations, voluntary groups, environmental bodies, environmental health practitioners, advisers, researchers and students. They should also find the new Blue Book of benefit to their activities. Chapters 2 and 3 explain the various types of waste produced from health-care facilities, their typical characteristics and the hazards these wastes pose to patients, staff and the general environment. Chapters 4 and 5 introduce the guiding regulatory principles for developing local or national approaches to tackling health-care waste management and transposing these into practical plans for regions and individual health-care facilities. Specific methods and technologies are described for waste minimization, segregation and treatment of health-care wastes in Chapters 6, 7 and 8. These chapters introduce the basic features of each technology and the operational and environmental characteristics required to be achieved, followed by information on the potential advantages and disadvantages of each system. To reflect concerns about the difficulties of handling health-care wastewaters, Chapter 9 is an expanded chapter with new guidance on the various sources of wastewater and wastewater treatment options for places not connected to central sewerage systems. Further chapters address issues on economics (Chapter 10), occupational safety (Chapter 11), hygiene and infection control (Chapter 12), and staff training and public awareness (Chapter 13). A wider range of information has been incorporated into this edition of the Blue Book, with the addition of two new chapters on health-care waste management in emergencies (Chapter 14) and an overview of the emerging issues of pandemics, drug-resistant pathogens, climate change and technology advances in medical techniques that will have to be accommodated by health-care waste systems in the future (Chapter 15).