Surgical Instrumentation

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Topics: Surgery
Surgical Instrumentation
Institutions spend vast amounts of dollars on surgical instrumentation which play an essential role in surgery. Without the surgical instrumentation, health care providers are unable to render safe, quality and efficient care. Often the surgical instruments are missing, unsterile in the decontamination room or they are found to be unsterile after placing the instruments in the sterile field which compromises the care provided to the patient. This paper will propose using an instrument tracking system to improve efficiency and quality, promote safety and reduce cost.
Instrument Tracking System
The idea of Instrument tracking is not a new concept in surgery, but in recent years? technology has allowed the focus to
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This comes into play when a case that was not scheduled requires a set of instruments before the case can proceed, the CITS can easily and quickly locate the instrument set and whether it is sterile and ready for use by using scanned bar code. Balcerek (2015) suggest that the CITS locates instrumentation, ability all the time easily and quickly to facilitate the readiness of instrumentation for additional surgical procedures by the scanned bar code or the matrix dot which helps identify the instruments. Duro (2014) confirms that the use of bar codes and dots allows for accurate identification of instruments. CITS affords the ability to list every instrument in the set in the computer along with photos for visualization. The ability to visualize the instrument set on the computer prevents opening and reprocessing of instrument sets. According to Balcerek (2015) the process of locating instruments quickly, their availability, sterility content and the computerized viewing improve the efficiency and quality of the use of instrumentation in …show more content…
Instruments are considered unsterile after the completion of each procedure and should be decontaminated and reprocessed for sterility. Care should to taken to ensure the cleanliness of the instruments prior to the processing of instrument sterility. If instruments are not properly cleaned the dried blood or tissue is processed on the instruments, leaving residue of blood and tissue now called bioburden. Duro (2013) states it is critical to ensure all bioburden is removed from instrumentation before sterilization. When bioburden is present on instrumentation the instruments are considered unsterile and cannot be used on patients in any surgical procedure (Duro, 2013). When instrumentation is unsterile, the patient can experience complications such as infection. The CDC (2016) estimated 157,500 inpatient surgery patients acquired surgical site infection (SSIs). The use of CITS is one way to ensure patients receive sterile instrumentation to aid in the prevention of

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