Outpatient Surgery Magazine - Subscribers

What's the Harm? - December 2015 - Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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8 O U T P A T I E N T S U R G E R Y M A G A Z I N E O N L I N E | D E C E M B E R 2 0 1 5 Up for Debate Ever feel like you're drowning in a sea of rules and regulations? C huck Knight, RN, BSN, CNOR, wears Crocs in the OR. With no shoe covers. And he places a piece of surgical cloth tape over the toe of his Crocs to prevent him from tripping. Ding. Ding. Ding. In the hyper-regulated world of surgical nursing, that's a triple violation. Per infection control best practices and OSHA, shoes must be enclosed (Crocs are backless) and fluid-resistant (Crocs have holes on top). And the cloth tape that lets Mr. Knight's Crocs glide across the OR floor harbors a lot of bugs — and a good bit of dangerous lint, too. Mr. Knight would be better off going sockless in the OR. AORN has no official position related to wearing socks in the perioperative areas, even though AORN (and your colleagues!) would prefer you to wear some form of absorbent footwear. OR nurses can be fanatical about their rules, especially those govern- ing surgical attire. Some are the vigilante enforcers, pouncing on the slightest infraction or strand or hair peeking out from under a cloth cap (that had better be covered by a paper bouffant!). If we had a quarter for every finger-wagging e-mail we've received after we published a picture of a nurse wearing a dangling mask — "It's either down and off or up and on" — we'd have quite a stack of coins. "As an educator for surgical services, I support having rules and regu- lations," says a reader. "Otherwise, staff will do whatever they please. In surgical services, there must be strict rules and a strong team surgical conscience." E D I T O R ' S P A G E Dan O'Connor

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