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OR Excellence Awards 2016 - September 2016 - Subscribe to 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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guidelines that challenged its backing of skullcaps, noting that they may leave the nape of the neck, and possibly hair on the sideburns, exposed. "Wearing a particular head covering based on its symbolism is not evi- dence-based, and should not be a basis for a nationwide practice rec- ommendation," AORN wrote. "Several types of evidence exist that sup- port recommendations that perioperative personnel cover their head and ears in the OR." AORN's director of evidence-based perioperative practice compared surgeons wearing skullcaps to OR nurses wearing white wing-tipped nursing caps. "It's a symbol of the nursing profession, but that doesn't mean it has any place in the operating room," says Lisa Spruce, DNP, RN, CNS-CP, CNOR, ACNS, ACNP, FAAN. As you might imagine, Dr. Hollander does not appreciate being told what to wear in the OR by a surgical nurse association. "No offense to nurses, but they're not surgeons," he says. "The sur- geons are the ones who are responsible for the patients. Why are nurses dictating to the surgeons how you're going to dress for sur- gery? I'm kind of shocked. It seems like a silly thing. You kind of gig- gle a little bit about this kind of discussion." But this is no laughing matter. Dr. Hollander says his hospital's chief of surgery sat him down to ask him to comply with the new dress code and to leave his skullcaps at home. He says he'll wear the hat of the underling, even though skullcaps fit better, absorb perspiration better and look better than cloth bouffant hats. Even though long hair slips out of bouffants. And even though no evidence exists that bouffants do a better job of decreasing patient exposure to a surgeon's hair, dan- druff or flaking skin than skullcaps. He'll do it, but he won't like it. OSM Editor's Page EP 1 0 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • S E P T E M B E R 2 0 1 6

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