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AORN Guideline Update

AORN Guideline Update. Julie Cahn, DNP, RN, CNOR, RN-BC, ACNS-BC, CNS-CP AORN Perioperative Practice Specialist. Outcomes. Describe how to identify which of the AORN Guidelines were updated this year. List one change to the methodology used in the 2020 guidelines.

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AORN Guideline Update

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  1. AORN Guideline Update Julie Cahn, DNP, RN, CNOR, RN-BC, ACNS-BC, CNS-CP AORN Perioperative Practice Specialist

  2. Outcomes Describe how to identify which of the AORN Guidelines were updated this year. List one change to the methodology used in the 2020 guidelines. Describe two changes in the 2019 guidelines. Identify two guidelines that are being updated for 2020. I.A

  3. AORN Guidance Guidelines Position Statements Clinical Issues Columns

  4. Guideline Process Systematic Literature Review Evidence Appraisal Evidence Synthesis Drafting

  5. Guidelines Team AORN Staff Guidelines Advisory Board Members Evidence Appraisers Subject Matter Experts

  6. Guidelines Advisory Board

  7. National Guidelines Clearinghouse NGC ECRI Trust

  8. Evidence Model Evolution 1: Strong Evidence 2: Moderate Evidence 3: Limited Evidence 4: Benefits Balanced w/Harms 5: No Evidence 2014-2019 edition

  9. New Evidence Ratings

  10. Making Recommendations Resource use: If applicable Costs, materials, staffing, facility needs No AORN cost analysis

  11. New Recommendation Ratings Regulatory Requirement Recommendation Conditional Recommendation No Recommendation

  12. New Format Cranial Bone Flaps 1.1.1 Only 2 Levels Numbering Scheme Headers Recommendations & Activities

  13. What has been Updated? Back cover of the book & TOC Webinar & FRC Alerts

  14. Facilities Reference Center Earlier Access 7/1 Surgical Attire 7/1 Hypothermia 10/1 Packaging 11/1 Sharps 12/1 Tissue 1/2 Cleaning Searchable Use key words to find what you are looking for faster.

  15. Implementation Tools Gap Analysis Tool P&P Templates Webinar & PPT Compet-ency Quick Views Guideline Essentials

  16. New in 2019 Environment of Care Design & Maintenance Safe Patient Handling & Movement Sterile Technique Transmission-Based Precautions Sterilization

  17. SPH&M Set up similarly to the ANA’s Safe Patient Handling & Mobility Standards Focused on prevention of Musculoskeletal disorders Employee reasonable accommodations post injury 7 Ergonomic Tools & 7 Tables

  18. Design & Maintenance Zones with in the OR Zones of Protection Risk assessment with HVAC variance Create a plan to mitigate the effects of internal or external utility failure

  19. Safe Environment of Care Fire Safety Noise & Distractions Slips, Trips, Falls Alarms Latex, Chemicals, & Hazardous Waste Warming Cabinets, Medical Gases & Anesthesia Waste Gases

  20. Sterilization Leadership Sterilization of reusable semicritical Phacoemulsification hand pieces Monitor steam supply

  21. Transmission-Based Precautions Masks Removal of PPE New Tables and figures. Removal of Gowns

  22. Sterile Technique Unidirectional Ultraclean Air Delivery Systems Table Covering Intraoperative Debridement Devices Door Opening

  23. New in 2020 Environmental Cleaning Autologous Tissue Hypothermia Packaging Systems Surgical Attire Sharps Safety

  24. Consult Line Tuesday & Wednesday 0900-1300 Mountain Standard Time (800) 755-2676 aorn.org

  25. Thank You!

  26. Questions

  27. Academic Translator What you might read Various sources What it means I forgot the name and author of that one paper A promising area for an initial study I have to do this to get funding There was a heated Twitter argument Widely discussed in the academic community I don’t understand A complex phenomenon

  28. But 1st Some Fun! https://youtu.be/QUW0Q8tXVUc

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