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Overview: One of the most important attributes of living organisms is the capacity to self-repair. This ability is expected and observed every time a major or minor invasive procedure is performed on a patient. Needless to say, lack of this healing ability would render surgery useless. Indeed, every injury, whether a broken leg, bloody nose or paper cut, would be a potential death sentence.
If the body's healing systems were present but only minimally effective, we might make it through childhood spills, pre-adolescent tumbles and sports warrior clashes alive but seriously scarred, misshapen and minimally functional. Instead, a surgeon removes an appendix, sets crushed legs and performs brain surgery assuming (or at least, expecting) normal wound healing repair will occur in an automatic sequence within a fairly predictable time period. Simplistically, all that is necessary is to make sure the parts are kept moist and clean, properly aligned, and adequately bound.
Although the auto-pilot repair process initiates to some degree in any individual, the quality of the repair can vary substantially depending on the condition of the patient's general health, degree of trauma sustained, level of microbial contamination and the presence or absence of foreign debris in the wound, among other influencers. Unfortunately, there is far too little attention to the important role that lint and other particles play in post-surgical complications.
Lint and particulate debris (sterile or not) left in the surgical wound can cause or facilitate post-surgical complications including infection, amplified and prolonged inflammation, permanent tissue damage, poor scar quality, granulomas, adhesions, organ dysfunction and other pathological consequences. Capsule formation and device implant-associated infections are facilitated by the presence of these micro-foreign bodies.
When inserted intravascularly on debris-contaminated guidewires, catheters or leads, they initiate thrombosis. Foreign body emboli have been isolated from the brain, lungs, heart, renal vasculature and various other anatomical locations with potentially severe patient consequences including death.
This course will review foreign debris-initiated post-surgical complications with associated pathological mechanisms, identify sources of lint and other foreign debris contamination, and present recommendations for minimizing their presence.
Why should you Attend: Using case studies and pathological descriptions to understanding how these seemingly innocuous contaminants (even if they are sterile) can cause such complications. Our ageing population will increase the percentage of major surgeries conducted on a more vulnerable patients. With patient safety, reward for performance incentives and costs imposed on re-admissions and more and more sub-optimal surgical outcomes, understanding and preventing post-surgical complications is critical from multiple aspects.
Or put another way: As we carry the weight of rising medical costs, diminishing reimbursement, seemingly "unavoidable" post-surgical complications, and responsible transparency, the attitude of "this complication is within the normal expected levels" is just not acceptable. In the US, we spend over $10 billion in surgical site infections each year. A significant number of these infections and other complications will no longer be reimbursed by the Centers for Medicare & Medicaid Services (CMS), and cannot be charged to the patient.
Similarly, Central Line blood stream infections, and thrombosis or pulmonary embolism after total hip or knee replacement will not be reimbursed. CMS refers to these complications as "Never Events", as they should never occur. This is now government policy. Malpractice attorneys have taken up the banner using the sanctioned "Never Event" label as their strategic platform: Res ipsa loquitur = "the thing speaks for itself"; the patient received substandard care. Every effort must be made to reduce such complications and thus protect the patient, reduce hospital costs and shield the medical facility and staff from liability.
Manufacturers of invasive or implant devices should know that contamination with lint and/or particulates can lead to postsurgical complications Risk managers, defense and plaintiff lawyers for post-surgical complications should be aware of what could lead to complications. (Similar to current J & J powder law suits in a way).
Areas Covered in the Session:
Nature of Lint and Particulates from Cotton and paper to particles poorly cleaned instruments as well as skin flakes and hair
Mechanism and case histories associated with
Blood clots (thrombogenesis)
Poor would healing
Adhesions and band formation
Toxic Anterior Segment Syndrome
Items that are most frequent offenders will be presented (Non-commercial)
In-facility self-tests anyone can perform to identify potential shedders
More sophisticated air sampling assessments that can be performed
Air flow and open door studies will also be presented
Who Will Benefit:
Surgeons (All specialties)
Sterile Processing, Central Service staff
Hospital Risk Managers
CMS (Gov. Medicare/Medicaid)
Pain Institutes (for Vascular and Epidural Injections
Anesthesiologists (Epidural, & IV)
Docs, PA and Nurses Performing or Assisting in Central
Critical Care Nurses Unit Nurses
Hate to say it but: Toxic tort lawyers)
Hospital Risk managers, Infection Preventionists, CMS Risk Reduction Staff, Healthcare Educators
R & D in Various Implant and Surgical Device Companies
Wava Truscott , PhD. MBA, is founder and president of Truscott MedSci Associates, a consulting company addressing current concerns in healthcare including infection prevention, improved patient outcomes, and staff risk reduction. Development of accredited educational courses, speaking engagements, topic research, writing articles, and assisting with experimental design are core competencies. She is an international lecturer having presented in 17 countries and has written over 90 articles and 7 book chapters.
Price - $139
Netzealous LLC -MentorHealth
Phone No: 1-800-385-1607
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