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Operating Room (OR) Unit Manual

The Unit Practice Manual policies can be viewed or printed using Adobe Acrobat.

Scope of Services

Perioperative Scope of Services

Structure Standards

Perioperative Structure Standards

Clinical Protocol:	Anesthesia, Spinal & Epidural: Perioperative Care of Patients Undergoing
Administrative Procedure:	Attire, Surgical
Clinical Procedure:	Biological Indicator Use: Gravity Displacement Autoclaves
Clinical Protocol:	Cardiovascular Monitoring in the Perioperative Phase
Clinical Procedure:	Care of Surgical Instruments and Powered Equipment in the Perioperative Setting
Administrative Procedure:	Cesarean Section: JDH OR Scrub Person Coverage of L&D/OB-GYN
Clinical Protocol/ Procedure:	Counts: Sponge, Sharp, Accessory Item & Instruments
Clinical Protocol:	Day of Procedure Care, Perioperative Care
	Appendix A - Guidelines for the Preoperative Preparation of the Surgical Patient
Administrative Protocol:	Department of Corrections (DOC) Patients in the JDH Perioperative Area: JDH Perioperative
Clinical Procedure:	Documentation: Perioperative Electronic and Paper Back-Up
Clinical Protocol/ Procedure:	Electrosurgical Unit (ESU) Safety
Clinical Procedure:	Extended Type & Screen Transfusion Service
Administrative Procedure:	Fetal Demise in the John Dempsey Hospital Operating Room
Administrative Protocol:	Health Care Industry Representative (HCIR) in the Perioperative Setting
Administrative Procedure:	Implantable Devices
	Reference: Hospital Administrative Manual Policy 11-036
Protocol:	Implanted Electronic Cardiac Devices: Perioperative Care of Patients with
Protocol/ Procedure:	Lasers: Intraoperative Use of
Clinical Protocol:	Latex Allergy Care: Perioperative Division
Clinical Protocol:	Local Topical/Infiltration Anesthesia Procedures
Clinical Protocol:	Malignant Hyperthermia: Perioperative Care of Patients with
Administrative Procedure:	Materials Management in the Perioperative Phase
	Form: Vendor Supplied Equipment Tracking Log
Clinical Protocol:	Nausea and Vomiting: Perioperative Care of Patients with
Clinical Protocol:	Operative Hysteroscopy: Perioperative Care of Patients Undergoing
Clinical Protocol:	Pain and Comfort Management: Perioperative Care
Clinical Procedure Protocol:	Pneumatic Tourniquet Safety
Clinical Protocol Procedure:	Positioning
Clinical Protocol:	Radiation Exposure: Minimizing Perioperative Patient Exposure
Clinical Protocol:	Respiratory Compromise Management in the Perioperative Phase
Clinical Procedure:	Safe Medication Practices in the Perioperative / Periprocedural Setting
Administrative Procedure:	Scheduling in the Perioperative Area
Clinical Protocol:	Skin Care: Perioperative Care of the Patient at Risk for or with Skin Breakdown
Clinical Procedure:	Specimen Care and Handling
Clinical Protocol:	Sterile Field: Maintenance of
Administrative Protocol:	Sterilization
Other:	Surgical Wound Classification (Appendix)
Clinical Protocol:	Thermoregulation and Prevention of Unplanned Perioperative Hypothermia
Administrative Clinical Procedure:	Tissue Management (HAM Policy)
Administrative Clinical Protocol:	Tissue Autografts - Cranial Flap Bone Banking for Internal Use
Administrative Clinical Protocol Form	Tissue Autografts Tracking Log
Procedure:	Transport of Sterilized Items, Internal Use: John Dempsey Hospital and FSC ORs
Administrative Procedure:	Visitors and Observers in the Perioperative Area Attachment: Non Paid Student Procedure Guide Attachment: Verification of School Health Records

Association of Perioperative Registered Nurses (AORN) Recommended Practices

In addition to the above standards, staff in this area are directed to the following AORN Recommended Practices:

Endoscopes - Cleaning and Processing
Environmental Cleaning in the Surgical Practice Setting
Hand Antisepsis, Surgical
Skin Antisepsis, Preoperative Patient

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