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Biomedical subjects

C B Mailhot

Publications and source records attributed to C B Mailhot.

13 recordsLinked to original sources
PubMed1996

The future of minimally invasive surgery.

When it was first introduced, minimally invasive surgery longer to perform than open surgeries, limited the number of instruments that could be used simultaneously; restricted the manipulation of instruments, reduced the surgeon's depth perception, decreased eye/hand coordination and eliminated the ability to palpate tissue directly. However, recent advances have corrected some of these deficits and minimally invasive surgery eventually will be used for all gynecological procedures and most general surgery, chest and coronary artery bypass procedures.

Clinical Competence↗
PubMed1996

What is the future of the OR director?

So, if there are still some nurses out there who want to get into administration, here's some good advice: "Pick your mentors, get a master's degree early in your career, get involved in your professional association and the sooner you commit, the better." There are still a lot of opportunities for OR managers, and the better ones will flourish in tomorrow's OR. The efficient and forward-looking OR managers will always do well and the well-managed ORs will survive!

Career Mobility↗
PubMed1996

Telepresence: what is it?

The great technological advances of the past 25 years are having a profound impact on the practice of medicine. Combined with the ever-present demand to decrease costs and improve quality driven by the managed care market, telemedicine has emerged as a possible method to at least reach more people and to improve the quality of care.

Clinical Competence↗
PubMed1996

Reengineering: avoiding the pitfalls and overcoming the barriers.

Many health care facilities are in the process of reengineering in order to reduce costs and remain competitive in the marketplace. If your facility is in the planning stages or early on in the process of reengineering, here are tips from some experts to help with this process.

Adaptation, Psychological↗
PubMed1990

Managing operating room budget variances.

Credibility, power, and the ability to obtain greater departmental resources are three benefits of managing the operating room (OR) department's operating budget effectively. Still, few resources exist to help novice as well as seasoned OR directors grapple with the practicalities of maintaining their budget after the annual budget process is completed. The authors examine how astutely controlling personnel, materials, and services budget variances will result in hospital administrators "hearing" and approving an OR director's requests for resources more readily, staff and physicians who enjoy the benefits of better-staffed services and new technology, and an OR director with a reputation as an effective department head among peers in the hospital.

Administrative Personnel↗
PubMed1988

The operating room director: functions and responsibilities.

Do you supervise the operating room (OR) director in your hospital? Are you thinking of applying for an OR director's position? Or are you in the process of clarifying your role as the OR director with your boss? If so, read these authors' analysis of one OR director's role in a large, teaching hospital. Not only will you learn about the functions one OR director performs to lead a 37 million dollar revenue-producing corporate division, but also you will get an appreciation for the pace, complexity, rewards, and dilemmas of such a position.

Administrative Personnel↗
PubMed1987

Cover gowns. Researching their effectiveness.

1. Bacterial colony counts on the right shoulder of the subject's scrub suits were lower after lunch when a. cover gowns were worn over scrub suits outside the OR during lunch, and b. when fresh scrub suits were put on after lunch. 2. Bacterial colony counts were higher after lunch when a. scrub suits were worn without cover gowns outside the OR during lunch, and b. when they were removed before lunch, stored in a locker, and put on again after lunch. 3. The thigh region can be assumed to be dirtier than the shoulder area on scrub suits. From this study, the researchers concluded that wearing cover gowns outside the OR exerts a protective effect against bacterial contamination as determined by samples taken from the right shoulder. Furthermore, this protective effect is comparable to that seen when subjects changed into fresh scrub suits after lunch.

Bacteriological Techniques↗
PubMedDate not supplied

Covergowns and the control of operating room contamination.

This study assessed the effectiveness of cotton/polyester covergowns in protecting scrubsuits against bacterial contamination when operating room (OR) personnel are outside the clean environment of the operating suite. Rodac impression plates were used to measure bacterial contamination. The subjects were nurses working a normal daily OR routine. Bacterial colony counts on the right shoulder decreased when covergowns were worn over scrubsuits during the lunch period outside the OR and when fresh scrubsuits were put on following the lunch period. Colony counts rose over the lunch period when scrubsuits were worn unprotected outside the OR and when scrubsuits were removed before and put on again following lunch. Left thigh samples showed no significant effects of experimental treatments and yielded a mean colony count 2.8 times higher than right shoulder samples. Fifty-three percent of subjects were positive for Staphylococcus aureus and 16% yielded positive plates on 3 or more study days. The incidence of S. aureus contamination was affected by experimental treatments in a way similar to overall bacterial contamination. The results indicated that wearing covergowns protects against above-waist bacterial contamination of scrubsuits.

Adult↗
PubMedDate not supplied

Footwear practices and operating room contamination.

The extent of bacterial transfer into the clean confines of the operating room (OR) was studied by comparing the use of protective footwear (i.e., polypropylene shoe covers and OR restricted shoes) with unprotected street shoes over a 5-week period. The study was divided into two experimental times: (a) early morning (disinfected floor) and (b) midmorning (dirty floor). Data obtained from the early morning experiment showed that OR restricted shoes and shoe covers transferred fewer bacteria onto the disinfected study area than unprotected street shoes; similar findings were obtained from the midmorning experiment for shoe covers, but not for OR restricted shoes. A comparison of changes in bacterial counts obtained from OR restricted shoes and shoe covers worn from the changing room through a common corridor to the disinfected study area did not differ significantly from OR restricted shoes and shoe covers that were put on immediately before walking through the study area at both experimental times. Overall results indicated that protective footwear may act to reduce bacterial contamination on OR floors.

Adult↗