The patient in the light of the hospital. A consideration of hospital lighting, as it is, and should be.
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Biomedical subjects
Publications and source records attributed to W C Beck.
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Laminar filtered airflow is a special air system not required by any code for use in any operating room. It is, however, a method of securing ultrasepsis when this is needed for a very particular hazardous circumstance. Although these circumstances could be answered by other means, laminar airflow is useful in situations where a patient is particularly and unusually liable to wound infection.
Steam sterilization is the simplest and most useful method of sterilization of thermostable materials. Sterilization depends upon three factors: time, temperature, and the presence of live steam. For the first time an instrument can be employed to monitor these three factors with immediate readout. This paper contrasts the advantages of this integrator with sterilizer controls, and biological and chemical indicators; and describes methods utilized in testing the integrator.
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The Hospital Experience Reporting System was a pilot study initiated at Robert Packer Hospital in 1980 and continued for 22 months to examine abnormal or unusual failures of medical devices and to evaluate an inhospital reporting system. Hospital employees were encouraged to report device failures or problems, and the hospital purchasing department pursued recompensation or replacement from the manufacturer. Device deficiencies were found to be fairly common, but until HERS was implemented, only a negligible number were reported to either the hospital or to the U.S. Pharmacopoeial Convention. Cost savings brought about by this voluntary, inhospital reporting system were substantial. The study established that such a system results in safer device use.
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Involvement in evaluating and selecting products for patient care is an important function of the nurse. Invaluable aids in product evaluation are standards developed by the FDA or other standards-writing organizations, defining minimum levels of performance, labeling, and safety for specific devices. Compliance with a voluntary consensus standard, which has been approved by consensus of a committee of experts representing manufacturers and users, is recommended. Nurses should be aware of device standards and recommended practices now available or being developed for specific devices. Often the standards-writing group has developed for specific devices. Often the standards-writing group has considered or will consider specific problems troubling the nurse. Involvement in the process itself will help ensure that these problems are addressed.
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