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At least 19 recordsLinked to original sources
PubMed1986

Guidelines for the reuse of disposable medical devices. The American Society for Hospital Central Service Personnel.

Decisions about the reuse of single-use-only (disposable) medical devices should not be made "on-the-spot." Consistency of practice in all areas of the institution is of utmost concern. Practice should conform to the reuse policies established. Unless an institution can demonstrate and document that patient safety, correct processing, and device effectiveness are not compromised by reprocessing a single-use-only (disposable) medical device, reprocessing is not recommended.

Disposable Equipment↗
PubMed1980

Recommended guidelines for quality assurance in hospital centralized intravenous admixture services. National Coordinating Committee on Large Volume Parenterals.

Guidelines and methods for quality assurance for hospital centralized i.v. admixture services are presented. Objectives to be used to assure quality of i.v. admixture program are recommended and discussion of the guidelines is divided into (1) selection, education, and training of personnel; (2) in-process controls; (3) end-product testing; and (4) sampling guidelines. Cumulative sum procedures are recommended for sampling products prepared in an admixture service.

Centralized Hospital Services↗
PubMed1988

Replantation service in Helsinki University Central Hospital 1980-1985.

A replantation service is a routine part of medical services. The best results are obtained when the work is centralized. In Finland five university hospitals have a replantation service. In the Helsinki University Central Hospital, 94 severed parts of the upper limb were replanted/revascularized in 1980-85. The amputation injury requiring replantation was most often a thumb avulsed by the driving axle of a tractor. The patients came from all over the country, and the short time span between the initial injury and admission to hospital--2.4 hours an average in 1985--shows that transport of these patients is not a problem in Finland. The mean duration of surgery was 6.9 hours. Most of the operations took place in the late afternoon, evening or at night. 16% of the cases needed immediate reoperation because of vascular problems. Later, over 40% of the cases underwent secondary procedures. Most of the patients returned to their former employment. In long-term follow-up, however, nine out of ten patients reported that the replanted organ was intolerant to cold. Therefore, with the exception of the thumb, single finger replantation should not be a routine procedure in a cold climate such as that encountered in Finland. A replantation service requires a minimum of four surgeons qualified in plastic surgery or hand surgery. The operating theatre will be in use through the night. Nurses, physiotherapists and occupational therapists must be specially trained. The surgeon must be prepared to perform multiple reconstructive procedures, both immediately and later on.

Adult↗