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www.ORprecautions.com
Our Mission:
To provide enduring educational resources that allow hospitals, surgeons and physicians to work as a team to create a culture
of safety. Our goal is a safer surgical environment for the health care provider and the patient, realized through the prevention
of sharps injuries and exposure to bloodborne pathogens.
SAFETY AND COMPLIANCE RESOURCES ON THIS WEB SITE:
v FEDERAL & OSHA COMPLIANCE FOR THE OR
v SAFETY HANDBOOKS, SAFETY VIDEOS, SAFETY POSTERS
v CONSULTING, SPEAKING, ON-SITE TRAINING SEMINARS
v ADMINISTRATIVE AND RISK MANAGEMENT STRATEGIES
v SAFETY PRODUCTS, NEWS, TIPS, LINKS
YOU CAN PREVENT
most of the sharps injuries and bloodborne exposures
that occur in your OR, surgicenter, labor & delivery suite, ICU, ED, radiology suite & physician’s office.
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www.ORprecautions.com
Mark S. Davis, M.D. Sweinbinder Publications LLC
BLOODBORNE PATHOGEN SAFETY AND COMPLIANCE
IN THE OR, LABOR & DELIVERY, ANESTHESIA, ICU, ED, RADIOLOGY, PHYSICIAN’S OFFICE
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Copyright 2001, Sweinbinder Publications LLC and Mark S. Davis MD, all rights reserved.
ABOUT US
Mark S. Davis, M.D. is an Obstetrician/Gynecologist who became concerned about his own personal safety following a deep scalpel cut during surgery in 1990. These were his thoughts at that time:
“My potential exposure to HIV and other bloodborne pathogens had become frightening. Suturing injuries were a fairly common occurrence for me and my co-workers. I considered myself fortunate not to have acquired HIV or hepatitis C to that point in my surgical career.
“I have met and known physicians and nurses who were not so fortunate. Since I plan to practice another ten or fifteen years, I will develop a strategy which will hopefully protect me and my coworkers from sharps injury and exposure to blood in the future.”
Realizing that Universal Precautions did not prevent sharps injuries, Dr. Davis researched and developed a set of what he termed Advanced Precautions, a term reflected in the title of his book. First, he eliminated the use of sharps, where possible (primary prevention). Where this was not possible, he chose to use safer sharps (secondary prevention) and safer work practices. As these strategies proved successful, he adopted them into his daily routine in the OR and delivery room.
“It is this knowledge that I wish to share through my writing, speaking and consulting.”
Sweinbinder Publications, LLC is a publishing company formed to distribute the educational resources developed by Dr. Davis. These include three “must-have” OR safety and OSHA compliance resources:
¨ The safety handbook for all practitioners and students of invasive procedures: Advanced Precautions for today’s OR; The Operating Room Professional’s Handbook for the Prevention of Sharps Injuries and Bloodborne Exposures
by Mark Davis, MD, FACOG, Foreword by Julie Gerberding, MD, MPH
Soft cover, 160 pages. Second Edition 2001, ISBN 0-9664873-6-2
¨ The safety video Stuck in Surgery; Sharps Safety in Today’s OR
A new 17 minute video for 2002 hospital-wide sharps safety education and OSHA
compliance in the OR. Useful for all staff in the OR, Labor & Delivery, Emergency
Department & Trauma Center. Produced by surgeon and safety / infection control
consultant, Mark Davis, MD. Every hospital and surgery center should have this video.
¨ The safety posters (set of ten)
Informational and motivational daily reminders to post in the OR and L & D. New and
revised for 2002 OSHA compliance; an essential risk awareness and educational tool.
Printed on 8&1/2 X 11-inch heavy stock in assorted neon colors for maximum impact.
Suitable for framing or laminating.
Hospitals across the country use these three resources in combination to elevate risk perception and the adoption of effective injury prevention strategies throughout their facilities.
CONTACT US
CONTACT THE PUBLISHER
For more information about OR Safety educational resources (Safety Handbook, Safety Video, Safety Posters), and for information on discount pricing for healthcare institutions and customized gift editions for corporations and healthcare networks,
Email , fax (404) 233-5662, or call our Special Sales and Distribution Manager, Marjorie Rose at (404) 261-4595.
Sweinbinder Publications LLC
P.O. Box 11988
Atlanta, GA 30355
CONTACT DR. DAVIS
To schedule a speaker presentation or consultation to reduce exposures to blood
and sharps injuries at your hospital, or if your company would like to request a clinical
evaluation of a safety product, Email Dr. Davis at .
Phone 404-233-3359 / fax 404-233-5662
SAFETY & COMPLIANCE RESOURCES (HOME PAGE MAIN MENU ITEM)
OR SAFETY HANDBOOK: "ADVANCED PRECAUTIONS FOR TODAY’S OR" (sub-menu item 1) OVERVIEW (SCROLLING)
BOOK REVIEWS (SCROLLING)
TABLE OF CONTENTS (SCROLLING)
FOREWORD, PREFACE, INTRODUCTION (SCROLLING)
CHAPTER 1 (SCROLLING)
ABOUT THE AUTHOR (SCROLLING)
SAFETY VIDEO "Stuck in Surgery; Sharps Safety in Today’s OR” (sub-menu item 2)
SAFETY POSTERS FOR THE OR AND DELIVERY ROOM (sub-menu item 3)
(BOOK COVER SCANNED IMAGE)
"This handbook is a must-read for all levels of surgical care providers to prevent occupational sharps injuries and exposure to blood"
Advanced Precautions for today’s OR
The Operating Room Professional’s Handbook for the
Prevention of Sharps Injuries and Bloodborne Exposures
by Mark S. Davis, MD
Foreword by Julie Gerberding, MD, MPH
160 pages, safety checklists, bibliography, index.
2001 Edition ISBN: 0-9664873-6-2 $14.95
DEDICATION
This book is dedicated to the healthcare workers and patients who acquire infectious diseases through bloodborne exposures each year and to their families, with the hope and belief that such events can and will be prevented by thoughtful planning and constant vigilance.
OVERVIEW (SCROLLING)
In the bloodborne pathogen era, surgical care providers must be as adept at occupational safety as they are at patient care. Written by a surgeon and safety consultant, this breakthrough book bridges the gap between universal precautions and the practice safe surgery. It provides step-by-step ways for all members of the surgical team to reduce the risk of occupational sharps injury and exposure to the common bloodborne pathogens HIV, hepatitis C, hepatitis B and others that are evolving.
The comprehensive exposure prevention strategy in this book is derived from a very credible basis, that of a practicing surgeon, and draws from published epidemiologic investigations, CDC guidelines, his own observations and experience, and most importantly, common sense. A key theme—the entire surgical team shares risk and shares responsibility for safety—makes this an especially useful handbook for all O.R. personnel, regardless of occupational status or duties. It is a must-read for all surgeons, ObGyns, nurses, technologists, PAs, midwives, students, residents and interns. It is also essential for anesthesia, emergency department, invasive radiology and ICU personnel. A one-of-a-kind resource, Advanced Precautions for today’s OR has been described as “The Bible” for all levels of surgical care providers and students.
Dozens of safety tips and many checklists make it easy to reduce your risk:
· Select and integrate blunt sutures and other alternatives to sharps into daily practice
· Learn how to avoid use of unnecessary sharps
· Pass, handle and manage sharps more safely in the OR and invasive work sites
· Choose truly effective and user friendly personal protective equipment
Enable compliance, reduce costs and liability, improve performance and efficiency:
· Comply with JCAHO and avoid OSHA citations
· Avoid liability, litigation, and workers compensation costs
· Recruit and retain quality staff; improve worker morale
· Eliminate the need for costly and disruptive exposure workups
BOOK REVIEWS
BOOK REVIEWS FROM PEER REVIEWED JOURNALS, SURGEONS, NURSES, SURGICAL TECHNOLOGISTS, INFECTION CONTROL AND RISK MANAGEMENT PROFESSIONALS:
“All OR staff and everyone involved in surgical procedures should read this book and incorporate the ideas specific to their practice. An excellent book that will raise awareness of the potentially life-altering impact of a bloodborne exposure.”
...Journal of Healthcare Risk Management
“Thoughtfully presented, intellectually solid, fills a real need.”
...LaMar McGinnis, MD, FACS
Vice President Elect, American College of Surgeons
“A clear, informative and practical guide to relatively simple measures that may be taken to make the operating theatre a safer workplace for all members of the surgical team. There should be a place for this volume in operating suites throughout the country.”
....British Journal of Surgery
“A must-read, clearly written, based in full compliance with multiple regulatory bodies.”
...Ann Kobs, RN, MS, Past Associate Director,
Department of Standards, JCAHO
“Compels the reader to rethink practices in the uniquely hazardous OR environment. A useful tool in educating OR and other hospital staff of the dangers of blood exposure”
...AORN Journal (Association of Operating Room Nurses)
“Should be read by everyone involved in the care of surgical patients; it has changed the way I operate. Every time I walk through those double doors to the OR, I now think of safety”
...Sidney Stapleton, MD, FACS, General Surgery
“Motivates surgical care providers to make safer choices, and tells exactly how to do it!”
...Susan Bales, RN, MBA
Director of Surgical and Obstetrical Services, Promina DeKalb Medical Center
“A life-saving manual for all healthcare workers in the OR...should be required reading
in medical schools, nursing schools and technical training programs.”
...Michael Swor, MD
Assistant Clinical Professor of Ob/Gyn, University of S. Florida
“Thought-provoking...a worthwhile and needed addition to the surgical and nursing curriculums.”
...Paul Browne, MD, FACOG
Director, Atlanta Maternal Fetal Medicine
“Reeducating our surgeons and nurses to protect themselves is urgent. This book does an excellent job.”
...Robin Henry Dretler, MD
President, Atlanta Infectious Diseases Specialists
“A great book, very practical, straight forward, easy to read and informative...a must for our unit.”
...Lilian Blair, CNS Operating Rooms
Tamara Private Hospital, Tamworth, New South Wales
“I am particularly pleased to see a text written by a physician that addresses step-by-step ways for all members of the surgical team to reduce their own and others’ risks of occupational injury and exposure to blood borne pathogens. I encourage others to purchase the book.”
...Lynne Reagan, RN CIC, Inf. Control Coordinator
Carle Foundation Hospital, Urbana, IL
“A handbook for all OR personnel by a practicing surgeon...draws from published studies, OSHA and CDC guidelines, his own experience and common sense”
...OR Manager
“Our highest must-read recommendation for hospital staff...highly informative and an excellent…essential risk management and bloodborne pathogen control. Chock full of the latest techniques, checklists and guidance. Covers everything from the history of bloodborne pathogens to the most up-to-date precautions for patient and practitioner safety, and risk management strategies.”
www.safetyinfo.com
“A refreshing approach to identifying and managing everyday risks in operating theatres. Readers should adopt the principles of infection control described in this book.”
...Nursing Standard (UK)
“A new book to make the OR a safer place... suggestions about gloving, surgical gown selection, needlestick prevention, and other practical ideas”
...Infection Control Today
“A must-have resource for all levels of care providers in surgery and obstetrics; also applicable for anesthesia, emergency department, intensive care and invasive radiology.”
...Worldwide Nurse
“Your book has provided insight; I have learned many safer approaches to everyday activities in the OR.”
...Lori Kral, CST
“Logically addresses protective measures to avoid unnecessary injury...a self-professed plea for all OR workers to adopt safer methods...addresses the real fears of healthcare workers at risk for becoming infected with a bloodborne disease...identifies safe ways to function in the operating room and delivery room...encompasses practices available for years but underutilized or ignored...many midwives and obstetrical practitioners walk a fine line between being hands-on with women in labor and complying with OSHA guidelines...this book delineates thoughtful and well researched ways to protect medical professionals."
...Journal of Midwifery & Women’s Health
TABLE OF CONTENTS
Advanced Precautions for Today's O.R.
The Operating Room Professional’s Handbook for the
Prevention of Sharps Injuries and Bloodborne Exposures
by Mark S. Davis, MD, FACOG ISBN: 0-9664873-6-2
Foreword by Julie Gerberding, MD, MPH
© 2001 Sweinbinder Publications LLC Atlanta, Georgia
Foreword by Julie Louise Gerberding, MD, MPH
Preface
Introduction: Why This Book Was Written
SECTION I. OVERVIEW AND PERSPECTIVE
Chapter 1. Bloodborne Pathogens and Occupational Risk
Chapter 2. Direct and Indirect Costs of Injuries and Exposures
Chapter 3. Causes of Sharps Injuries and Exposures to Blood
SECTION II. PRECAUTIONS FOR THE SURGICAL TEAM
Chapter 4. General Prevention Strategies
Chapter 5. Choices of Effective Personal Protective Equipment
Chapter 6. Choices of Safer Sharps and Other Technology
Chapter 7. Blunt Alternatives to Sharps
Chapter 8. Team Tactics and Techniques for Safely Handling Sharps
Chapter 9. Safe Tactics and Techniques for Assisting in Surgery
Chapter 10. Management of Surgical Smoke
Chapter 11. Precautions for Anesthesia Personnel
SECTION III. PRECAUTIONS FOR SPECIAL SITUATIONS
Chapter 12. Obstetrical Procedures
Chapter 13. Minimally Invasive Surgery
Chapter 14. Patients With Known Bloodborne Pathogens
SECTION IV. ADMINISTRATIVE SUPPORT AND INTERACTION
Chapter 15. The O.R. Management Team
Chapter 16. The Risk Management Team
Chapter 17. The Product Evaluation and Purchasing Team
Chapter 18. The Infection Control Team
Appendix A. Safety Checklist for Operating and Delivery Rooms
Appendix B. Summary of Public Health Service Recommendations
for Management of Occupational Exposure to
Blood and Body Fluids
Appendix C. Summary of OSHA Regulations Relevant to the Operating Room
The 1999 OSHA Compliance Directive
The 2000 Federal Needlestick Safety and Prevention Act
Additional Resources
Glossary
Index
FOREWORD, PREFACE, INTRODUCTION
FOREWORD
by Julie Louise Gerberding, MD, MPH
“Develop a bias for action. Cultivate the habit of focus-
ing simultaneously on patient safety and occupational
safety, throughout every procedure. Constantly observe,
analyze, learn, communicate, and teach.”
—M. Davis; Advanced Precautions for Today’s O.R.
Surgical health care providers created a standard of excellence in the practice of infection control at the turn of the century when the value of aseptic techniques to prevent wound infections was first demonstrated. In the past decade, awareness of the risk associated with exposure to blood containing HIV ushered in a new era in surgical infection control—one that emphasizes protection of both patients and surgical care providers. Just as patients must be protected from wound contamination and exposure to injured providers’ blood, providers must be protected from intraoperative injuries and other exposures to patients’ blood.