Modifications? What…

[jon stewart]

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Former nurse in Johnson City used modified, reused blades during surgeries

JOHNSON CITY, Tenn. (WJHL) — A certified registered nurse anesthetist (CRNA) employed by Paragon Anesthesia has admitted to taking home packaged laryngoscopy blades, modifying them, and then returning...

www.yahoo.com

Apparently also reused circuits

 

[cchoukal]

Devil's advocate: not every place uses disposable blades. It isn't a law, it's a guideline in many places. it is within my lifetime that accepted management was "high-level" cleaning with specific wipes, as opposed to machine sterilization of blades. Also, UCSF re-uses circuits.

 

[UscGhost]

Devil's advocate: not every place uses disposable blades. It isn't a law, it's a guideline in many places. it is within my lifetime that accepted management was "high-level" cleaning with specific wipes, as opposed to machine sterilization of blades. Also, UCSF re-uses circuits.

I get the wiping with alcohol pads for the blades. Its what most places used to do

Curious how he modified them?

And, why reuse a circuit? How do you clean a circuit?

 

[cchoukal]

I get the wiping with alcohol pads for the blades. Its what most places used to do

Curious how he modified them?

And, why reuse a circuit? How do you clean a circuit?

They have some protocol with a filter aft of the Y. Filter and distal goes, circuit stays. I guess it's to save plastic. Seems totally ridiculous to me. But then again, it's not like all the machine innards get replaced between cases, so there's always some crossover from patient to patient, presumably proximal to filter.

 

[cittykat]

They have some protocol with a filter aft of the Y. Filter and distal goes, circuit stays. I guess it's to save plastic. Seems totally ridiculous to me. But then again, it's not like all the machine innards get replaced between cases, so there's always some crossover from patient to patient, presumably proximal to filter.

We do the same. Everything proximal to the HME is reused unless it’s visibly soiled or has a lot of condensation. Less plastic for the great pacific garbage patch.

When I started in anesthesia, all circuits, blades, anesthesia masks, LMAs, BP cuffs, surgical gowns, etc were reusable. It’s not quite the same because those items would be washed between patients, often at the scrub sink. The disposable circuits we reuse now don’t get washed between patients.

 

[cittykat]

Curious how he modified them?

He likely bent the tip.

 

[aneftp]

Does this also mean we can’t use our own medical equipment like personal McGraths and sleeves ? If a place only has pilot videoscope? Or other videoscope?

Because they can’t verify if the sleeves are single use?

 

[UscGhost]

He likely bent the tip.

Just the tip?

 

[cchoukal]

Just the tip?

I was hoping I wasn’t going to have to be the one with my name on that response.

 

[UscGhost]

I was hoping I wasn’t going to have to be the one with my name on that response.

Hope is a dangerous thing..

 

[agammaglobulin]

Wait until they find out colonoscopes aren’t considered sterile…

 

[ProwlerturnGas]

I always think the single use McGrath blades are ridiculous. You could easily throw them in a bucket of warm soapy water and then wipe them down with some disinfectant wipes and re-use.

 

[Gern Blansten]

He likely bent the tip.

Just the tip…?

 

[Crabbygas]

Peyronies blade.

 

[psychbender]

Just the tip…?

Just to see how it feels

 

[Gern Blansten]

Peyronies blade.

If I recall correctly, that was a movie about a slayer of crooked vampires. I believe it starred Fleshley Snipes.

 

[PainDrain]

We have disposable scopes/blades and reusable blades. The reusable blades are collected and sent to central sterile for reprocessing and autoclaving before being stocked in sterile packaging. JCAHO came through and complained that previous standards of placing clean blades into non-sterile bags was inadequate.

 

[cittykat]

We have disposable scopes/blades and reusable blades. The reusable blades are collected and sent to central sterile for reprocessing and autoclaving before being stocked in sterile packaging. JCAHO came through and complained that previous standards of placing clean blades into non-sterile bags was inadequate.

It’s kinda insane. Do they autoclave forks and put them in sterile packaging at our favorite restaurants?

 

[cytocide]

It’s kinda insane. Do they autoclave forks and put them in sterile packaging at our favorite restaurants?

No. They wipe them off with alcohol wipes like that guy sometimes does between patients and stuffs them in the side pocket of his backpack at the end of the day.

I’ve seen boomers set the ett on patient’s bodies. “It’s not a sterile environment”. Gloveless IVs. Its just lazy and gross enough.

This guy must have pissed the wrong person off or an ex-girlfriend who works there or something. Weird but also not a big issue.