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June 2019 Issue
Special Focus: AORN Post-Conference
This June issue includes a CE article on complete diphallia, a rare urogenital congenital anomaly in which a male is born with two fully formed phalluses; and a CE article on key takeaways from the AORN “Guideline for sterilization,” which provides guidance for processing reusable medical devices for use in perioperative and procedural settings. The Clinical Issues column explores RN circulators placing pneumatic tourniquets, using corrugated cardboard boxes in transplantations, using adenosine triphosphate assays to determine instrument contamination, and more.
Featured CE Articles
Diphallia, Double Bladder, and Two Hemiscrotums: A Case Report
Complete diphallia, a rare urogenital congenital anomaly in which a male is born with two fully formed phalluses, occurs in one out of every five to six million live births. The condition is characterized by two separate phalluses, each of which comprise a pair of corpora cavernosa and one corpus spongiosum with an orthotopic urethra. This article discusses diphallia, urethral duplication, and bladder duplication and concludes with a case study involving a three-year-old male who underwent surgery for correction of a complete coronal penile and bladder duplication.
Guideline Implementation: Sterilization
Ensuring that reusable surgical instruments and medical devices have been sterilized is an important factor in preventing surgical site infections. The AORN “Guideline for sterilization” provides guidance for processing reusable medical devices for use in perioperative and procedural settings. This article elaborates on key takeaways from the guideline, including processing a device based on the intended use of the item, protecting sterile items during transport, reprocessing by immediate-use steam sterilization when certain conditions can be met, and educating personnel who perform sterile processing activities.
June 2019 Clinical Issues
This month's column addresses the following topics:
- RN circulators placing pneumatic tourniquets
- Scrubbed personnel holding a phone with a sterile towel
- Using corrugated cardboard boxes in transplantations
- Using adenosine triphosphate assays to determine instrument contamination
- Standing skin prep in plastic surgery