The Sterile Environment

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AORN JOURNAL -.~___~_____ APRIL 1984, VOL 39.0 2 after each injection. Injections can be repeated in to use this technique for diagnosis. [I Note 1. James S McCaughan, Jr, “Photoradiation treatment of cancer following administration of HpD,” Lusar Focus (May 1983). Pat Niessner Palmer, RN, MS, is the wrse editor oj the AORN Journal. six to eight weeks if necessary. Although this new form of cancer treatment is still under investigation, physicians hope it can eventually be used to treat bladder carcinomas, nasopharyngeal tumors, and to debulk abdomi- nal and brain tumors. Because the HpD dye makes tumor cells fluorescent, it may be possible - Film Review: The Sterile Environment Maintaining A Sterile Environment is a flexible learning tool combining a film strip (or slidehape), a student activities guide, and an instructor’s guide. It can be used as a self-learning program for individual student instruction, or as an introduction to group activities in a classroom presentation. The audience should know general aseptic terms (ie, antiseptic agent, microorganism, contamination) because the film presents basic aseptic techniques for handling sterile items during routine patient care. a sterile environment by using correct methods to open a sterile tray, open and add separately packaged items to the tray, and pour liquids into a sterile container. The program also discusses methods of sterilization and provides a guide to determine the length of time required for sterilization of an article at various altitudes using an autoclave. This program is available from Medical Electronic Educational Services, Inc (MEES), PO Box 50700, Tucson, Ariz 85703. The film strip sells for $80, and the slidehape format for $1 10. A free 21-day preview of the film strip is available, but does not include the student activities guide. The program demonstrates how to maintain PATRICIA BALL, RN, CNOR AUDIOVISUAL COMMITTEE Self-medic at ion Would Ease Pain A physician at Vanderbilt University Medical Center in Nashville, Tenn, has developed a plan he hopes can ameliorate poor pain management. Hematologist John M Flexner, American Cancer Society professor of clinical oncology, advocates patient self-medication as the keystone to pain management. He believes suffering must be divided into two categories-acute pain and chronic pain. “Acute pain has biological value. It can save your life,” he notes. “Chronic pain, on the other hand, has no biological value, no use whatsoever. For chronic pain sufferers, especially the terminally ill, Dr Flexner advocates around-the-clock self-medication, to break the torturous cycle of pain and relief. He normally prescribes a morphine-sulfate solution, more powerful and effective than the “Brompton’s Cocktail,” whose primary ingredient was cocaine. The solution is kept by patients’ beds so they can decide when and how much to take. of addiction with this method, because chronic pain sufferers require less and less narcotic rather than more. Also, these patients do not develop tolerances or become addicted because they take the drug only to relieve pain, not to get high. Dr Flexnor asserts that there is no danger 786

Transcript of The Sterile Environment

Page 1: The Sterile Environment

A O R N J O U R N A L - . ~ _ _ _ ~ _ _ _ _ _ APRIL 1984, VOL 3 9 . 0 2

after each injection. Injections can be repeated in to use this technique for diagnosis. [I Note

1 . James S McCaughan, Jr, “Photoradiation treatment of cancer following administration of HpD,” Lusar Focus (May 1983).

Pat Niessner Palmer, RN, M S , is the wrse editor o j the AORN Journal.

six to eight weeks if necessary. Although this new form of cancer treatment is

still under investigation, physicians hope it can eventually be used to treat bladder carcinomas, nasopharyngeal tumors, and to debulk abdomi- nal and brain tumors. Because the HpD dye makes tumor cells fluorescent, it may be possible

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Film Review: The Sterile Environment Maintaining A Sterile Environment is a flexible learning tool combining a film strip (or slidehape), a student activities guide, and an instructor’s guide. It can be used as a self-learning program for individual student instruction, or as an introduction to group activities in a classroom presentation. The audience should know general aseptic terms (ie, antiseptic agent, microorganism, contamination) because the film presents basic aseptic techniques for handling sterile items during routine patient care.

a sterile environment by using correct methods to open a sterile tray, open and add separately packaged items to the tray, and pour liquids into a sterile container. The program also discusses methods of sterilization and provides a guide to determine the length of time required for sterilization of an article at various altitudes using an autoclave.

This program is available from Medical Electronic Educational Services, Inc (MEES), PO Box 50700, Tucson, Ariz 85703. The film strip sells for $80, and the slidehape format for $1 10. A free 21-day preview of the film strip is available, but does not include the student activities guide.

The program demonstrates how to maintain

PATRICIA BALL, RN, CNOR AUDIOVISUAL COMMITTEE

Self-medic at ion Would Ease Pain A physician at Vanderbilt University Medical Center in Nashville, Tenn, has developed a plan he hopes can ameliorate poor pain management. Hematologist John M Flexner, American Cancer Society professor of clinical oncology, advocates patient self-medication as the keystone to pain management.

He believes suffering must be divided into two categories-acute pain and chronic pain. “Acute pain has biological value. It can save your life,” he notes. “Chronic pain, on the other hand, has no biological value, no use whatsoever. ”

For chronic pain sufferers, especially the terminally ill, Dr Flexner advocates around-the-clock self-medication, to break the torturous cycle of pain and relief. He normally prescribes a morphine-sulfate solution, more powerful and effective than the “Brompton’s Cocktail,” whose primary ingredient was cocaine. The solution is kept by patients’ beds so they can decide when and how much to take.

of addiction with this method, because chronic pain sufferers require less and less narcotic rather than more. Also, these patients do not develop tolerances or become addicted because they take the drug only to relieve pain, not to get high.

Dr Flexnor asserts that there is no danger

786