Do you let sales reps open items in your OR?
- 0Jun 26, '12 by rbs105Hi everyone-
I am wondering if you could share whether or not you allow sales reps to open implants, instruments, etc in the OR? Or do you have a policy that requires them handing it to the circulator to open it? Does anyone know if there is anything in AORN about this? I don't recall seeing anything in Recommended Standards and Practices. Let me know. Thank you!
- 2Jun 26, '12 by 2bFNP4ME2015Absolutely not. It is the Circulator's job to check the integrity of the package and the expiration date. Every Sale Rep knows this and should respect this "unspoken" rule. Normally, it's hospital policy. I had a rep that kept ignoring the policy and the OR Director banned him from our facility.
- 0Jun 26, '12 by TakeTwoAspirinThe rep knows better than that - they are just trying it on. I've worked at a lot of placed and not one of them allowed reps to open sterile packages onto the field. The reps that tried that stuff in my room were invited to a personal "beating meeting". You run the room, not them! Don't get me wrong, I do acknowledge that they have a vital and valid role in the OR but the sterile field is not their territory.
- 1Jun 29, '12 by ChristineAdrianaRNOkay....maybe I am the bad egg here, but for the reps I am very familiar with and whom I trust, if I am slammed in the room and they are standing there, I will let them open. But typically not. I've noticed that they always give it to me to open and figured they were just covering their own butts. I don't actually know if it's a policy or not. I should look into that...
- 0Jun 30, '12 by canesdukegirl, BSN GuideI have never let a rep introduce anything into the sterile field. AORN doesn't specifically state that reps CAN'T open sterile items, but does state that reps can't be in the sterile field:
POSITION STATEMENT AORN supports the education of perioperative team members on new procedures, techniques, technology, and equipment with which personnel are not familiar before their use in a surgical procedure. AORN believes the following.
The RN is accountable for the patient's nursing care during the procedure and advocates for the patient's safety, privacy, dignity, and confidentiality.
Health care industry representatives may be permitted in the perioperative setting to provide technical support in accordance with facility policies, local, state, and federal regulations.
Health care industry representatives should not provide direct patient care or be allowed in the sterile field. However, AORN believes the health care industry representative with specialized training and facility approval may perform calibration/synchronization to adjust/ program devices (such as but not limited to implanted electronic devices, radio frequency devices and lasers) under the supervision of the physician.
I wish I could quote the "Guidance Statement Regarding Health Care Industry Representatives, but I refuse to pay $110 for the book. My Nurse Educator has several copies, so perhaps you can ask if your NE has one.
At the end of the day, YOU are the one responsible for the safe care of your patient. What are your thoughts on this issue?