IUSS
When surgical instruments are needed urgently and cannot be sterilized using normal cycle time due to emergency
When do you utilize IUSS?
A code crimson will be terminated upon this team member's order.
Who is the attending physician/surgeon?
Thorough cleaning done at the end of each day in the room, including disinfecting all exposed surfaces and moving equipment to the middle of the room.
Completed by the circulating nurse and anesthesia upon entering the OR, prior to patient transfer to the OR table or the start of anesthesia interventions.
What is a pre-induction timeout?
Increased surgical site infections, harm to patient, surgical complications.
What are the risks of improperly using IUSS?
This form must be completed ASAP after a code crimson occurs.
Hallways, floors, heating/ventilation grills, lounges, offices, locker rooms, etc
What areas have scheduled cleaning?
A full stop of the entire surgical team after the patient has been prepped and draped, and prior to the incision.
What is a pre-incision timeout?
Temperature, time, properly prepared instruments, validation
What are the parameters/factors involved in IUSS?
A transfusion of greater than or equal to 10 RBC units within 24 hours.
Transfusion of greater than or equal to 4 RBC units in 1 hour.
Replacement of greater than 50% total blood volume by blood products within 3 hours.
What is the Mass Transfusion Event criteria?
Level of less than 40 RLU/100cm2
What is the benchmark ATP value?
Performed at the conclusion of a procedure with the entire surgical team prior to PACU transfer.
What is a post procedural timeout / surgical debrief?