GUIDELINES FOR PERIOPERATIVE PRACTICE SPECIAL FEATURES: CONTINUED Environment of Care
Figure 1. Flow Diagram of Literature Search Results .......................................... 148 Figure 2. AORN Fire Triangle .............................................................. 152
Environmental Cleaning Figure 1. Flow Diagram of Literature Search Results .......................................... 184 Figure 2. Example of Between-Patient Cleaning: Operating and Procedure Rooms ............... 195
Figure 3. Example of Between-Patient Cleaning: Preoperative and Postoperative Areas .............. 196
Flexible Endoscopes Figure 1. Flexible Endoscope Processing Cycle ............................................... 216 Figure 2. Flow Diagram of Literature Search Results .......................................... 217 Figure 3. Examples of Endoscopy Processing Room Design .................................... 218 Table 1. HVAC Design Parameters for Endoscopy Suites ...................................... 220 Figure 4. Biofilm Formation ............................................................... 229 Figure 5. Biohazard Legend ............................................................... 231 Figure 6. Anatomy of an Endoscope ........................................................ 239 Figure 7. Endoscope Channels ............................................................. 240 Figure 8. Distal End of Flexible Endoscope and Duodenoscope ................................. 241 Table 2. Spaulding Classification Modification for Critical Items ................................ 248 Table 3. Recommendations for Processing Flexible Endoscopes Used with High-Risk Patients ..... 260 Table 4. Recommendations from Professional Organizations for Flexible Endoscope Storage Time .. . 269
Hand Hygiene
Figure 1. Flow Diagram of Literature Search Results .......................................... 306 Figure 2. Measuring Fingernail Tip Length ................................................... 307 Table 1. Examples of Hand Hygiene Indications in the Perioperative Setting ..................... 313 Table 2. US Food and Drug Administration Clinical Simulation Testing Protocol .................. 321
High-Level Disinfection Figure 1. Flow Diagram of Literature Search Results .......................................... 332
Hypothermia
Figure 1. Flow Diagram of Literature Search Results .......................................... .360 Table 1. Core Temperature Measurement Sites and Methods .................................. .362 Table 2. Peripheral Temperature Measurement Sites and Methods............................. .363
