Bashaw Marie A
AORN J. 2015 Sep;102(3):270-80; quiz 281-3. doi: 10.1016/j.aorn.2015.07.003.
Managing autologous tissue correctly may help prevent patients who are undergoing replantation or autotransplantation of tissue from developing a surgical site infection. The updated AORN "Guideline for autologous tissue management" provides guidance on transferring tissue from the sterile field, packaging and labeling, transporting and storing, and handling autologous tissue for delayed replantation or autotransplantation within the same facility. This article focuses on key points of the guideline to help perioperative personnel develop protocols for autologous tissue management. The key points address some of the major tissue types-avulsed teeth, cranial bone flaps, autologous skin-that may be preserved and replanted or autotransplanted. Perioperative RNs should review the complete guideline for additional information and for guidance when writing and updating policies and procedures.
正确管理自体组织可能有助于防止接受组织再植或自体移植的患者发生手术部位感染。更新后的AORN《自体组织管理指南》为在同一机构内将组织从无菌区域转移、包装和标记、运输和储存以及处理用于延迟再植或自体移植的自体组织提供了指导。本文重点关注该指南的要点，以帮助围手术期人员制定自体组织管理方案。这些要点涉及一些主要的组织类型——脱位牙、颅骨瓣、自体皮肤——这些组织可以保存并进行再植或自体移植。围手术期注册护士在撰写和更新政策及程序时，应查阅完整的指南以获取更多信息和指导。
