AORN J. 2021 Jan;113(1):76-86. doi: 10.1002/aorn.13278.
During a surgical procedure, the surgeon may remove tissue to be preserved and stored for replantation or autotransplantation on or in the same individual during a subsequent procedure. The AORN "Guideline for autologous tissue management" provides guidance to perioperative personnel for preserving and handling autologous tissue (eg, cranial bone flaps, parathyroid tissue, skin, vessels) that will be replanted or autotransplanted in the same facility in which the tissue was surgically removed. This article discusses guideline recommendations on packaging, labeling, storing, and disposing of autologous tissue. A scenario describes how an interdisciplinary team uses the AORN guideline and Guideline Essentials to identify recommendations and tools to incorporate into their policy and procedures after their facility receives a citation during a regulatory site visit. Perioperative RNs should review the entire guideline for additional information when creating and updating policies and procedures on autologous tissue management.
在手术过程中，外科医生可能会切除组织以备保存，并在随后的手术中在同一患者身上或体内进行再植或自体移植。AORN《自体组织管理指南》为围手术期工作人员提供了指导，以保存和处理将在手术切除组织的同一医疗机构中进行再植或自体移植的自体组织（例如颅骨瓣、甲状旁腺组织、皮肤、血管）。本文讨论了关于自体组织包装、标记、储存和处置的指南建议。一个场景描述了一个跨学科团队如何使用 AORN 指南和指南要点，在他们的设施在监管现场检查中收到引用后，确定建议和工具纳入他们的政策和程序。围手术期注册护士在制定和更新自体组织管理政策和程序时，应查阅整个指南以获取更多信息。
