Explant Preparation (Final Disposition) for Certified Perioperative Nurse (CNOR)
Included In This Lesson
Outline
Explant Preparation (Final Disposition)
Guidelines:
- Explanted medical devices are FDA-regulated
- Healthcare organizations are required to handle them safely and consistently in accordance with federal, state, and local regulations, and the device manufacturer’s instructions for use (IFU)
- Healthcare facilities should have policies and procedures in place pertaining to the handling and disposition of explants
Considerations:
- If an implant must be returned to the manufacturer, return in accordance with the manufacturer’s instructions and the facilities policies and procedures.
- The unique device identifier from explanted medical devices should be documented in the patient’s medical record or recorded in a facility tracking log, when available
Nurse’s role:
- Follow healthcare organization policies and procedures for handling and disposition of explants
- Team communication: Pre-procedural briefing, time-out, debriefing
- Use sterile technique and standard precautions
- Document per healthcare organization policy
Pitfalls:
- If device is returned to patient, or a patient requests their device be returned to them:
- Follow healthcare organization policies and procedures for items that can be returned, process for returning including decontamination, and liability release
Examples:
- Infusaport removal
Linchpins (Key Points):
- Follow healthcare organization’s policies and procedures for explant handling and disposition
- Include explant handling and disposition in team communication
- Document per policy
Transcript
References
- Rothrock, J. (2019). Alexander’s Care of the Patient in Surgery (16th ed.). Elsevier Health Sciences.
- Association of perioperative Registered Nurses (AORN): Guideline Essentials (website), 2022, https://www.aorn.org/guidelines-resources/guidelines-for-perioperativepractice/guideline-essentials
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