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Surgical Techplogu

A CST is working with a neurosurgeon on a left frontal craniotomy to remove a meningioma. He has just made the scalp incision when a unit charge nurse quickly enters the OR saying, “CSP just called, and there was a malfunction of the steam sterilizer last night. The sterilizer chart doesn’t confirm that these instruments went through a complete cycle even though the biological indicators have a negative reading.”

What steps should the OR team take at this point?

What is the concern if the biological indicators have a negative reading?

Discuss the chain of errors that took place that allowed the instruments to be transported to the OR, opened, and used.


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