First Case

First Case The perioperative podcast with a punch! Join us as we discuss the hot topics in the OR industry! And now, it’s time to roll back, and start the First Case…

From the back table to the board room, from wheels in to wheels out. -- we tackle the real-life issues affecting the OR. Whether you’re tuning in for surgical service education or inspiration, we’re glad you're here.

In this week’s episode of First Case, we cleared up one of the most persistent myths in the OR — that surgical technolog...
10/30/2025

In this week’s episode of First Case, we cleared up one of the most persistent myths in the OR — that surgical technologists work under the nurse’s license. As Angel Pickett explained, surgical technologists operate under the supervision and delegation of the surgeon, not the RN.

This conversation sheds light on how clearly defined scopes of practice support collaboration, communication, and patient safety in the operating room.

🎧 Listen to the full episode here: https://educate.beyondclean.net/43zcTYr

🎧 https://educate.beyondclean.net/47HWP9d 🎧 // A long-standing myth in the operating room continues to circulate is that...
10/27/2025

🎧 https://educate.beyondclean.net/47HWP9d 🎧 // A long-standing myth in the operating room continues to circulate is that surgical technologists work under the license of the OR nurse. In this week’s episode of First Case, we’re setting the record straight.

Tune in as we speak with Angel Pickett, Surgical Technology Program Director at Connecticut State Community College, Gateway Campus. Together, we'll explore:

✔️The education, training, and certification requirements for surgical technologists
✔️The true scope of practice and delegation under surgeon supervision
✔️How clear understanding of roles strengthens collaboration and teamwork in the OR

This insightful conversation challenges misconceptions, promotes professional respect, and highlights how every member of the surgical team contributes to patient safety and excellence in care.

Don't miss it!

🩺 Fun Fact Friday: The Story Behind the Bookwalter RetractorIf you've worked in the OR for any length of time, you've he...
10/24/2025

🩺 Fun Fact Friday: The Story Behind the Bookwalter Retractor

If you've worked in the OR for any length of time, you've heard of the Bookwalter. But behind the name engraved on that retractor ring was a surgeon with an inventive spirit, Dr. John R. Bookwalter, a man whose curiosity and creativity helped reshape surgical retraction and surgical care.

Dr. Bookwalter was born in Ohio in 1938. Both his grandfather and his father were physicians, and his mother was a nurse, and their influence along with an early exposure to paitent care, led him to pursue medicine as well. After graduating cm laude from Amherst College and earning his M.D. from Harvard Medical School, Dr. Bookwalter served his country as a surgeon in the U.S. Army Medical Corps, eventually rising to the rank of Colonel in the Army Reserve.

It was in the operating room that inspiration struck. Long surgeries required assistants to manually hold retractors for hours, which was not only exhausting, but could be imprecise. Dr. Bookwalter saw a better way. In the 1970s, he began developing a table-mounted retraction system that could free the assistant’s hands ad provide consistent exposure and visibility.

In 1979, the first Bookwalter Retractor System was introduced, and it quickly became an essential tool in open surgery. For more than four decades, its innovative design has stood the test of time, used in operating rooms around the world.

Dr. Bookwalter often said, “Good exposure is the key to good surgery.” His invention made that principle a reality, transforming how surgeons approach complex cases and ensuring better outcomes for patients everywhere.

Dr. Bookwalter passed away peacefully on May 2, 2025, but his legacy lives on in operating rooms around the world.

For years, surgical teams have avoided iodine-based preps for patients with shellfish allergies, but as Laila explains i...
10/23/2025

For years, surgical teams have avoided iodine-based preps for patients with shellfish allergies, but as Laila explains in this week's interview, it’s time to separate myth from medicine.

🎧 Listen now to learn the truth behind the “shellfish allergy = iodine allergy” myth!
https://educate.beyondclean.net/4noLKyI

🎧 https://educate.beyondclean.net/49b2e9S 🎧 // In the high-stakes world of the operating room, precision, teamwork, and ...
10/22/2025

🎧 https://educate.beyondclean.net/49b2e9S 🎧 // In the high-stakes world of the operating room, precision, teamwork, and focus are essential, but so is taking care of ourselves.

In this week's article, Melanie Perry explores the signs of burnout and its impact on patient safety. She also shares practical steps every nurse can take to protect their mental health and preserve their passion for patient care.

From recognizing early warning signs to building resilience and reclaiming balance, this article reminds us that we can’t pour from an empty cup.

Tune in now!

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Articles On-the-Go presents perioperative insights from written articles in a creative, easy to listen, audio format. Think audio book, meets busy Operating Room professional!

True or False? 🤔Retained surgical items can occur during any procedure. According to AORN's Guideline for Prevention of ...
10/21/2025

True or False? 🤔

Retained surgical items can occur during any procedure. According to AORN's Guideline for Prevention of Unintentionally Retained Surgical Items, retained surgical items have been reported to occur during less-invasive procedures, like minimally invasive surgery and endoscopic procedures.

Remember, "a retained surgical item is a rare, but preventable error that can result in patient harm. All perioperative team members are morally and ethically obligated to protect patients by implementing measures to prevent RSIs."

🦐 Shellfish Allergy ≠ Iodine Allergy! 🧴https://educate.beyondclean.net/4heQCEQ For decades, perioperative teams have avo...
10/20/2025

🦐 Shellfish Allergy ≠ Iodine Allergy! 🧴https://educate.beyondclean.net/4heQCEQ

For decades, perioperative teams have avoided iodine-based prep solutions for patients with shellfish allergies, but what if that long-held precaution wasn't necessary?

In this week’s episode of First Case, we’re talking with Laila Bailey, Service Leader for Pediatrics and Urology at Inova Fairfax Hospital, about the myth linking shellfish allergies to iodine and Betadine. Laila shares her personal story, the history behind the misconception, and the research proving there’s no real connection.

🎧 Tune in to bust the myth, protect your patients, and learn how questioning “what we’ve always done” can improve surgical care.

🎙️Tune in to this week's new Vendor Spotlight™ interview: https://educate.beyondclean.net/3IOR9Rp // In the fast-paced w...
10/17/2025

🎙️Tune in to this week's new Vendor Spotlight™ interview: https://educate.beyondclean.net/3IOR9Rp // In the fast-paced world of ophthalmology, efficiency shouldn’t come at the cost of best practice. The good news? There are proven solutions that eliminate risky practices while still keeping up with high case volumes.

In this First Case Vendor Spotlight™, we sit down with Barbara Ann Harmer, Vice President of Clinical Services with ONE TRAY IST, to talk about ophthalmology, toxic anterior segment syndrome (TASS), and the dangerous shortcuts that some facilities still take to keep up with volume.

Barbara shares eye-opening stories from her visits to facilities across the country, explains why interrupting sterilization cycles and carrying instruments between cases is not safe practice, and shows how ONE TRAY®/IST can be a solution. Don’t miss this important conversation about protecting patients, preventing TASS, and breaking the cycle of unsafe practices in ophthalmology!

For more information, you can email ONE TRAY®/IST at [email protected]. You can also follow them on LinkedIn and Facebook, and make sure to download their free PDF resource here: https://educate.beyondclean.net/4qdY2fJ!

# Perioperative

10/16/2025

When was the last time you stepped outside your service line?

In this week’s Articles on the Go, Lindsey Joyce, MSN, RN, CNOR, shares her story of working outside her cardiac specialty, and the unexpected lessons that came with it. From scrubbing a gallbladder case to circulating a robotic procedure, Lindsey reminds us that staying well-rounded isn’t just good for our patients, it’s essential for our careers.

Working in the operating room is full of surprises. Keeping your skills sharp across specialties helps you stay flexible, confident, and ready for whatever comes next.

🎧 Listen now!

📣Welcome back to the First Case SPD Quality Improvement Expert Series™ featuring Marcy Konja, Vice President, Sterile Pr...
10/14/2025

📣Welcome back to the First Case SPD Quality Improvement Expert Series™ featuring Marcy Konja, Vice President, Sterile Processing Solutions, and Gregg Agoston, Vice President, from SpecialtyCare.

Tune in here:

In this episode, Marcy, Gregg, and Hank tackle one of the biggest challenges facing sterile processing departments today, efficiency. The conversation reframes sterile processing as a manufacturing process, emphasizing that efficiency starts in the operating room with the quality of instruments returning for reprocessing. From addressing bioburden and contamination issues to streamlining oversized instrument sets and eliminating waste, Marcy and Gregg share practical, data-driven strategies to improve workflow, reduce repair costs, and enhance collaboration between the OR and SPD teams.

🎧 Listen now to learn how your team can improve efficiency, optimize processes, and keep cases running smoothly.

❓Have a question or comment for our experts? Connect with Marcy at [email protected] and Gregg at [email protected].

Stay tuned, there’s more to come next month! 🙌

❄️https://educate.beyondclean.net/4oeEohI // Is a cold OR really better for patient infection prevention, or is it just ...
10/13/2025

❄️https://educate.beyondclean.net/4oeEohI // Is a cold OR really better for patient infection prevention, or is it just another myth we’ve been holding onto for too long? ❄️

In this week’s episode, we’re joined by Garret Hollembeak, System Infection Preventionist at Bon Secours Mercy Health and Editor-in-Chief of our sister podcast, Transmission Control.

Together, we dig into the science behind temperature management in the OR, breaking down the difference between room temperature and patient temperature, the importance of maintaining normothermia, and how factors like humidity, staff comfort, and infection prevention all connect. We'll also discuss how teamwork between infection prevention and OR staff is essential for keeping patients safe.

🎧 Tune in to hear why a “cold” OR might not be as protective as you think, and how evidence-based practice helps us strike the right balance between comfort, safety, and outcomes.

In August of 1928, a Scottish bacteriologist named Sir Alexander Fleming planned to spend the summer break with his fami...
10/10/2025

In August of 1928, a Scottish bacteriologist named Sir Alexander Fleming planned to spend the summer break with his family at his country home. Before leaving his laboratory, he inoculated several culture plates with S. aureus. He set the plates aside on one corner of the table away from direct sunlight and left them in his lab. When he returned, he noticed something curious: One petri dish had an open lid and the culture was contaminated with a blue-green mold.

To his surprise, the mold was killing the bacteria around it. This turned out to be one of the most important discoveries in medical history: penicillin.

This serendipitous wasn’t just pure luck. Fleming had a sharp eye and scientific curiosity that allowed him to see what others might have missed. His discovery marked the dawn of the antibiotic era, giving doctors the power to treat once-deadly infections like pneumonia, scarlet fever, and wound sepsis. By World War II, penicillin was saving thousands of soldiers’ lives on the battlefield and millions more around the world.

Fleming’s story is a reminder that sometimes the biggest breakthroughs come from unexpected places and from paying attention to the little things.

🔍 Fun Fact: Fleming wasn’t just known for penicillin. Earlier in his career, he also discovered lysozyme, an enzyme in tears and saliva that helps fight bacteria, a hint that our own bodies carry natural defenses against infection.

So next time you take an antibiotic or give an antibiotic to a patient, remember Sir Alexander Fleming and the moldy petri dish that changed the course of medicine forever.

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