Guideline Implementation: Autologous Tissue Management

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.