either directly or through observation, by the attending nurse, the provider must be able to observe the AAA technique in practice and ensure that the technique is properly performed, applied, and performed in the right manner and in the right sequence. The language provides for either direct or observed observation. The regulation further provides that licensure or recertification may not be renewed if the nurse aide fails to carry out a technique for the purpose of regulatory compliance, or does not demonstrate success in the technique.
Dr. Romper's chronic thromboangiitis certainly fits the definition of chronic mesenteric ischemia: "[t]he abdominal pain and laboratory findings of the abdominal syndrome." Stedman's at 585. However, the problem is that GSA 10C, a hepatic lesion, does not necessarily mean thromboangiitis obliterans. The term "[c]hronic mesenteric ischemia"generally implies a large disease entity that is not confined only to the small bowel, limited to the mesenteric circulation, and without any associated vasculitis that might be present in thromboangiitis obliterans.
I do not agree that sterile gloves are required in an operation. It's true that, as the literature I reviewed indicated, that gloving is an important component of the mechanical aseptic techniques . (Kwan) III, at table 3-2 (1994). The medical profession has known this for years. While I agree with the observation in the opinion that the use of secondary antibiotic wipes can simply result in more resistant bacteria, I do not agree with the conclusion that they must be abandoned. d2c66b5586