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Improving Patient Safety In The Operating Room: Utilizing A Safety Checklist And Briefings, Lori R. Schacht Jan 2015

Improving Patient Safety In The Operating Room: Utilizing A Safety Checklist And Briefings, Lori R. Schacht

Theses and Graduate Projects

The perioperative care setting can be a hazardous environment for patients undergoing surgery. Surgical teams caring for patients undergoing complex surgical procedures may create an opportunity for surgical errors impacting patient safety. The purpose of this project is to improve consistent standardized Surgical Safety Checklist (SSC) use and briefings in the orthopedic perioperative care setting in a large Midwestern hospital, thereby supporting a culture of safety through staff engagement and a team-based communication approach. Watson’s Theory of Human Caring guided this project through the theoretical concepts of presence and faith. An initial implementation of the SSC and briefings revealed a …


Safe And Effective Use Of Aromatherapy For Postoperative Nausea, Kristen M. Haack Jan 2014

Safe And Effective Use Of Aromatherapy For Postoperative Nausea, Kristen M. Haack

Theses and Graduate Projects

No abstract provided.


Transforming The Preoperative Patient Education Experience, Hilary Joachim Jan 2014

Transforming The Preoperative Patient Education Experience, Hilary Joachim

Theses and Graduate Projects

In 2009 a large Midwestern healthcare institution introduced preoperative education classes for orthopedic patients undergoing joint replacement surgery to better prepare them for surgery and promote a timely discharge from the hospital. According to literature findings, preoperative patient education decreases patient anxiety, improves pain control, and decreases length of stay in the hospital. While length of stay for joint replacement patients within this healthcare instifution decreased, it was difficult to pinpoint the effect of the educational classes due to other simultaneous changes in postoperative orthopedic care, such as earlier mobilization of patients. Through an analysis of class attendance, it was …


Innovative Pain Management Of The Post-Operative Patient, Debra Perry Jan 2013

Innovative Pain Management Of The Post-Operative Patient, Debra Perry

Theses and Graduate Projects

Medical/surgical patients post-operatively report significant pain and are not always satisfied with their pain management. Nurses on medical/surgical units frequently find themselves in a cycle of chasing after their patients' pain. Medical/surgical units historically rely heavily on pharmacological interventions to manage post-operative pain with little focus on non-pharmacological interventions. With the integration of complementary and alternative medicine (CAM) as an additional tool for care for medical/surgical nurses, they will be empowered to be proactive rather than reactive in post-operative pain management. This project develops an innovative post-operative pain management educational program that integrates Western medicine and CAM into the care …


Quiet Please: Our Patients Are Healing!, Evie Pochardt Jan 2013

Quiet Please: Our Patients Are Healing!, Evie Pochardt

Theses and Graduate Projects

Patients are under a significant amount of stress during their hospitalization. Noise is an environmental stressor which is found at increasing levels in hospitals and is a primary annoyance for patients. This environmental pollutant can impair a patient's rest, sleep, and ultimately affect healing. Unwanted noise has been shown to cause sleep disturbance, impair wound healing, trigger hormones affecting the cardiovascular system, immune system, and metabolism as well as perception of pain. Intermittent noises such as those from infusion pumps, monitor alarms, and pagers are the most disturbing. Nightingale believed that unnecessary noise was harmful to the patient's healing; it …


Advocacy For The Perioperative Patient, Patricia R. Ballinger Jan 2013

Advocacy For The Perioperative Patient, Patricia R. Ballinger

Theses and Graduate Projects

Thousands of surgeries and procedures happen daily. Patients place their lives and well-being in the hands of the surgical team. The operating room is a high risk environment and unfortunately, errors can occur resulting in harm and even death. Each surgical team member has a role and responsibilities during the surgical case. One main role of the perioperative nurse is patient advocacy and patient safety. However, this role can be impeded due to hierarchy and the operating room culture. Identifying the perioperative nurse's role and responsibility relating to patient advocacy will provide directions in the perioperative nurse's daily practice. An …


Creating A Healing Environment In The Operating Room By Reducing Noise, Emily Grimshaw Jan 2013

Creating A Healing Environment In The Operating Room By Reducing Noise, Emily Grimshaw

Theses and Graduate Projects

The operating room can be a very noisy environment. Noise in this setting can affect patient's physiologically as well as psychologically and it can also affect operating room staff. The review of the literafure shows the effects noise in the operating room has on patients and staff. Patients can become tachycardic and hypertensive due to the exposure to increased noise in the operating room while staff concentration can be impeded as well. The creation of a noise reduction program for the operating room will create a healing environment. The healing environment will help both patients and operating room staff, Patients …


Intentional Rounding On A General Surgical Unit, Lisa M. Patterson Jan 2013

Intentional Rounding On A General Surgical Unit, Lisa M. Patterson

Theses and Graduate Projects

Patient safety for the hospitalized patient is a coneern. Hospitalized patients are affected by pain management issues, a risk of falling, and the potential to develop pressure ulcers. Research has shown that by reducing these events, patients report increased satisfaction which ultimately increases hospital reimbursements, not to mention cost avoidance. Intentional rounding is a nursing best practice designed to anticipate patient care needs and improve patient safety. A project to implement intentional rounding on a general surgical unit provided a leadership opportunity for a Masters of Nursing student to plan, implement, and evaluate a nursing unit quality initiative using Watson's …