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Articles 1 - 30 of 46
Full-Text Articles in Medicine and Health Sciences
Skin Preparation, J. Pottinger, S. Starks, Victoria Steelman
Skin Preparation, J. Pottinger, S. Starks, Victoria Steelman
Victoria J. Steelman
No abstract provided.
Sensitivity Of Detection Of Radiofrequency Surgical Sponges: A Prospective, Cross-Over Study, Victoria Steelman
Sensitivity Of Detection Of Radiofrequency Surgical Sponges: A Prospective, Cross-Over Study, Victoria Steelman
Victoria J. Steelman
BACKGROUND: A retained surgical sponge is a serious medical error that results in negative patient outcomes. Radiofrequency (RF) technology has recently been introduced to evaluate for the presence of a retained sponge. The aim of this study was to evaluate the sensitivity and specificity of the detection of surgical sponges embedded with an RF chip through the torsos of subjects of varying body habitus, including the morbidly obese. METHODS: A prospective, crossover, and observer blinded study design was used. Subjects served as their own controls. With the subject supine, 4 surgical sponges were sequentially placed behind the subject's torso in …
Toward Data Standards For Clinical Nursing Information, J. Mccloskey, G. Bulechek, L. Ackerman, M. Clarke, M. Croftrosenberg, J. Daly, C. Delaney, J. Denehy, W. Donahue, O. Glick, M. Kanak, V. Kraus, T. Kruckeberg, Meridean Maas, Paula Mobily, Sue Moorhead, M. Simons, Victoria Steelman, M. Titler, B. Wakefield, G. Woodworth, Y. Yom, Keela Herr, P. Mehmert
Toward Data Standards For Clinical Nursing Information, J. Mccloskey, G. Bulechek, L. Ackerman, M. Clarke, M. Croftrosenberg, J. Daly, C. Delaney, J. Denehy, W. Donahue, O. Glick, M. Kanak, V. Kraus, T. Kruckeberg, Meridean Maas, Paula Mobily, Sue Moorhead, M. Simons, Victoria Steelman, M. Titler, B. Wakefield, G. Woodworth, Y. Yom, Keela Herr, P. Mehmert
Victoria J. Steelman
No abstract provided.
Selection Of A Method To Rate The Strength Of Scientific Evidence For Aorn Recommendations, Victoria Steelman, T. Pape, C. King, P. Graling, K. Gaberson
Selection Of A Method To Rate The Strength Of Scientific Evidence For Aorn Recommendations, Victoria Steelman, T. Pape, C. King, P. Graling, K. Gaberson
Victoria J. Steelman
The use of scientific evidence to support national recommendations about clinical decisions has become an expectation of multidisciplinary health care organizations. The objectives of this project were to identify the most applicable evidence-rating method for perioperative nursing practice, evaluate the reliability of this method for perioperative nursing recommendations, and identify barriers and facilitators to adoption of this method for AORN recommendations. A panel of perioperative nurse experts evaluated 46 evidence-rating systems for quality, quantity, and consistency. We rated the methods that fully covered all three domains on five aspects of applicability to perioperative nursing practice recommendations. The Oncology Nursing Society's …
Double Gloving To Minimize Sharps Injuries In The Operating Room., Victoria Steelman, L. Stebral
Double Gloving To Minimize Sharps Injuries In The Operating Room., Victoria Steelman, L. Stebral
Victoria J. Steelman
No abstract provided.
Using Systematic Reviews For Evidence-Based Practice... "Recommended Practices For Surgical Attire," In Standards, Recommended Practices, And Guidelines (Denver: Aorn, Inc, 2005) 223-227, P. Edwards, A. Lipp, Victoria Steelman
Using Systematic Reviews For Evidence-Based Practice... "Recommended Practices For Surgical Attire," In Standards, Recommended Practices, And Guidelines (Denver: Aorn, Inc, 2005) 223-227, P. Edwards, A. Lipp, Victoria Steelman
Victoria J. Steelman
No abstract provided.
Designing A Safer Process To Prevent Retained Surgical Sponges: A Healthcare Failure Mode And Effect Analysis, Victoria Steelman, J. Cullen
Designing A Safer Process To Prevent Retained Surgical Sponges: A Healthcare Failure Mode And Effect Analysis, Victoria Steelman, J. Cullen
Victoria J. Steelman
A retained surgical sponge is a sentinel event that can result in serious negative outcomes for the patient. Current standards rely on manual counting, the accuracy of which may be suspect, yet little is known about why counting fails to prevent retained sponges. The objectives of this project were to describe perioperative processes to prevent retained sponges after elective abdominal surgery; to identify potential failures; and to rate the causes, probability, and severity of these failures. A total of 57 potential failures were identified, associated with room preparation, the initial count, adding sponges, removing sponges, the first closing count, and …
Research Reviews. [Commentary On] Anaphylaxis During Anesthesia. Results Of A Two-Year Survey In France, Victoria Steelman
Research Reviews. [Commentary On] Anaphylaxis During Anesthesia. Results Of A Two-Year Survey In France, Victoria Steelman
Victoria J. Steelman
No abstract provided.
Process For Handling Tissue Recall Of Implanted Tissue: One Institution's Experience, C. Hillberry, Victoria Steelman, A. Schlueter
Process For Handling Tissue Recall Of Implanted Tissue: One Institution's Experience, C. Hillberry, Victoria Steelman, A. Schlueter
Victoria J. Steelman
No abstract provided.
Managing A Tissue Recall In A Large Academic Hospital, Victoria Steelman, A. Schlueter
Managing A Tissue Recall In A Large Academic Hospital, Victoria Steelman, A. Schlueter
Victoria J. Steelman
BACKGROUND: In October 2005, a recall of human tissue for implantation was initiated because one recovery center obtained tissues from donors who were not screened properly for infectious diseases. The Food and Drug Administration (FDA) and Centers for Disease Control (CDC) recommended notifying affected patients and offering access to infectious disease testing. STUDY DESIGN AND METHODS: A multidisciplinary team was established to provide a framework for responding to the recall. The plan was designed to meet six goals. Steps included patient identification, surgeon and patient notification, patient education and testing, communication of test results, and information for the public. RESULTS: …
Toward A Standardized Language To Describe Perioperative Nursing, Victoria Steelman, G. Bulechek, J. Mccloskey
Toward A Standardized Language To Describe Perioperative Nursing, Victoria Steelman, G. Bulechek, J. Mccloskey
Victoria J. Steelman
The Nursing Interventions Classification (NIC) is a standardized language that identifies all interventions performed by nurses. Each nursing intervention has a label name, a conceptual definition, and a set of defining activities. The NIC provides a standardized nomenclature for automated databases, describes and measures nursing's contribution to health care, facilitates nursing education, supports clinical decision making, plans resource allocation, and facilitates nursing research. Perioperative nurses can use the NIC to describe and document their contributions to surgical patients' outcomes.
Relaxing To The Beat: Music Therapy In Perioperative Nursing, Victoria Steelman
Relaxing To The Beat: Music Therapy In Perioperative Nursing, Victoria Steelman
Victoria J. Steelman
1. Music therapy is a research-based nursing intervention that can be used in perioperative nursing to reduce anxiety and prevent postoperative complications. 2. Music therapy provides patients with some degree of control and the opportunity to participate in their own care. 3. The use of headphones allows the patient to listen to the music without the distraction of other sounds.
Research Reviews. Mathematical Modeling To Define Optimum Operating Room Staffing Needs For Trauma Centers, Victoria Steelman
Research Reviews. Mathematical Modeling To Define Optimum Operating Room Staffing Needs For Trauma Centers, Victoria Steelman
Victoria J. Steelman
No abstract provided.
An Approach To Managing Latex Allergy In The Health Care Worker, B. Muller, Victoria Steelman, P. Hartley, T. Casale
An Approach To Managing Latex Allergy In The Health Care Worker, B. Muller, Victoria Steelman, P. Hartley, T. Casale
Victoria J. Steelman
IgE-mediated sensitivity (true allergy) to latex occurs in well-defined groups. The common feature is a high degree of repeated exposure to latex. Approximately one percent of the total U.S. population and five to 17 percent of health care workers are affected. The objective of this article is to provide a rational approach to managing latex allergy in health care workers. Information is provided on the basis of a review of recent literature (primarily since 1986) and on the basis of work by the University of Iowa Hospitals and Clinics Multidisciplinary Latex Allergy Committee. This article summarizes a proactive, hospital-wide approach …
Research Reviews. Ropivacaine Epidural Anesthesia And Analgesia Versus General Anesthesia And Intravenous Patient-Controlled Analgesia With Morphine In The Perioperative Management Of Hip Replacement. Ropivacaine Hip Replacement Multicenter Study Group, Victoria Steelman
Victoria J. Steelman
No abstract provided.
Successful Strategies For Implementing Ahcpr Clinical Practice Guidelines, Victoria Steelman
Successful Strategies For Implementing Ahcpr Clinical Practice Guidelines, Victoria Steelman
Victoria J. Steelman
No abstract provided.
Using Existing Databases For Product Evaluation: Silver-Treated Catheter Trial, M. Wagner, L. Dolan, Victoria Steelman, M. Boyd
Using Existing Databases For Product Evaluation: Silver-Treated Catheter Trial, M. Wagner, L. Dolan, Victoria Steelman, M. Boyd
Victoria J. Steelman
No abstract provided.
Clinical Significance Of Positive Cranial Bone Flap Cultures And Associated Risk Of Surgical Site Infection After Craniotomies Or Craniectomies, H. Chiang, Victoria Steelman, J. Pottinger, A. Schlueter, D. Diekema, J. Greenlee, M. Howard, L. Herwaldt
Clinical Significance Of Positive Cranial Bone Flap Cultures And Associated Risk Of Surgical Site Infection After Craniotomies Or Craniectomies, H. Chiang, Victoria Steelman, J. Pottinger, A. Schlueter, D. Diekema, J. Greenlee, M. Howard, L. Herwaldt
Victoria J. Steelman
OBJECT: The risk of surgical site infection (SSI) after craniotomies or craniectomies in patients in whom contaminated bone flaps have been reimplanted has not been determined. The objectives of this study were to identify the prevalence of bone flaps with positive cultures--especially those contaminated with Propionibacterium acnes--to assess the risk of SSI after reimplanting (either during the initial operation or subsequently) bone flaps with positive cultures, and to identify risk factors for SSI following the initial craniotomies or craniectomies. METHODS: The authors conducted a retrospective review of cases in which patients underwent craniotomy/craniectomy procedures between January and October 2007 in …
Case Report Of Latex Aerosolization From A Transesophageal Echocardiogram Machine, B. Muller, Victoria Steelman
Case Report Of Latex Aerosolization From A Transesophageal Echocardiogram Machine, B. Muller, Victoria Steelman
Victoria J. Steelman
Aerosolized natural rubber latex proteins produce latex sensitization and can cause acute allergic reactions in susceptible individuals. The objective of this study is to describe measures that should be taken to ensure a latex-safe hospital environment. A case of latex-induced anaphylaxis prompted a survey of air quality in acute care areas of a major tertiary health care center that had eliminated the use of powder-free latex gloves years earlier. Six air samples were collected using pre- and postcalibrated sampling pumps operating at 2.7 L/minute. Samples were collected in duplicate on three-piece 37-mm Teflon filters in open-faced cassettes and tested for …
Preparing The Client For Surgery, Victoria Steelman
Preparing The Client For Surgery, Victoria Steelman
Victoria J. Steelman
No abstract provided.
The Iowa Model Of Evidence-Based Practice To Promote Quality Care, M. Titler, Charmaine Kleiber, Victoria Steelman, Barbara Rakel, G. Budreau, Clq Everett, Kathleen Buckwalter, Toni Tripp-Reimer, C. Goode
The Iowa Model Of Evidence-Based Practice To Promote Quality Care, M. Titler, Charmaine Kleiber, Victoria Steelman, Barbara Rakel, G. Budreau, Clq Everett, Kathleen Buckwalter, Toni Tripp-Reimer, C. Goode
Victoria J. Steelman
The Iowa Model of Research-Based Practice to Promote Quality Care was originally developed and implemented at the University of Iowa Hospitals and Clinics. Since its inception, the model has been used in numerous settings, and users of the model have provided feedback for improving it. This article discusses how the original model is used and describes the revised model; The Iowa Model of Evidence-Based Practice to Promote Quality Care. Copyright © 2001 by W.B. Saunders Company
Infection Control. Quality Assessment, Improvement, Victoria Steelman
Infection Control. Quality Assessment, Improvement, Victoria Steelman
Victoria J. Steelman
No abstract provided.
Creutzfeldt-Jakob Disease: Decontamination Issues, Victoria Steelman
Creutzfeldt-Jakob Disease: Decontamination Issues, Victoria Steelman
Victoria J. Steelman
No abstract provided.
Clinical Issues. Dropping A Cranial Bone Flap; Rigid Sterilization Containers; Tourniquet Cuffs; Or Air Exchanges, Victoria Steelman, J. Blanchard, B. Denholm, R. Conner
Clinical Issues. Dropping A Cranial Bone Flap; Rigid Sterilization Containers; Tourniquet Cuffs; Or Air Exchanges, Victoria Steelman, J. Blanchard, B. Denholm, R. Conner
Victoria J. Steelman
No abstract provided.
Issues In Sterilization And Disinfection, Victoria Steelman
Issues In Sterilization And Disinfection, Victoria Steelman
Victoria J. Steelman
Urology nurse managers and practitioners play a key role in minimizing the risk of infection to patients. It is essential that managers understand the processes of sterilization and disinfection, precautions, recommendations, and related issues to establish appropriate policies and procedures. It is equally important for practitioners to understand sterilization and disinfection and the rationale for practice guidelines. This area is dynamic, with new products and technology being introduced into the market each year. Along with these innovations will be additional information, and possibly revisions in recommendations. Therefore, urology nurses must remain current with scientific literature and national standards.
Prion Diseases--An Evidence-Based Protocol For Infection Control, Victoria Steelman
Prion Diseases--An Evidence-Based Protocol For Infection Control, Victoria Steelman
Victoria J. Steelman
Prion diseases are fatal, infectious, neurodegenerative disorders with special implications for infection control in the OR. The causative agent is highly resistant to disinfection and sterilization processes and has been transmitted during health care interactions. It is important to use evidence gained through research and case reports to minimize risk of infection. This article describes an infection control protocol developed for identifying high-risk patients, providing perioperative care, decontaminating the OR, and protecting health care personnel. This protocol provides multidisciplinary team members with a guideline for preventing transmission of these fatal diseases.
Creutzfeld-Jakob Disease: Recommendations For Infection Control, Victoria Steelman
Creutzfeld-Jakob Disease: Recommendations For Infection Control, Victoria Steelman
Victoria J. Steelman
Creutzfeld-Jakob disease, an infectious, progressive, degenerative neurologic disorder, has a presumably long incubation period but a rapid, fatal course. Brain tissue at autopsy resembles that seen in spongioform encephalopathies of other species. Creutzfeld-Jakob disease is transmitted by a proteinaceous infectious agent, or "prion." Epidemiologic patterns remain uncertain; various studies have reported conflicting risk factors in different populations, and genetic susceptibility may be involved. Although natural transmission routes are still unclear, both iatrogenic and nosocomial transmissions have been identified. Transmission has occurred through contaminated electrodes, contaminated biologic products from cadaveric brains, and infected donor tissues, including dura mater and corneas. Because …
Bone Flap Cultures Response, Loreen Herwaldt, Hsiu-Yin Chiang, Victoria Steelman, Jean Pottinger, Annette Schlueter, Daniel Diekema, Jeremy Greenlee, Maymew Howard
Bone Flap Cultures Response, Loreen Herwaldt, Hsiu-Yin Chiang, Victoria Steelman, Jean Pottinger, Annette Schlueter, Daniel Diekema, Jeremy Greenlee, Maymew Howard
Victoria J. Steelman
No abstract provided.
Clinical Issues. Vessels For Transplantation; Corrugated Packaging; Hand Sanitizers; Student Visitors In The Or; Aseptic Technique, B. Denholm, Victoria Steelman, R. Conner
Clinical Issues. Vessels For Transplantation; Corrugated Packaging; Hand Sanitizers; Student Visitors In The Or; Aseptic Technique, B. Denholm, Victoria Steelman, R. Conner
Victoria J. Steelman
No abstract provided.
Effective Communication Saves Lives, Victoria Steelman
Effective Communication Saves Lives, Victoria Steelman
Victoria J. Steelman
No abstract provided.