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Perioperative, Operating Room and Surgical Nursing Commons

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All Articles in Perioperative, Operating Room and Surgical Nursing

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Developing Cultural Competency In Anesthesia Through Student Registered Nurse Anesthetists, Emma To 2018 University of Southern Mississippi

Developing Cultural Competency In Anesthesia Through Student Registered Nurse Anesthetists, Emma To

Doctoral Nursing Capstone Projects

Certified Registered Nurse Anesthetists (CRNAs) are the main anesthesia providers in over 70% of rural hospitals providing anesthesia. Each year, over 2,000 student registered nurse anesthetists (SRNAs) graduate and continue as licensed CRNAs. This Doctor of Nurse Practice (DNP) project emphasizes the importance of developing culturally competent providers in anesthesia by promoting early outreach in cultural competence education of SRNAs. Cultural competence is described as possessing characteristics of congruent attitudes, awareness, and conduct that provides and enables effective skills in cross-cultural encounters. Encompassing cultural competency education early in the SRNAs profession may provide valuable lifelong cultural skills that will ...


Clinical Handover Of Immediate Post-Operative Patients: A Literature Review, Samantha Clarke, Karen G. Clark-Burg, Elaine Pavlos 2018 The University of Notre Dame Australia

Clinical Handover Of Immediate Post-Operative Patients: A Literature Review, Samantha Clarke, Karen G. Clark-Burg, Elaine Pavlos

Journal of Perioperative Nursing

The transfer of professional responsibility for some or all aspects of patient care, within and between professional groups on a temporary or permanent basis, is termed clinical handover. Communication during clinical handover is considered a challenging patient safety problem. A key principle of transfer of professional responsibility for patient care is the minimum amount of information or content that must be contained and transferred in any particular type of clinical handover.

Aim: The purpose of this literature review was to establish the scope of the literature about clinical handover from the operating room to Post Anaesthesia Care Unit (PACU) published ...


Changing The Standard Of Blood Management In Australia: An Overview, Alana Delaforce, Jed Duff, Nicholas Ralph 2018 Australian College of Perioperative Nurses (ACORN)

Changing The Standard Of Blood Management In Australia: An Overview, Alana Delaforce, Jed Duff, Nicholas Ralph

Journal of Perioperative Nursing

No abstract provided.


Compassion Fatigue In The Perioperative Environment, Erin Wakefield 2018 Australian College of Perioperative Nurses (ACORN)

Compassion Fatigue In The Perioperative Environment, Erin Wakefield

Journal of Perioperative Nursing

No abstract provided.


Technology Stress In Perioperative Nursing: An Ongoing Concern, Judith Smith, Debra Palesy 2018 Australian College of Perioperative Nurses (ACORN)

Technology Stress In Perioperative Nursing: An Ongoing Concern, Judith Smith, Debra Palesy

Journal of Perioperative Nursing

The following discussion will explore the impact of technology on perioperative nursing roles and the development of the phenomenon coined ‘technology stress’. We will begin by reviewing the ongoing debate of technical versus caring nursing practices. The impact of advanced technology on perioperative nursing roles is explored, highlighting the development of technology stress. The paper concludes with some recommendations for further research.


Individualizing Care For Pediatric Patients With Autism Spectrum Disorder In Perioperative Services, Erin Scheller 2018 The University of San Francisco

Individualizing Care For Pediatric Patients With Autism Spectrum Disorder In Perioperative Services, Erin Scheller

Master's Theses

This research explores solutions for individualizing and improving care for pediatric patients with Autism Spectrum Disorder in the Perioperative Setting of an Outpatient Surgery Center. Specifically, it seeks to determine if providing parent and staff resources on Autism Spectrum Disorder is significantly helpful in increasing confidence in the staff by the parents and the staff themselves. Participants included thirty-five surveyed families who had pediatric patients visiting perioperative services and staff who work on the unit. Methods used include information dissemination with the use of printable and online evidence-based resources, an in-person education event for staff, and a pilot study of ...


Anesthesia "Hand Off" Process For Patients At High Risk For Obstructive Sleep Apnea, Terry Yeager 2018 Lynchburg College

Anesthesia "Hand Off" Process For Patients At High Risk For Obstructive Sleep Apnea, Terry Yeager

Student Scholar Showcase

No abstract provided.


Implementation Of The Banner Mobility Assessment Tool For Bariatric Patients, Nicole Benkert 2018 Murray State University

Implementation Of The Banner Mobility Assessment Tool For Bariatric Patients, Nicole Benkert

Scholars Week

Abstract

The prevalence of morbidly obese patient within the United States is on a rapid incline. Evidence correlates an increase in patient falls, comorbidities, and hospital admission among this specific patient group. As a result, there is an increase in workload and injuries to staff as they tend to these patients. Healthcare facilities need to continuously update current patient handling programs and create specific policies for safely handling obese patients. Research suggests that Safe Patient Handling and Mobility Programs, as well as the Banner Mobility Assessment Tool (BMAT), have substantially decreased nurse injuries through a wide range of nursing specialties ...


News From The Graduate School - Nursing, Otterbein University 2018 Otterbein University

News From The Graduate School - Nursing, Otterbein University

Graduate School

Newsletter that provides updates from the Graduate School and the Nursing Graduate Program.


The Impact Of Digital Education Delivery On Postoperative Pain Outcomes, Amber Stitz, DNP, MS, APRN, ACNS-BC, OCNS-C 2018 George Washington University

The Impact Of Digital Education Delivery On Postoperative Pain Outcomes, Amber Stitz, Dnp, Ms, Aprn, Acns-Bc, Ocns-C

Doctor of Nursing Practice Projects

Background. Advances in technology and communication tools offer new, innovative methodologies for delivering information to patients. Research is needed to understand the clinical effectiveness of different education delivery methods on outcomes and comprehension.

Purpose. Compare the effects of digital education with conventional, written and verbal instructions on patients’ pain outcomes, knowledge attainment, and treatment participation.

Methods. A quasi-experimental design evaluated outcomes in 133 patients undergoing major hip (n=73) and knee (n=60) arthroplasty who received point-of-care pain education delivered via a dynamic mobile-computing (iPad) platform (n=65) or by conventional education (n=68). The significance level was set at ...


Using Safety Checklists Outside Of The Operating Room, Annabelle Gerhardt 2018 University of New Mexico

Using Safety Checklists Outside Of The Operating Room, Annabelle Gerhardt

Doctor of Nursing Practice Capstones

Abstract

The use of a Time Out checklist for patient safety in non-operating room procedural areas is equally important for positive patient outcomes as in the operating room (OR). In this busy southwestern United States hospital, the procedural teams in the non-operating room areas were reported to not be fully engaged during the performance of the Time Out pre-procedural pause prior to gastroenterological (GI) procedures. This study was conducted to improve compliance with the scripted Time Out checklist and promote full engagement of the GI procedural team during the Time Out thus reducing risks of wrong site surgery. Literature has ...


Inadvertent Postoperative Hypothermia Prevention: Passive Versus Active Warming Methods, Jessica Watson 2018 Australian College of Perioperative Nurses (ACORN)

Inadvertent Postoperative Hypothermia Prevention: Passive Versus Active Warming Methods, Jessica Watson

Journal of Perioperative Nursing

Temperature management within the perioperative environment is an imperative component of and a standard of practice in providing effective patient safety and comfort. This literature review will explore the evidence surrounding the use of active and passive warming mechanisms in the prevention of postoperative hypothermia. Many studies have recognised the adverse consequences of inadvertent postoperative hypothermia, hence the rapid advancement in education about and use of equipment and devices for its prevention. Evidence-based literature was reviewed to provide rationales and recommendations for strategies to prevent postoperative hypothermia. This literature review will potentially guide clinicians through the use of effective devices ...


Reshaping Perioperative Nursing Practice To Get The Job Done: A Constructivist Grounded Theory Study, Sharon Bingham, Kenneth Walsh, Karen Ford 2018 Australian College of Perioperative Nurses (ACORN)

Reshaping Perioperative Nursing Practice To Get The Job Done: A Constructivist Grounded Theory Study, Sharon Bingham, Kenneth Walsh, Karen Ford

Journal of Perioperative Nursing

No abstract provided.


Recommended Practices For The Management Of Surgical Smoke And Bio-Aerosols For Perioperative Nurses In Thailand, Usavadee Asdornwised, Daranee Pipatkulchai, Suwat Damnin, Vitoon Chinswangwatanakul, Mongkol Boonsripitayanon, Sununtha Tonklai 2018 Australian College of Perioperative Nurses (ACORN)

Recommended Practices For The Management Of Surgical Smoke And Bio-Aerosols For Perioperative Nurses In Thailand, Usavadee Asdornwised, Daranee Pipatkulchai, Suwat Damnin, Vitoon Chinswangwatanakul, Mongkol Boonsripitayanon, Sununtha Tonklai

Journal of Perioperative Nursing

Evidence-based guidelines for the management of surgical smoke and bioaerosols for perioperative nurses are necessary to improve the quality of care for patients and to ensure a safe environment in operating rooms. A survey of 377 operating room (OR) nurses throughout Thailand was used to assess the incidence of health problems related to surgical smoke exposure, as well as the current practices for these substances. A high percentage of OR nurses reported little or no use of smoke evacuation tools such as central smoke evacuation systems (100 per cent), portable smoke evacuation units (82 per cent), wall suction with inline ...


Is Your Graduate Nurse Suffering From Transition Shock?, Erin Wakefield 2018 Australian College of Perioperative Nurses (ACORN)

Is Your Graduate Nurse Suffering From Transition Shock?, Erin Wakefield

Journal of Perioperative Nursing

The term ‘transition shock’ is a relatively new concept used to describe the experience of moving from the comfortable and familiar role of the preregistration nursing student to the professional registered nurse (RN)1. The initial and most dramatic stage in this theory of role adaption occurs over the first four months of professional practice.

Transition shock has foundational basis in Kramer’s theory of ‘reality shock,’ which describes the phenomenon of studying for many years to practice a particular role, and then finding the professional reality is different than expected. Reality shock has four phases – the honeymoon phase, the ...


Task Transfer: A Survey Of Australian Surgeons On The Role Of The Non-Medical Surgical Assistant, Toni Hains, Catherine Turner, Haakan Strand 2018 Australian College of Perioperative Nurses (ACORN)

Task Transfer: A Survey Of Australian Surgeons On The Role Of The Non-Medical Surgical Assistant, Toni Hains, Catherine Turner, Haakan Strand

Journal of Perioperative Nursing

Background: A non-medical surgical assistant is a clinician who provides perioperative care in the role of surgical assistant but does not possess a medical degree. This role has been practiced in Australia for more than 20 years.

Aim: This survey investigates Australian surgeons’ attitudes and current practice regarding the role of the non-medical surgical assistant.

Design/method: Distribution of the survey was online in December 2015 by the Royal Australasian College of Surgeons (RACS). Data analysis was descriptive using online survey methodology and convenience sampling.

Results: In the private sector in Australia 105 respondents (35 per cent) use a non-medical ...


What’S In A Name: Performance Improvement, Evidence-Based Practice, And Research?, Andrea Prentiss, Eve Butler 2018 Baptist Hospital of Miami, Miami Cancer Institute, Baptist Health South Florida

What’S In A Name: Performance Improvement, Evidence-Based Practice, And Research?, Andrea Prentiss, Eve Butler

Nursing & Health Sciences Research Journal

No abstract provided.


Irrisept: Redefining Irrigation, Nicole Koening 2018 St. Cloud Hospital, CentraCare Health

Irrisept: Redefining Irrigation, Nicole Koening

Nursing Posters

IrriSept is the only FDA-Cleared device that delivers a pressurized solution containing Chlorhexidine Gluconate (CHG) for cleansing and debridement. As a final rinse, prior to closure in surgical procedures, IrriSept has the potential to help reduce SSIs and associated treatment costs. IrriSept was developed with the goal of becoming the "Standard of Care" and improving patient outcomes.

IrriSept has a wide range of activity against gram positive and gram negative bacteria, fungi, and viruses. It has demonstrated antimicrobial efficacy and persistence in laboratory testing.


Vapocoolant Spray’S Effect On Peripheral Inserted Venous Catheter Pain In Adult Patients, Zachary Krol, Fiona Flaherty, Ryan Williams 2018 U Of A

Vapocoolant Spray’S Effect On Peripheral Inserted Venous Catheter Pain In Adult Patients, Zachary Krol, Fiona Flaherty, Ryan Williams

Honors Research Projects

Intravenous (IV) cannulation is required to administer medications and fluids to patients. In addition, it is also a recognized source of pain and anxiety in over one-half of all patients requiring IV insertion (Page & Taylor, 2010). Pain management is within nurses’ scope of practice, therefore it’s important to identify effective pain management strategies. The purpose of this study is to determine the effect that a topical vapocoolant spray has on pain in pre-operative adults during IV cannulation. The gate control theory of pain will guide this randomized, experimental study of a convenience sample of adults in an outpatient endoscopic ...


Implementation Of An Opioid Risk Assessment Tool, Stacey Cuomo 2017 Seton Hall University

Implementation Of An Opioid Risk Assessment Tool, Stacey Cuomo

Seton Hall University DNP Final Projects

The increased prevalence of opioid use in society has led to an increase in surgical patients with a history of such use. Patients who use or are addicted to opioids have different tolerances and responses to anesthesia than non-opioid users, and will require different care than non-users both pre- and post-operatively. The means to identify this population prior to a surgical procedure is needed as a way to organize, plan and manage patient care during the perioperative period. An Opioid Risk Assessment Tool (ORAT) was used as a way to streamline the process of identifying these patients. This paper addresses ...


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