Nursing Commons^™

Engaging Robotic Care Teams Across The Perioperative Continuum, Stephanie E. Nelson Rn, Cnor

Patient Care Services / Nursing

No abstract provided.

Intraosseous Vascular Access For Alert Patients, Stacie Hunsaker

Faculty Publications

Nurses are often faced with the challenge of starting an IV line in a patient who is dehydrated, has suffered trauma, or is in shock. Even the efforts of the most skilled clinician may fail, while valuable time is lost. Intraosseous access is a rapid, safe, and effective route for delivering fluids and medications, and is recommended by numerous professional and specialty organizations for both pediatric and adult patients. Yet many clinicians remain unaware of the procedure. This article outlines the procedure and devices used, describes support for use in the literature, and discusses various considerations and nursing implications.

Transforming From A Freestanding Asf To A Hospital-Based Unit, Darlene Hinkle Msn, Rn, Cnor

Patient Care Services / Nursing

No abstract provided.

Preparing Contaminated Instrumentation For Quick Turnover: A Team Approach, James C. Mcdonald

Patient Care Services / Nursing

No abstract provided.

A Support Model For Or Efficiency, Joseph M. Griffin

Patient Care Services / Nursing

No abstract provided.

Quiet Please. Healing In Progress, Maryann K. Fye Msn, Rn, Cmsrn

Patient Care Services / Nursing

No abstract provided.

An Evidence Based Recommendation For The Use Of 5% Human Albumin Vs. Normal Saline With Hypotension Secondary To Hypovolemia In Adult Post Operative Patients, Katherine Anne Marshall

Master of Science in Nursing Evidence-Based Practice Projects

Problem: 5% human albumin is used very frequently in the hospital setting with hypotensive post-surgical patients. There are associated risks with the use of human albumin and it has been shown that normal saline is at least as effective in treating extreme hypotension in this patient population.

Significance: Associated risks that are present with the use of human albumin may be equal to those of the risks of whole blood transfusions. In addition weight gain and fluid retention are complications associated with the use of human albumin versus the use of normal saline. Furthermore, human albumin costs $40.59 more than …

You Missed A Spot! Disinfecting Shared Mobile Phones, Roberta Basol, Jean Beckel, Judy Gildsdorf-Gracie, Amy Hilleren-Listerud, Terri Mccaffrey, Sherri Reischl, Pamela Rickbeil, Mary Schimnich, Kirsten Skillings, Mary A. Struffert

Articles

The use of portable mobile devices has facilitated timely communication among healthcare team members. It's now a common practice for hospital-owned mobile phones to be shared among healthcare employees from shift to shift. Despite the benefit of increased, timely communication between caregivers, sharing mobile devices can lead to the spread of healthcare-associated infections (HAIs). This article looks at the efficacy of two types of cleaning products on shared mobile phones carried by RNs at a 489-bed, Magnet-designated, Midwestern regional medical center. The cleaning methods evaluated were 70% isopropyl alcohol wipes and ethyl alcohol wipes.

Making Meaning In The Legacy Of Tissue Donation For Donor Families, Nancy S. Hogan, Lee A. Schmidt, Maggie Coolican

Nursing: School of Nursing Faculty Publications and Other Works

Context-Individuals needing lifesaving (heart valves, skin grafts for repair of critical burn injuries) and life-enhancing (corneas, bone and tendon grafts, skin, and veins) tissue donations outnumber the tissues available for transplant. Objective-To describe the grief family members experienced 6 months after donation and to learn how family decision makers gained meaning from the decision to donate a loved one's tissues. This is phase 1 of a longitudinal study in which family decision makers will be surveyed again at 13 and 25 months after donation. Design-Qualitative descriptive. Participants-One hundred seven family decision makers whose family member died a traumatic sudden death …

Development Of Clinical Practice Guidelines: Care Of The Patient Following Anesthesia (Poster), Cheryl Barr Bsn, Rn, Cpan, Ruth Safi-Litz Rn, Bsn, Cpan

Patient Care Services / Nursing

No abstract provided.

Decreasing Turnover Time In The Operating Room: A Multidisciplinary Challenge, Patricia Cressman, Denise M. Lawyer Rn, Deborah Schantzenbach Rn, Cnor

Patient Care Services / Nursing

No abstract provided.

Comparison Of Vaginal Cuff Closure Outcomes In Patients Having Robotic-Assisted Total Laparoscopic Hysterectomy: V-Loc Vs. Vicryl (Poster), Martin A. Martino Md, R Melody Reynolds Md, A Ei Haraki Md, Rachel Morcrette Pa-C, Kyle M. Langston Pa-C, Gregory F. Kainz Md, Richard Boulay Md, M Bijoy Thomas Md

Department of Obstetrics & Gynecology

No abstract provided.

Patient Comfort And Multimodal Analgesia: Effects Of Preoperative Ibuprofen, Rodney Nash

Nursing Theses and Capstone Projects

Multimodal therapy for surgical patients is explified by use of a combination of a non-steroidal anti-inflammatory and an opioid to control visceral pain by decreasing both inflammation and pain transmission. Perioperative or postoperative use of multimodal therapy has been shown to provide adequate surgical pain relief while decreasing the total dose of opioids required. This project demonstrated that preoperative use of ibuprofen for women undergoing total laparoscopic hysterectomy decreased the total dose of opioids consumed in a 24-hour period, and increased the likelihood of the patient reaching her pain goal target at discharge. This finding adds to the literature support …

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

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 …

Compassion Fatigue Among Emergency Department Nurses, Tracy Ann Petleski

Nursing Theses and Capstone Projects

Aim: The purpose of this capstone project was to determine the prevalence of compassion fatigue among emergency department nurses. Background: Healthcare workers especially nurses working in high acuity areas are at high risk for developing compassion fatigue, burnout, and secondary stress. A concern is nurses working in the emergency department are at risk for developing compassion fatigue and should be aware of the concept, self-care activities, and available resources to improve compassion satisfaction scores and to reduce the effects of compassion fatigue burnout, and secondary stress on nurses' working in stressful environments. Method: The project was carried out at a …

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 …

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

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 …