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Perioperative, Operating Room and Surgical Nursing Commons

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Covid Changes To Post Anaesthesia Care Unit Nursing Practices, Heather J. Stapleton Ms 2021 University of Tasmania

Covid Changes To Post Anaesthesia Care Unit Nursing Practices, Heather J. Stapleton Ms

Journal of Perioperative Nursing

The pandemic year of 2020 brought unparalleled and swift changes to health care processes within Australia. All registered nurses in the Post Anaesthesia Care Unit (PACU) of a regional tertiary referral hospital had to make changes to routine personal protective equipment (PPE) practice to accommodate a safer environment for both staff and patients. Changes to PPE practices included the addition of heat moisture exchange (HME) filters to laryngeal mask airways (LMAs), and the use of Level 3 surgical masks during aerosolising procedures such as extubation and nebulisation. Changes were also made to the structured handover from anaesthetic nurse to the ...


Implementation Of A National Telestroke Program: A Unit-Based Staff Education Inititative, Leigh Ann Raymond 2021 Xavier University

Implementation Of A National Telestroke Program: A Unit-Based Staff Education Inititative, Leigh Ann Raymond

Master of Science in Nursing Scholarly Project

Abstract

A national telestroke program (NTSP) was implemented at a medical center in the latter half of 2020. Following two inpatient strokes, it was discovered that only 67 members of the 370-member inpatient nursing staff had been assigned the required online learning modules. A unit-based nursing educational initiative was developed utilizing available online learning modules to address the gaps in knowledge in recognizing acute stroke signs, symptoms and providing timely care. The educational initiative, however, supplemented and complimented the online learning modules by incorporating an in-person poster presentation on inpatient strokes that included a small group discussion of an inpatient ...


Post-Operative Nursing Care Of The Renal Transplant Patient, Emily Smith 2021 University of Arkansas, Fayetteville

Post-Operative Nursing Care Of The Renal Transplant Patient, Emily Smith

The Eleanor Mann School of Nursing Undergraduate Honors Theses

Abstract

Kidneys are the most commonly transplanted organ in the United States. All patients who receive a renal transplant must be on lifelong immunosuppressants to prevent rejection of the donor organ. The majority of patients do not take their immunosuppressant medications as instructed, making noncompliance a huge issue for medical professionals. The purpose of this literature review is to explore what evidence-based techniques nurses should employ to increase the long-term compliance of immunosuppressants in renal transplant patients. A literature review was performed of fifteen studies to identify interventions that nurses can employ to increase immunosuppressant compliance. CINAL and Medline were ...


Determining The Attitude Of Operating Room Nurses To Radiation Exposure: A Descriptive Study, Ayfer Ozbas, Acelya Turkmen, Gönül Yılmaz Dündar 2021 Istanbul University-Cerrahpasa Florence Nightingale Faculty of Nursing, Abide-i Hürriyet St., 34381 Sisli/Istanbul

Determining The Attitude Of Operating Room Nurses To Radiation Exposure: A Descriptive Study, Ayfer Ozbas, Acelya Turkmen, Gönül Yılmaz Dündar

Journal of Perioperative Nursing

Objective

This study aims to determine the attitude of operating room nurses to radiation exposure.

Methods

This descriptive study was conducted with 70 nurses working in the operating room of two university hospitals belonging to a university in Istanbul. Descriptive statistical analyses were performed using IBM SPSS 23. The protocol of the study was registered in clinicaltrials.gov (NCT04703933).

Results

There was a significant relationship between radiation protection training and the use of protective equipment (p

Conclusions

It was found that the nurses working in the operating room had insufficient radiation protection training and there was a positive relationship between ...


Dnp Final Report: Enhancing Nurses' Knowledge On Opioids To Promote Safe Opioid Use In Post-Operative Patients: An Evidence-Based Practice Project, Amardeep Gill 2021 University of Texas at Tyler

Dnp Final Report: Enhancing Nurses' Knowledge On Opioids To Promote Safe Opioid Use In Post-Operative Patients: An Evidence-Based Practice Project, Amardeep Gill

DNP Final Reports

Pain control remains suboptimal in the United States, while the use and misuse of opioids are growing. Opioid use disorder and opioid misuse are associated with an increased risk of postoperative mortality and morbidity. The Centers for Disease Control and Prevention reported more than 232,000 deaths from a prescription opioid overdose from 1999 to 2018. The economic burden related to prescription opioid misuse in the United States is $78.5 billion a year. According to the literature, lack of knowledge makes patients vulnerable to misuse and nonmedical use of opioids. This lack of patients’ knowledge and over-prescription of opioids ...


Post Operative Handoff Tool Benchmark Project, Savannah E. Vinson 2021 University of Texas at Tyler

Post Operative Handoff Tool Benchmark Project, Savannah E. Vinson

MSN Capstone Projects

According to a sentinel event statement issued by The Joint Commission in 2017, inadequate hand-off communication is responsible for many adverse-events, including sentinel events in healthcare. A study released in 2016 estimated that communication failures in U.S. hospitals and medical practices were responsible at least in part for 30 percent of all malpractice claims, resulting in 1,744 deaths and $1.7 billion in malpractice costs over five years(The Joint Commission [TJC], 2017). Successful handoff communication has the potential to substantially improve patient safety when leadership displays their commitment to successful handoff, when handoff is standardized and done ...


Multidisciplinary Simulation Training For Perioperative Teams: An Integrative Review, Michelle Hibberson, Jessica Lawton, Dean Whitehead 2021 University of Tasmania

Multidisciplinary Simulation Training For Perioperative Teams: An Integrative Review, Michelle Hibberson, Jessica Lawton, Dean Whitehead

Journal of Perioperative Nursing

Abstract

Background

The perioperative environment is a high-risk and complex area and the provision of safe, high-quality surgical care requires a multifaceted approach provided by multidisciplinary health care teams. However, it is reported that the multidisciplinary nature of perioperative teams can present barriers to patient safety through ineffective teamwork, ineffective collaboration and/ or ineffective communication. Multidisciplinary simulation training creates realistic situations in safe environments to allow perioperative teams to improve teamwork and communication alongside the technical skills needed to manage emergency situations. This integrative review critically examines and reports the effects of multidisciplinary simulation training on perioperative teams and highlights ...


Optimizing Operating Room Throughput, Amanda Brendel 2021 University of St. Augustine for Health Sciences

Optimizing Operating Room Throughput, Amanda Brendel

Student Scholarly Projects

Practice Problem: Throughput is an instrumental aspect for hospitals to maximize patient capacity; therefore, methods to improve patient flow should be consistently implemented. Surgical areas are a major contributor to inpatient admissions and the subsequent revenue; however, without the appropriate oversight, patient throughput can be negatively impacted.

PICOT: The PICOT question that guided this project was: In operating room patients who require inpatient admission (P), how does the implementation of a standardized bed flow process (I), compared to the current methods for care transitions (C), reduce perioperative delays and improve hospital financial metrics (O), over a three-month period (T)?

Evidence ...


Educating Registered Nurses (Rns) To Improve Knowledge, Comfortability & Ability Of Communication In Advance Care Planning (Acp), Sirena Blount-Sears, Pamela Bishop 2021 Old Dominion University

Educating Registered Nurses (Rns) To Improve Knowledge, Comfortability & Ability Of Communication In Advance Care Planning (Acp), Sirena Blount-Sears, Pamela Bishop

College of Health Sciences Posters

Purpose: The purpose of this project was to assess the knowledge, comfortability, and ability to communicate with confidence, along with the usage of communication tools, among Med/Surg RNs r/t to ACP before & after participation in an ACP educational webinar.

Aims: To evaluate whether the knowledge, comfortability, ability to communicate, including usage of communication tools, and confidence among medical-surgical registered nurses related to ACP improves following participation in an ACP educational webinar.

Research Questions/Hypotheses: RQ1: Will there be a significant difference before & after an ACP educational webinar r/t: knowledge, comfortability, ability to communicate with confidence, & the usage ...


Asleep On The Job: Can Night Shift Napping Provide Greater Safety For Both Staff And Patients?, Jennifer Gamble, Paula Foran 2021 Australian College of Perioperative Nurses (ACORN)

Asleep On The Job: Can Night Shift Napping Provide Greater Safety For Both Staff And Patients?, Jennifer Gamble, Paula Foran

Journal of Perioperative Nursing

Fatigue presents as an all-pervasive challenge to anyone who is engaged in shift work. While this affects all nurses, those who work on night duty have been shown to have the greatest risk of fatigue and cognitive impairment thus potentially posing a higher safety risk to themselves, the patients under their care and the wider community as nurses make their way home driving while drowsy.

Despite robust evidence revealing the positive attributes of increased working abilities from napping on night duty, and the overall agreement by nurse managers and organisations, this practice has been slow to be introduced into nursing ...


The Effects Of Staffing Practices On Safety And Quality Of Perioperative Nursing Care – An Integrative Review, Nick Nijkamp, Paula Foran 2021 Australian College of Perioperative Nurses (ACORN)

The Effects Of Staffing Practices On Safety And Quality Of Perioperative Nursing Care – An Integrative Review, Nick Nijkamp, Paula Foran

Journal of Perioperative Nursing

Problem identification
Patients undergoing invasive procedures are highly vulnerable to adverse outcomes. From 2012 to 2013, 5.5 per cent of all inpatient admissions reported an adverse event. Perioperative nurses play an important role in providing safe patient care and acting as the patient advocate. This review of literature aims to examine the effects of perioperative staffing and patient safety. Three common staffing themes that impact the safety and quality of patient care were identified; namely, nurse-to-patient ratios, staff training and staff fatigue.

Literature search
An integrative literature search to identify empirical data surrounding perioperative nursing staffing was conducted via ...


Mbs Taskforce Fails The Pub Test, Toni Hains, Catherine Smith, Rebecca East 2021 Australian College of Nurse Practitioners

Mbs Taskforce Fails The Pub Test, Toni Hains, Catherine Smith, Rebecca East

Journal of Perioperative Nursing

The nursing profession has been frustrated by a government review body that has ignored evidence-based recommendations resulting in a failure to meet community expectations. Politicians and the media have repeatedly labelled a failure to meet community expectations as failing the pub test.


Smartphones In The Operating Room: Can Perioperative Nurses Be Trusted?, Tarryn Armour, Elyse Coffey 2021 Deakin University, Victoria

Smartphones In The Operating Room: Can Perioperative Nurses Be Trusted?, Tarryn Armour, Elyse Coffey

Journal of Perioperative Nursing

Use of hand-held technology, such as smartphones, in health care can provide a pocket-sized and instant means of accessing information and resources related to patient care. A review of the literature identified drawbacks to and benefits of using hand-held technology in the perioperative environment. Drawbacks that limit the use of hand-held technology include potential distraction from clinical activities, negative perceptions that smartphones will be used for activities not related to work such as cyberloafing, interference to patient privacy and infection control risks. Conversely the benefits of using hand-held technology include enhanced mobile learning at the point of care, easy and ...


Can The Role Of The Nurse As Surgical Assistant Add Value In The Australian Public Health Care Sector?, Toni Hains, Anojan Navaratnam Dr, Andrew O'Brien, Karen Walsh, Jane Neilsen, Susan Firth 2021 Royal Brisbane and Women's Hospital

Can The Role Of The Nurse As Surgical Assistant Add Value In The Australian Public Health Care Sector?, Toni Hains, Anojan Navaratnam Dr, Andrew O'Brien, Karen Walsh, Jane Neilsen, Susan Firth

Journal of Perioperative Nursing

While the role of the Registered Nurse/Nurse Practitioner as surgical assistant has been underutilised in the Australian public health care sector, this role adds value by enhancing learning opportunities for medical and nursing staff. This extended practice role also provides a mechanism for increasing nurses’ job satisfaction leading to nursing workforce retention and workforce capacity building. Additionally, a consistent and experienced nurse in the role of table-side assistant for robotic-assisted surgery can improve patient safety, communication and enhance surgical flow.


The Effects Of A Telephone-Based Orientation Program, Delivered During The Waiting Time, On Anxiety In Patients Undergoing Coronary Angiography, Maryam Shahpari, Shahin Heidari, Tabandeh Sadeghi 2021 Rafsanjan University of Medical Sciences

The Effects Of A Telephone-Based Orientation Program, Delivered During The Waiting Time, On Anxiety In Patients Undergoing Coronary Angiography, Maryam Shahpari, Shahin Heidari, Tabandeh Sadeghi

Journal of Perioperative Nursing

Background

Anxiety is one of the consequences of hospitalisation for diagnostic– therapeutic procedures, especially in coronary angiography. Studies have shown that interventions when patients are admitted to hospital can reduce anxiety but no research has been carried out on the effects of interventions before patients are admitted. This study aimed to investigate the effects of a telephone-based orientation program, delivered during the waiting time, on anxiety in patients undergoing coronary angiography.

Materials and methods

In this clinical trial, 70 patients who were candidates for coronary angiography in an urban region of Iran were selected and randomly assigned to the intervention ...


Use Of A Simplified Protocol For The Prevention Of Postoperative Nausea And Vomiting In Adult Ambulatory Surgical Patients, Roger Horne 2021 University of New Hampshire

Use Of A Simplified Protocol For The Prevention Of Postoperative Nausea And Vomiting In Adult Ambulatory Surgical Patients, Roger Horne

DNP Scholarly Projects

Postoperative nausea and vomiting (PONV) remains a common complication affecting surgical patients after receiving anesthesia. Prevention of PONV is important in an ambulatory surgical setting where patient access to rescue treatment is limited after discharge. A quality improvement (QI) project introduced a simplified PONV prevention strategy to decrease the incidence of PONV at a Veterans Health Administration ambulatory surgery center. A retrospective chart audit of all facility surgical patients receiving anesthesia care (n = 94), excluding ophthalmology patients, was conducted prior to COVID-19 restrictions to establish baseline PONV incidence. An evidence-based, simplified PONV prevention protocol was developed and implemented. After a ...


Teamstepps In A Pediatric Operating Room, Lisa Kerrick 2021 Regis University

Teamstepps In A Pediatric Operating Room, Lisa Kerrick

Student Publications

Despite numerous patient safety and quality programs available and in use in the healthcare environment, adverse events in operating rooms continue to occur. The operating room is a complex and chaotic environment where teamwork is necessary for safe patient care. Team training is a strategy that improves teamwork. TeamSTEPPS is an evidence-based team training program designed to integrate teamwork into clinical practice. This project aims to determine if TeamSTEPPS communication tools and strategies improve the perception of teamwork and efficiency in a pediatric operating room. The outcome objectives for this project are to increase the perception of teamwork and improve ...


Opioid Free Anesthesia, Sarah Medina 2020 Southern Illinois University Edwardsville

Opioid Free Anesthesia, Sarah Medina

Doctor of Nursing Practice Projects

Patients undergoing surgery are often given opioids intraoperatively. Administration of opioids is associated with untoward side effects that include nausea, respiratory depression, constipation, ileus, hyperalgesia, prolonged length of stay, and the potential for dependence (Garimella & Cellini, 2013). Emerging research on the topic of opioid-free anesthesia (OFA) is available and indicates several benefits of OFA, including reduction in postoperative pain, reduction in postoperative nausea and vomiting, reduction in postoperative shivering, and improved oxygen saturation levels (Mulier et al., 2018). This quality improvement project aimed to advance anesthesia providers' understanding of OFA by creating an OFA guideline and providing a learning session ...


A Systems Approach To Increase The Icu Nursing Workforce During A Pandemic, Jennifer Mendenhall 2020 The University of San Francisco

A Systems Approach To Increase The Icu Nursing Workforce During A Pandemic, Jennifer Mendenhall

Master's Projects and Capstones

A Systems Approach to Increase the ICU Nursing Workforce During a Pandemic

Abstract

In early March 2020 an intensive care unit (ICU) patient died of COVID-19 in an integrated healthcare system hospital in Northern California. Data from China and the CDC indicated that more healthcare members would require intensive care and could overwhelm the 21 acute care hospital macrosystem. A microsystem pilot program to upskill peri-anesthesia care unit (PACU) RNs to care for ICU patients was initiated. Concurrently the upskill pilot program was reviewed by macrosystem nursing leadership. Over a three-week period, the program was standardized, disseminated and implemented across ...


Policy Analysis: Appropriate Opioid Prescribing Practices For Post-Surgical Patients, Joan Daversa 2020 James Madison University

Policy Analysis: Appropriate Opioid Prescribing Practices For Post-Surgical Patients, Joan Daversa

Doctors of Nursing Practice (DNP) Final Projects, 2020-current

The pervasiveness of legally prescribed opioids in the United States has led to increased post-surgical patients succumbing to opioid dependence. There is a vast disparity in pain management practices across clinical settings. The lack of well-defined policies specifying opioid prescribing practices for post-surgical patients has created inconsistency among providers. This situation creates a risk for misuse and long-term opioid dependence for patients. This policy analysis aims to implement an evidence-based opioid prescribing policy for post-surgical patients to improve current opioid prescribing practices and implement a best practice culture to reduce excessive opioid practices. Collins (2005) health policy analysis adapted from ...


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