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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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Transforming The Preoperative Patient Education Experience, Hilary Joachim 2014 Augsburg College

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 …


Improving Anesthesia Professional Adherence To Hand Hygiene, Martha E. Seneca 2014 University of North Florida

Improving Anesthesia Professional Adherence To Hand Hygiene, Martha E. Seneca

UNF Graduate Theses and Dissertations

Performance of hand hygiene is among the most effective means of preventing healthcare associated infections (HAI) among patients. Deaths resulting from HAIs are one of the top ten leading causes of death in the United States. Any improvement in the frequency of hand hygiene among healthcare professionals may have a direct impact on patient mortality and associated costs. While anesthesia professionals have been found to have low rates of hand hygiene adherence, few targeted studies seeking to improve hand hygiene adherence among this group exist. Studies conducted to improve hand hygiene among health care professionals have reported limited improvement, with …


Novel Oral Anticoagulants: Bedrest And Bleeding In Patients Undergoing Atrial Fibrillation Catheter Ablation, Lynn McWhirter 2014 University of North Florida

Novel Oral Anticoagulants: Bedrest And Bleeding In Patients Undergoing Atrial Fibrillation Catheter Ablation, Lynn Mcwhirter

UNF Graduate Theses and Dissertations

Atrial fibrillation (AF), the most common cardiac arrhythmia in persons over age 65, is associated with an increased stroke risk necessitating the need for long-term oral anticoagulation for risk reduction. With the introduction of direct thrombin and factor Xa inhibitors in the US since 2010, these novel oral anticoagulants (NOACs) are increasingly being prescribed, replacing the use of warfarin, a vitamin K antagonist. AF catheter ablation (CA), an elective procedure requiring femoral vascular access is a treatment for drug refractory and persistent AF. Bedrest, limb immobilization, and limited head of bed elevation are nursing measures utilized following femoral venous, and …


The Effect Of An Educational Intervention On The Knowledge And Management Of Ponv Among Anesthesia Providers: A Pilot Study, Eleazar Comprendio, Juan E. Ruan, Mohammad Zyed, Julie Lamoureux, Feliciano Villalba 2014 South Miami Hospital

The Effect Of An Educational Intervention On The Knowledge And Management Of Ponv Among Anesthesia Providers: A Pilot Study, Eleazar Comprendio, Juan E. Ruan, Mohammad Zyed, Julie Lamoureux, Feliciano Villalba

All Publications

No abstract provided.


Engaging Robotic Care Teams Across The Perioperative Continuum, Stephanie E. Nelson RN, CNOR 2013 Lehigh Valley Health Network

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 2013 Brigham Young University - Provo

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 2013 Lehigh Valley Health Network

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

Patient Care Services / Nursing

No abstract provided.


A Support Model For Or Efficiency, Joseph M. Griffin 2013 Lehigh Valley Health Network

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 2013 Lehigh Valley Health Network

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

Patient Care Services / Nursing

No abstract provided.


Preparing Contaminated Instrumentation For Quick Turnover: A Team Approach, James C. Mcdonald 2013 Lehigh Valley Health Network

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

Patient Care Services / Nursing

No abstract provided.


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 2013 St. Cloud Hospital, CentraCare Health

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 2013 Loyola University Chicago

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 2013 Lehigh Valley Health Network

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 2013 Lehigh Valley Health Network

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 2013 Lehigh Valley Health Network

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 2013 Gardner-Webb University

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 …


Compassion Fatigue Among Emergency Department Nurses, Tracy Ann Petleski 2013 Gardner-Webb University

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 …


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

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 2013 Augsburg College

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 …


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

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 …


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