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Ambulatory Surgery AND Circulator Nurse

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https://www.readbyqxmd.com/read/26929850/factors-associated-with-early-functional-outcome-after-hip-fracture-surgery
#1
Matthew R Cohn, Guang-Ting Cong, Benedict U Nwachukwu, Minda L Patt, Pingal Desai, Lester Zambrana, Joseph M Lane
BACKGROUND: Hip fractures are common in the elderly and are likely to become more prevalent as the US population ages. Early functional status is an indicator of longer term outcome, yet in-hospital predictors of functional recovery, particularly time of surgery and composition of support staff, after hip fracture surgery have not been well studied. METHODS: Ninety-nine consecutive patients underwent hip fracture surgery by a single surgeon between 2009 and 2013...
March 2016: Geriatric Orthopaedic Surgery & Rehabilitation
https://www.readbyqxmd.com/read/26800347/ambulatory-movements-team-dynamics-and-interactions-during-robot-assisted-surgery
#2
Nabeeha Ahmad, Ahmed A Hussein, Lora Cavuoto, Mohamed Sharif, Jenna C Allers, Nobuyuki Hinata, Basel Ahmad, Justen D Kozlowski, Zishan Hashmi, Ann Bisantz, Khurshid A Guru
OBJECTIVE: To analyse ambulatory movements and team dynamics during robot-assisted surgery (RAS), and to investigate whether congestion of the physical space associated with robotic technology led to workflow challenges or predisposed to errors and adverse events. METHODS: With institutional review board approval, we retrospectively reviewed 10 recorded robot-assisted radical prostatectomies in a single operating room (OR). The OR was divided into eight zones, and all movements were tracked and described in terms of start and end zones, duration, personnel and purpose...
July 2016: BJU International
https://www.readbyqxmd.com/read/25851685/do-surgical-times-and-efficiency-differ-between-inpatient-and-ambulatory-surgery-centers-that-are-both-hospital-owned
#3
COMPARATIVE STUDY
Muayad Kadhim, Itai Gans, Keith Baldwin, John Flynn, Theodore Ganley
PURPOSE: The aim of this study was to examine the differences in primary anterior cruciate ligament reconstruction (ACLR) surgical time and operation room (OR) work efficiency between inpatient and ambulatory facilities within the same institution. METHODS: Patients studied included those who underwent primary ACLR at either the inpatient hospital or the ambulatory facility by a single orthopaedic surgeon on elective surgery days. Time variables were calculated for ACLR to compare the 2 facilities...
June 2016: Journal of Pediatric Orthopedics
https://www.readbyqxmd.com/read/17717443/getting-surgery-right
#4
John R Clarke, Janet Johnston, Edward D Finley
OBJECTIVE: We sought to identify factors contributing to wrong-site surgery (wrong patient, procedure, side, or part). METHODS: We examined all reports from all hospitals and ambulatory surgical centers--in a state that requires reporting of wrong-site surgery--from the initiation of the reporting requirement in June 2004 through December 2006. RESULTS: Over 30 months, there were 427 reports of near misses (253) or surgical interventions started (174) involving the wrong patient (34), wrong procedure (39), wrong side (298), and/or wrong part (60); 83 patients had incorrect procedures done to completion...
September 2007: Annals of Surgery
https://www.readbyqxmd.com/read/9408382/the-basic-and-the-practical-way-of-treating-of-diabetic-foot
#5
I Rozsos, S Forgács, G Kasza, L Kollár
Developed atrophic ulcer and infected alterations of the foot, as a result of complications of DM, according to the available literature, 40-80% of the performed amputations are not necessary even though in practice they do occur. In our practice even the severely altered and infected extremities which look serious are considered as primarily a savable extremity if the conditions are present. The state of circulation of the extremity and the condition of the limb are evaluated carefully, and the sugar level is monitored continuously...
1997: Acta Chirurgica Hungarica
https://www.readbyqxmd.com/read/2569240/the-role-of-the-first-assistant-in-ophthalmic-surgery
#6
M E Watson
1. As the number of Ambulatory Surgery Centers increases and the Medicare reimbursements for surgeon first assistants decline, the need for non-physician first assistants grows. 2. Qualifications for a first assistant include knowledge, skill, and devotion to this specialty. 3. The first assistant is part of a medical team that consists of the surgeon, the first assistant, the scrub nurse or technician, and the circulating nurse. 4. The role of the first assistant helps to increase efficiency in the operating room and enhance the quality of patient care...
July 1989: Today's OR Nurse
https://www.readbyqxmd.com/read/2564896/role-of-the-first-assistant-in-ophthalmic-surgery
#7
M E Watson
1. As the number of Ambulatory Surgery Centers increases and the Medicare reimbursements for surgeon first assistants decline, the need for non-physician first assistants grows. 2. Qualifications for a first assistant include knowledge skill, and devotion to this speciality. 3. The first assistant is part of a medical team that consists of the surgeon, the first assistant, the scrub nurse or technician, and the circulating nurse. 4. The role of the first assistant helps to increase efficiency in the operating room and enhance the quality of patient care...
March 1989: Journal of Ophthalmic Nursing & Technology
https://www.readbyqxmd.com/read/1301884/developing-a-competency-based-education-program-for-nurse-monitored-sedation
#8
D S Watson
Because of technological innovations and changes in the methods of health care delivery in the ambulatory setting, a new role for the perioperative nurse has emerged, that of monitoring patients who receive intravenous (IV)-conscious sedation during surgery and other invasive procedures. This article describes how to develop a competency-based education program for an ambulatory surgery center advocating the role of both a circulating nurse and monitoring nurse for the care of patients receiving IV-conscious sedation...
October 1992: Seminars in Perioperative Nursing
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