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Operating room nursing

Jennifer Meddings, Ted A Skolarus, Karen E Fowler, Steven J Bernstein, Justin B Dimick, Jason D Mann, Sanjay Saint
BACKGROUND: Indwelling urinary catheters are commonly used for patients undergoing general and orthopaedic surgery. Despite infectious and non-infectious harms of urinary catheters, there is limited guidance available to surgery teams regarding appropriate perioperative catheter use. OBJECTIVE: Using the RAND Corporation/University of California Los Angeles (RAND/UCLA) Appropriateness Method, we assessed the appropriateness of indwelling urinary catheter placement and different timings of catheter removal for routine general and orthopaedic surgery procedures...
August 12, 2018: BMJ Quality & Safety
Juanita L Derouen
Perioperative care of the septic patient presents unique challenges for the nurse. Understanding the physiology of sepsis is important for the nurse to anticipate the physiologic changes associated with the disorder and to prioritize the patient's needs. Ensuring adequate intravenous access by peripheral or central venous access as well as anticipating potential invasive monitoring lines allows the nurse to quickly administer antibiotic therapy, initiate fluid resuscitation, and prepare for potential vasopressor use...
September 2018: Critical Care Nursing Clinics of North America
Steven H Ahrenholz, Scott E Brueck, Ana M Rule, John D Noti, Bahar Noorbakhs, Francoise M Blachere, Marie A de Perio, William G Lindsley, Ronald E Shaffer, Edward M Fisher
Increased understanding of influenza transmission is critical for pandemic planning and selecting appropriate controls for healthcare personnel safety and health. The goals of this pilot study were to assess environmental contamination in different areas and at two time periods in the influenza season and to determine the feasibility of using surgical mask contamination to evaluate potential exposure to influenza virus. Bioaerosol samples were collected over 12 days (two 6-day sessions) at 12 locations within a student health center using portable two-stage bioaerosol samplers operating 8 hours each day...
August 6, 2018: Journal of Occupational and Environmental Hygiene
Maria Jaensson, Karin Falk-Brynhildsen, Brigid M Gillespie, Fan Y Wallentin, Ulrica Nilsson
PURPOSE: To psychometrically test the Perceived Perioperative Competence Scale-Revised (PPCS-R) in the Swedish context. DESIGN: Cross-sectional survey. METHODS: The 40-item PPCS-R was translated into Swedish using a forward-translation approach. A census of 2,902 registered nurse anesthetists (RNAs) and operating room (OR) nurses was drawn from a database of a national association in Sweden. FINDING: The response rate was 39% (n = 1,033; 528 RNAs and 505 OR nurses)...
August 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
A Buia, S Farkas
BACKGROUND: The 3D laparoscopy is currently under intensive discussion. At the moment the majority of newly acquired laparoscopy systems include the 3D technique. New 4K systems, which will be offered in combination with 3D, are complicating the decision-making when buying new laparoscopic systems. The aim of the article is to show the advantages and possible limitations of 3D laparoscopy. Furthermore, the position of 3D laparoscopy in the current video market is evaluated. MATERIAL AND METHODS: This study was based on an up to date literature search in PubMed...
August 3, 2018: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
Annelie J Sundler, Evelina Johansson, Linda Johansson, Lena Hedén
The quality of health care and patient safety in the operating room is a major concern for nurse anaesthetists. However, few studies have focused on the experiences of nurse anaesthetists' and their contributions to safety in this setting. Therefore, this study aims to explore the content and frequency of incidents reported by nurse anaesthetists in the operating room and the risks involved in these incidents. A retrospective study with a descriptive design was conduct. Data were gathered concerning 220 incidents reported by nurse anaesthetists from 2012 to 2015 in operating rooms at a middle-sized hospital in Sweden...
July 24, 2018: Journal of Interprofessional Care
Tim Large, Joshua Heiman, Ashley Ross, Blake Anderson, Amy E Krambeck
BACKGROUND AND PURPOSE: In the United States, there is an opioid abuse epidemic fueled by prescription medications. Concerns that uncontrolled pain after surgical procedures will result in poor patient satisfaction and increased work load for ancillary staff are potential factors that influence provider prescription habits. Currently, there is a paucity of literature on analgesic requirements after ureteroscopy (URS) for nephrolithiasis. Our study objective was to evaluate the safety of narcotic free URS (nf-URS) and assess its impact on provider work load...
July 24, 2018: Journal of Endourology
Seher Ünver, Gamze Kıvanç, Hatice Merve Alptekin
Objectives: This study aimed to explore deep breathing exercise education receiving and performing status of patients undergoing abdominal surgery and the relation between them. Methodology: This descriptive and cross-sectional study was conducted at the surgical ward of a university hospital with 130 patients between August 17 and October 15, 2015. A patient information form and a deep breathing exercise questionnaire were used for data collection. The patients were visited in their rooms after their surgeries and were asked to answer these questions through face-to-face interviews...
July 2018: International Journal of Health Sciences
Maíra I Rudolph, Pauline Y Ng, Hao Deng, Flora T Scheffenbichler, Stephanie D Grabitz, Jonathan P Wanderer, Timothy T Houle, Matthias Eikermann
BACKGROUND: Residual neuromuscular block (rNMB) after surgery is not difficult to identify if proper neuromuscular monitoring is used, but many clinicians do not use quantitative neuromuscular monitoring. OBJECTIVE: The aim of this study was to develop a REsidual neuromuscular block Prediction Score (REPS) to predict postoperative rNMB and compare the predictive accuracy of the prediction score with train-of-four count (TOFC) measurement at the end of a surgical case...
July 16, 2018: European Journal of Anaesthesiology
Eliseo Vano, Roberto M Sanchez, Jose M Fernandez
The International Commission on Radiological Protection recommends that occupational protection and patient protection be managed in an integrated approach. This paper describes the experience and the initial results of a system able to register and to process simultaneously staff and patient doses in interventional cardiology and the practical use of this system in the optimisation of occupational exposure. The system used simultaneously collects and manages patient and staff doses for all radiation events...
July 18, 2018: Journal of Radiological Protection: Official Journal of the Society for Radiological Protection
Ilaria Redaelli
AIM: This paper aims to uncover circulating nurses' non-technical skills-namely, the cognitive and social skills that floor nurses need to deliver patient care in the operating room. BACKGROUND: Previous studies have shown that non-technical skills play a key role in the safe execution of high-risk health practices, such as anesthesia, resuscitation and surgery. Regarding the surgical team, research has thus far focused on the non-technical skills of anesthesiologists, surgeons and scrub nurses, leaving unexplained the cognitive and social skills that circulating nurses need to acquire and use...
July 17, 2018: Journal of Advanced Nursing
Xiaodong Xuan, Zongfei Li, Xixi Chen
OBJECTIVES: To create opportunities to increase nursing staff's satisfaction and operational efficiency and eventually improve nurses' experiences through better design in unit layout. BACKGROUND: The majority of research performed on nursing units in China only focused on the spatial design itself, and few studies examined the nursing unit empirically based on nurses' experience. Nursing units need to be designed with understanding nurses' behavior and experience in China...
January 1, 2018: HERD
Sandra Keller, Franziska Tschan, Norbert K Semmer, Eliane Holzer, Daniel Candinas, Mark Brink, Guido Beldi
BACKGROUND: Noise pollution in operation rooms may distract the surgical team members. In particular during phases of high task complexity, noise can jeopardize concentration. Phases of high complexity are related to task specificities and may thus be different for different members of the surgical team. STUDY DESIGN: Noise exposure was measured during 110 open abdominal surgeries. Distinguishing three phases (opening, main phase, and closing), noise was related to self-report of distraction levels by main and secondary surgeons, scrub nurses and anesthetists...
July 5, 2018: World Journal of Surgery
Kenji Ito, Kai Yamazaki, Takugi Kan, Shuhei Tetsu, Keiichiro Saito, Mitsutomo Kohno, Masayuki Iwazaki, Toshiyasu Suzuki
We report the anesthetic management of a 65-year-old woman with recurrent, severe tracheal stenosis who underwent tracheal dilatation. She had visited the Department of Respiratory Medicine at our hospital for respiratory distress approximately 20 years ago, and had undergone laser ablation under local anesthesia. Because of recurrence and aggravation of respiratory distress, she now presented at the Department of Thoracic Surgery, and was scheduled for surgery. Percutaneous cardiopulmonary support was prepared, and she was sedated with midazolam and dexmedetomidine...
July 20, 2018: Tokai Journal of Experimental and Clinical Medicine
Mobin Sokhanvar, Edris Kakemam, Narges Goodarzi
Purpose The WHO Surgical Safety Checklist (SSC) has improved patient safety effectively. Despite the known benefits of applying the checklist before surgery, its implementation is less than universal in practice. The purpose of this paper is to determine the operating room personnel's attitude, their awareness and knowledge of the SSC, and to evaluate staff acceptance of the SSC (including personal beliefs). Design/methodology/approach This cross-sectional study was conducted in eight tertiary general hospitals in Tehran, Iran...
July 9, 2018: International Journal of Health Care Quality Assurance
Emmanuel Boselli, Nathalie Demaille, Géraldine Fuchs, Aïcha Manseur
PURPOSE: We wanted to assess the awareness of the nursing staff to therapeutic communications on improving the welcoming experience of patients in the operating room for outpatient surgery. METHODS: This was a single centre prospective impact study performed in an outpatient surgery clinic. In a first phase, a questionnaire was administered by the anesthetist nurse upon arrival of the patient to assess the patient's comfort (NRSc) and satisfaction on a simple numeric scale, and calculate a negative communication score ('NC')...
June 11, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
Wendy Ferguson, Carlana Coogle, Joshua Leppert, Tamara Odom-Maryon
PURPOSE: To improve knowledge and raise awareness of nurses who assist certified registered nurse anesthetists or anesthesiologists with peripheral nerve block or spinal block procedures about a potential life-threatening local anesthetic systemic toxicity (LAST) event. DESIGN: An evidence-based practice project design. METHODS: Nurses in units where nerve block procedures were performed (ie, postanesthesia care unit, preoperative, operating room, outpatient services, labor and delivery unit) received a pretest about their knowledge of LAST events, participated in a 30-minute educational session, and then completed a post-test...
June 19, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
G Çakmak, D Eraydın, A Berkkan, S Yağar, S Burgaz
Occupational exposure to the waste anaesthetic gases (WAGs) is a crucial problem for healthcare personnel. Cancer is among the potential long-term adverse effects of WAGs. The present occupational molecular epidemiology study was conducted in healthcare personnel (anaesthetists, nurses and technicians; n = 46), working in operating rooms (ORs; n = 34) and recovery units (RUs; n = 12) of the same hospital, to assess the genotoxicity risk of WAGs exposure. Twenty-one healthy available hospital staff allocated to other wards, without the history of working in ORs and RUs were the control group...
January 1, 2018: Human & Experimental Toxicology
Camellia Torabizadeh, Fatemeh Darari, Shahrzad Yektatalab
Background and significance of research: Nurses' awareness of professional values and how those values affect their behaviors is an integral part of nursing care. There is a large body of research on nursing professional values, however, a careful survey of the available literature did not yield any studies investigating the status of professional values in operating rooms. OBJECTIVE: This study aims to investigate the perception of operating room nurses of university hospitals toward professional values...
January 1, 2018: Nursing Ethics
Charelle M Carter-Brooks, Angela L Du, Kristine M Ruppert, Anna L Romanova, Halina M Zyczynski
OBJECTIVES: ERAS protocols were developed for colorectal surgery to hasten post-op recovery. Variations of the protocol are being adopted for gynecologic procedures despite limited population and procedure-specific outcome data. Our objective was to evaluate if implementation of an ERAS pathway would facilitate reduced length of admission in an urogynecology population. MATERIALS AND METHODS: In this retrospective analysis of patients undergoing pelvic floor reconstructive surgery by 7 female pelvic medicine and reconstructive surgeons we compared same day discharge, length of admission and post-op complications before and after implementation of an ERAS pathway at a tertiary-care hospital...
June 15, 2018: American Journal of Obstetrics and Gynecology
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