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Operating room nursing

Larissa de Siqueira Gutierres, José Luís Guedes Dos Santos, Caroline Cechinel Peiter, Fernando Henrique Antunes Menegon, Luciara Fabiane Sebold, Alacoque Lorenzini Erdmann
OBJECTIVE: To describe nurses' recommendations for good patient safety practices in the operating room. METHOD: Quantitative, descriptive and exploratory research developed from an online survey of 220 operating room nurses from different regions of Brazil. The data processing for textual analysis was performed by the software IRAMUTEQ. RESULTS: There were eight recommendations: (1) Involvement of the multiprofessional team and the managers of the institution; (2) Establishment of a patient safety culture; (3) Use of the safe surgery checklist; (4) Improvement of interpersonal communication; (5) Expansion of nurses' performance; (6) Adequate availability of physical, material and human resources; (7) Individual search for professional updating; and (8) Development of continuing education actions...
2018: Revista Brasileira de Enfermagem
Soudabeh Haddadi, Reyhaneh Shahrokhirad, Malek Moien Ansar, Shideh Marzban, Mitra Akbari, Arman Parvizi
Background: Retrobulbar block is one of the chosen methods for local anesthesia in cataract surgery. Since it is a painful procedure, using analgesic and sedative drugs is recommended. Current medications have side effects and evaluating of new drugs or new uses of existing safer drugs is necessary. Objectives: The aim of this study was to compare the administration of melatonin and acetaminophen on pain and hemodynamic changes during retrobulbar block. Methods: In a double-blinded randomized trial, 180 patients undergoing cataract surgery were randomly divided into three groups: Melatonin group (received melatonin 6 mg), acetaminophen group (received acetaminophen 500 mg), and control group (received placebo)...
October 2018: Anesthesiology and Pain Medicine
Charlotte Wool, Anita Catlin
The aims of this article are twofold: (I) provide a general overview of perinatal bereavement services throughout the healthcare system and (II) identify future opportunities to improve bereavement services, including providing resources for the creation of standardized care guidelines, policies and educational opportunities across the healthcare system. Commentary is provided related to maternal child services, the neonatal intensive care unit (NICU), prenatal clinics, operating room (OR) and perioperative services, emergency department (ED), ethics, chaplaincy and palliative care services...
November 22, 2018: Annals of Palliative Medicine
Tahrin Mahmood, Maria Mylopoulos, Darius Bagli, Rita Damignani, Faizal Aminmohamed Haji
BACKGROUND: The surgical safety checklist is an evidence-based global initiative designed to reduce perioperative morbidity and mortality. However, the expounded benefits of the surgical safety checklist have not been realized in naturalistic settings. This may be related to the quality of surgical safety checklists being performed in operating rooms. METHODS: In this explanatory, sequential, mixed-methods study, 2 trained observers used a standardized tool to record the compliance and quality of the surgical safety checklist completed during 51 surgeries performed at a pediatric academic hospital...
November 24, 2018: Surgery
Xin Zhao, Lin Cong
BACKGROUND: Orthopedic operating room (OR) nurses entail specialized skills and training, which are not part of the regular curricula at most nursing college. Instead, many nursing students' exposure to orthopedic care in the orthopedic range is limited to occasional observational assignments. Additionally, teamwork is an important factor affecting the performance of the orthopedic OR nurses. This results in a knowledge gap in clinical nursing education. Problem and scripting based learning (PSBL) method is a crucial tool of pre-operative prepared improvement...
November 16, 2018: Nurse Education Today
Donna Eastwood, Neil Manson, Erin Bigney, Mariah Darling, Eden Richardson, Richard Paixao, Tracy Underwood, Kate Ellis, Edward Abraham
BACKGROUND CONTEXT: Patient expectations have been demonstrated to influence recovery following spine surgery. Addressing patient expectations specifically in regards to pain and post-surgical healing is an important factor in improving recovery patterns. Pre-surgical education can potentially help manage patient expectations. PURPOSE: The primary objective was to determine if participation in a single preoperative multidisciplinary educational session would result in reduced patient dissatisfaction with surgical expectations...
November 21, 2018: Spine Journal: Official Journal of the North American Spine Society
Qinyu Chen, Griffin Olsen, Fabio Bagante, Katiuscha Merath, Jay J Idrees, Ozgur Akgul, Jordan Cloyd, Mary Dillhoff, Susan White, Timothy M Pawlik
BACKGROUND: The effect of various hospital characteristics on failure to rescue (FTR) after liver surgery has not been well examined. We sought to examine the relationship between hospital characteristics and FTR after liver surgery. METHODS: The 2013-2015 Medicare-Provider Analysis and Review (MEDPAR) database was used to identify Medicare beneficiaries who underwent liver surgery. The effect of various hospital characteristics on FTR was compared among the highest mortality hospitals (HMH) and the lowest mortality hospitals (LMH)...
November 21, 2018: World Journal of Surgery
Yong Deok Lim, Dong Hun Lee, Byung Kook Lee, Yong Soo Cho, Goeun Choi
PURPOSE: Since January 2016, emergency medical centers in South Korea have used the Korean Triage and Acuity Scale (KTAS) as the initial triage tool for all patients, including trauma patients, who visited the emergency department (ED). This present study aimed to assess the validity of the KTAS for predicting 30-day mortality due to severe trauma. METHODS: This retrospective study included patients with severe trauma (injury severity score ≥ 16) from January 2016 to December 2017...
November 19, 2018: European Journal of Trauma and Emergency Surgery: Official Publication of the European Trauma Society
Anna Ericsson, Camilla Hult, Christine Kumlien
PURPOSE: To describe patients' experiences undergoing a carotid endarterectomy (CEA) under local anesthesia. DESIGN: Explorative qualitative design. METHODS: Semistructured interviews with 15 participants who had undergone CEA under local anesthesia, analyzed by content analysis. FINDINGS: Undergoing CEA under local anesthesia entails enduring stress with no possibility of withdrawal. Patients' lack of understanding of local anesthesia and experiencing pain and discomfort caused feelings of stress...
December 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
Ulrica Nilsson, Camilla Göras, Fan Yang Wallentin, Anna Ehrenberg, Maria Unbeck
PURPOSE: To validate the Swedish Safety Attitudes Questionnaire-operating room (SAQ-OR) version by re-evaluating its psychometric properties for the surgical team. DESIGN: Cross-sectional questionnaire study. METHODS: 541 surgical team members including perioperative nurses, physicians, and licensed practical nurses at three Swedish hospitals were included. FINDINGS: For the total sample, the Cronbach's α for the six factors ranged from 0...
December 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
Erebouni Arakelian, Gudrun Rudolfsson, Anna Rask-Andersen, Roma Runeson-Broberg, Robert Wålinder
PURPOSE: To investigate why nurse anesthetists and operating room nurses choose to stay in the same workplace. DESIGN: Qualitative design. METHODS: Individual interviews were conducted with 15 nurse specialists from four hospitals in Sweden. Two men and 13 women aged between 43 and 63 participated. Data were analyzed with systematic text condensation according to Malterud. FINDINGS: Three themes were identified. (1) Organizational stability contributed to low staff turnover, with good spirits between colleagues, representing everyone's equal value and resulting in a feeling of homelikeness...
November 15, 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
Aakash Agarwal, Christian Schultz, Vijay K Goel, Anand Agarwal, Neel Anand, Steve R Garfin, Jeffrey C Wang
Study Design: A literature review. Objectives: An evaluation of the contaminants prevalent on implants used for surgery and the aseptic methods being employed against them. Methods: PubMed was searched for articles published between 2000 and 2017 for studies evaluating the contaminants present on spine implants, and associated pre- and intraoperative implant processing and handling methodology suggested to avoid them. Systematic reviews, observational studies, bench-top studies, and expert opinions were included...
October 2018: Global Spine Journal
Y Yang, A M Huang, Y N Wang, L Zhang, F Y Li, H Yao, P Yan
Objective: To investigate the correlation between work-related musculoskeletal disorders (WMSDs) and work ability (WA) among nurses in Xinjiang. Methods: A total of 1 873 nursing staff in the Departments of Internal Medicine, Surgery, Emergency and ICU Department, Operating Room and Supply Room of 6 Grade 3 General Hospitals in Xinjiang Beijiang Region were randomly selected by means of random sampling, and revised Nordic National Musculoskeletal Disorders Standard Questionnaire and Work Ability Index Scale were used to evaluate the status of nursing WMSDs and WA...
September 20, 2018: Chinese Journal of Industrial Hygiene and Occupational Diseases
Sameh Mosaed, Ryka Vahidi, Ken Y Lin
Most operating rooms around the world play music, both during the surgeries and in between cases. We investigated whether music tempo (fast or slow) can affect the operating room preparation time in between surgeries (turnover time) in an ambulatory outpatient surgical centre setting. We compiled two playlists, one with fast upbeat tempo and the other with slow relaxing tempo. Each of the playlists was played throughout the workday in the operating room for one week with the same surgeon and nursing staff. The turnover times for each case were analysed...
November 12, 2018: Journal of Perioperative Practice
Linda M Huynh, Douglas Skarecky, James Porter, Christian Wagner, Jorn Witt, Timothy Wilson, Clayton Lau, Thomas E Ahlering
The present study seeks to present a single-blind, randomized control trial of a hypothermic anti-inflammatory device, the endorectal cooling balloon (ECB), to assess whether regional hypothermia could improve 90-day and time to pad-free continence following robot-assisted radical prostatectomy (RARP). Five high-volume surgeons at three institutions had patients randomized (1:1) to regional hypothermia with ECB versus control. Patients were blinded to device use, as it was inserted and removed intraoperatively...
November 5, 2018: Scientific Reports
Kelli Innes, Debra Jackson, Virginia Plummer, Doug Elliott
BACKGROUND: In response to increasing waiting times, adverse patient outcomes and patient dissatisfaction, some emergency departments introduced a Waiting Room Nurse role. Despite implementation into routine practice, there remains limited formal evaluation of the role. AIM: To explore the implementation of a Waiting Room Nurse role in Australian emergency departments and emergency nurses' perceptions. METHODS: Survey design. A 40-item survey was developed, piloted and then distributed to members of a professional College for online completion...
October 29, 2018: International Emergency Nursing
Can Xiong, Xinglian Gao, Qiong Ma, Ying Yang, Zengyan Wang, Wenjing Yu, Lei Yu
AIM AND OBJECTIVE: To investigate the incidence of intraoperative blanchable erythema and pressure injuries in patients undergoing digestive surgery, and to explore potential risk factors. BACKGROUND: Pressure injuries pose significant economic and healthcare burden to patients and are used as one of the key indicators of nursing in the operation room with high incidence. DESIGN: A retrospective observational study. METHODS: Basic information and the results of 3S intraoperative risk assessment scale of pressure injury were obtained from the information system...
October 30, 2018: Journal of Clinical Nursing
Yelda Candan Dönmez, Arzu Aslan, Meryem Yavuz VAN Giersbergen
BACKGROUND: Environment-friendly practices refer to decreasing energy consumption, using resources carefully and sustainably, and reducing environmental pollution. An environment-friendly hospital is defined as a hospital where energy is saved, carbon emissions are decreased, and productivity and quality are increased. Operating rooms (ORs) account for most wastes generated daily by hospitals. Thus, adopting environment-friendly healthcare practices in ORs will have a positive impact on the environment...
October 27, 2018: Journal of Nursing Research: JNR
Melissa L Kirkwood, Khalil Chamseddin, Gary M Arbique, Jeffrey B Guild, David Timaran, Jon A Anderson, Carlos Timaran
INTRODUCTION: Fenestrated endovascular aneurysm repair (FEVAR) is the highest radiation dose procedure performed by vascular surgeons. We sought to characterize the radiation dose to patients and staff during FEVAR procedures with different premanufactured devices. METHODS: A single-center prospective study of FEVARs was performed over 24 months. Three FEVAR devices were included: off-the-shelf (OTS; t-Branch, p-Branch), Zenith Fenestrated (ZFen), and investigational custom-made devices (CMDs)...
November 2018: Journal of Vascular Surgery
Adham Elmously, Katherine D Gray, Fabrizio Michelassi, Cheguevara Afaneh, Michael D Kluger, Arash Salemi, Anthony C Watkins, Alfons Pomp
BACKGROUND: The Association of Operation Room Nurses (AORN) released new guidelines for operating room attire in 2015 in an attempt to reduce surgical site infections (SSI). These guidelines have been adopted by the Centers for Medicare and Medicaid Services. We aimed to assess the relationship between operating room attire, SSI, and healthcare costs. STUDY DESIGN: In March 2016, our center introduced the AORN attire policy. National Health Safety Network data from our hospital was collected on general surgery, cardiac, neurosurgery, orthopedic, and gynecology procedures from January 2014 to November 2017...
July 5, 2018: Journal of the American College of Surgeons
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