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Operating room nursing

Kirsten Gjeraa, Peter Dieckmann, Lene Spanager, René H Petersen, Doris Østergaard, Yoon S Park, Lars Konge
BACKGROUND: Non-technical skills are important for safe and efficient surgery. Teams performing Video-Assisted Thoracoscopic Surgery (VATS) lobectomy express that it is of utmost importance to have a Shared Mental Model (SMM) of the patient, current situation, and team resources. However, these SMMs have never been explored in a clinical setting. The aim of this observational study was to measure the similarity of SMMs within teams performing VATS lobectomy. METHODS: In this national, multi-center study, SMMs of teams performing VATS lobectomy (n=64) were measured by pre- and postoperative questionnaires that were completed by all team members (n=172)...
October 4, 2018: Annals of Thoracic Surgery
Franklin Dexter, Richard H Epstein, Eric S Schwenk
STUDY OBJECTIVE: Switching from one specialty to another increases mean turnover times (i.e., interval between the exit and entrance of consecutive patients in an operating room [OR]). We estimate the effect on the mean tardiness of to-follow surgeons from following another surgeon of a different versus same specialty. Tardiness of a case's start time refers to the number of minutes the patient enters the OR later than scheduled; tardiness is 0 min if the patient enters early. Tardiness cause surgeon waiting...
October 2, 2018: Journal of Clinical Anesthesia
Vendula Belackova, Allison M Salmon, Eberhard Schatz, Marianne Jauncey
Background: Prevalence of Hepatitis C Virus (HCV) among people who inject drugs (PWID) is high. Risky injecting behaviours have been found to decrease in drug consumption rooms (DCRs) and supervised injecting facilities (SIFs), yet HCV prevention and treatment in these settings have not been extensively explored. Methods: To determine the range and scope of HCV prevention and treatment options in these services, we assessed DCR/SIF operational features, their clients' characteristics and the HCV-related services they provide...
2018: Hepatology, Medicine and Policy
Pierre-Louis Henaux, Estelle Michinov, Julie Rochat, Brivael Hémon, Pierre Jannin, Laurent Riffaud
BACKGROUND: Teamwork is an essential factor in reducing workflow disruption (WD) in the operating room. Team familiarity (TF) has been recognized as an antecedent to surgical quality and safety. To date, no study has examined the link between team members' role and expertise, TF and WD in surgical setting. This study aimed to examine the relationships between expertise, surgeon-scrub nurse familiarity and WD. METHODS: We observed a convenience sample of 12 elective neurosurgical procedures carried out by 4 surgeons and 11 SN with different levels of expertise and different degrees of familiarity between surgeons and SN...
October 2, 2018: World Journal of Surgery
Mumin Hakim, Hina Walia, Heather L Dellinger, Onur Balaban, Haleh Saadat, Richard E Kirschner, Joseph D Tobias, Vidya T Raman
Introduction: Operating room (OR) temperature may impact the performance of health care providers. This study assesses whether hot or cold room temperature diminishes the performance of OR personnel measured by psychomotor vigilance testing (PVT) and self-report scales. Methods: This prospective observational study enrolled surgical/anesthesia trainees, student registered nurse anesthetists, and certified registered nurse anesthetists. Each provider participated in a test of psychomotor function and a questionnaire using a self-report scale of personal comfort and well-being...
March 2018: Pediatric quality & safety
Michael Pfandler, Philipp Stefan, Patrick Wucherer, Marc Lazarovici, Matthias Weigl
Background: Despite the growing importance of medical simulation in education, there is limited guidance available on how to develop medical simulation environments, particularly with regard to technical and non-technical skills as well as to multidisciplinary operating room (OR) team training. We introduce a cognitive task analysis (CTA) approach consisting of interviews, structured observations, and expert consensus to systematically elicit information for medical simulator development...
2018: Advances in simulation
Marilyn W Butler, Sandy Zarosinski, Dagmar Rockstroh
BACKGROUND: Inaccurate assignment of surgical wound class (SWC) remains a challenge in perioperative documentation. The purpose of our intervention was to increase the accuracy of SWC through a targeted training program directed toward pediatric surgeons and nurses. METHODS: A retrospective electronic medical record (EMR) chart review of 400 operations was performed according to NSQIP criteria during specified periods in 2014 and 2017, assessing SWC errors before and after a training program and posting of reference materials in operating rooms at a 165-bed children's hospital...
September 4, 2018: Journal of Pediatric Surgery
Ségolène de Beaumont, Mouna Benghezal, Isabelle Cheramy, Sandrine Nouri, Georg Dorfmüller
Drug-resistant epilepsy affects 20 to 30% of epileptic children. The paediatric department of the Fondation Adolphe-de-Rothschild has dedicated three rooms to conduct recordings with electrodes placed on the scalp or intra-cerebral, implanted in the operating room. The purpose is to offer intervention that can cure seizures. Designated nurses oversee the proper functioning of the recordings while involving the parents.
August 2018: Revue de L'infirmière
Alexander Thomas, Zahabiya Campwala, Mohamed Keheila, David Ruckle, Matthew Pierce, Braden Mattison, Benjamin West, Jerry Thomas, Patrick Hogue, Samuel Abourbih, D Duane Baldwin
OBJECTIVE: To compare the efficacy of communication via the standard Da Vinci Si speaker system with a wireless, hands-free audio system in a prospective blinded study. METHODS: Nine hundred and sixty surgical phrases were spoken in a simulated robotic operating room (OR), including 480 phrases expressed via the Da Vinci Si speakers and 480 phrases expressed through a wireless, hands-free system. Using a dual console robotic system, communication was evaluated. Wireless headsets were given to the console and assistant robotic console surgeons, bedside assistant, anesthesiologist, and circulating nurse...
September 24, 2018: Urology
Syed S Zaman, Fatemeh Rahmani, Mohammad A Majedi, Daem Roshani, Sina Valiee
PURPOSE: This study was conducted to investigate the effect of warm intravenous fluids on shivering and core temperature of patients undergoing abdominal surgery. DESIGN: This study was a two-group clinical-control trial. METHODS: Ringer's solution at normal room temperature and serum at 38°C were infused in the control and intervention groups, respectively. Shivering, core temperature, SpO2 , and vital signs were measured at admission to the operating room and postanesthesia care unit (PACU) and 30 minutes after the admission to the PACU...
October 2018: Journal of Perianesthesia Nursing: Official Journal of the American Society of PeriAnesthesia Nurses
Yousef S Khader, Mohammad S Alyahya, Nihaya A Al-Sheyab, Khulood K Shattnawi, Hind Rajeh Saqer, Anwar Batieha
Objectives: This study aimed to assess the maternal and newborn services in Jordanian hospitals to provide policymakers, health professionals, and researchers with a clear picture about the current status of maternal and newborn health services. Methods: A total of 32 main hospitals that provide maternity services in Jordan were assessed. The study involved direct observations of these hospitals and interviews with basic health and hospital staff, with the purpose of assessing and evaluating the availability of various services for mothers and newborns, availability of resources, equipment and supplies, documentation and staff training, and provision of the health care services...
2018: Journal of Multidisciplinary Healthcare
James Leithead, Deborah D Garbee, Qingzhao Yu, Vadym V Rusnak, Vladimir J Kiselov, Lin Zhu, John T Paige
High-fidelity simulation (HFS) operating room (OR) inter-professional team training improves healthcare students' team-based attitudes and behaviours. Such improvements can diminish tribalism among the professions in the OR by overcoming entrenched perceptions of team members. We investigated whether simulation-based interprofessional student OR team training impacts students differently based on their professional background. From 2010 to 2013, HFS OR interprofessional student team training sessions were conducted involving senior medical students, senior undergraduate nursing students, and nurse anaesthesia students...
September 19, 2018: Journal of Interprofessional Care
Vijaya T Daniel, Didem Ayturk, Catarina I Kiefe, Heena P Santry
BACKGROUND: Acute care surgery (ACS) was proposed to address a general surgery workforce crisis; however, the ACS workforce composition is unknown. A national survey was conducted to determine the differences in the emergency general surgery (EGS) workforce between ACS and non-ACS hospitals. METHODS: The American Hospital Association (AHA) Annual Survey of Hospitals database was queried to identify acute care general hospitals. A hybrid mail/electronic survey was sent to 2811 acute care hospitals that met the inclusion criteria of hospitals that care for adult patients (≥18 years old) with an emergency room (ER), ≥ 1 operating room (OR), and 24-h ER access...
September 8, 2018: American Journal of Surgery
Camilla Wistrand, Bo Söderquist, Karin Falk-Brynhildsen, Ulrica Nilsson
BACKGROUND: To prevent cross infection the surgical team perform preoperative hand disinfection before dressed in surgical gowns and gloves. Preoperative hand disinfection does not make hands sterile and the surgical glove cuff end has been regarded as a weak link, since it is not a liquid-proof interface. The aims were to investigate if there were differences in bacterial growth and recolonization of hands between operating room nurses and non-health care workers as well as to investigate if bacterial growth existed at the surgical glove cuff end during surgery...
September 17, 2018: BMC Infectious Diseases
Kazuhiro Shirozu, Tetsuya Kai, Mizuho Fukumoto, Kumiko Ippoushi, Hidekazu Setoguchi, Sumio Hoka
The present study was performed to evaluate the duration of time required to set up an anaesthesia machine mounted on an automated or manually movable ceiling pendant. Nurses moved the machine's position according to the surgical site (right or left). The duration of time required to set up the anaesthesia machine for surgery was compared between automated and manual operation and among nurses with varying years of work experience. Movement of the anaesthesia machine from the right to left position took longer for the automated (278 ± 11s) than manual (188 ± 63s) method...
September 13, 2018: Journal of Perioperative Practice
Kokila N Thenuwara, Tatsuya Yoshimura, Yoshinori Nakata, Franklin Dexter
PURPOSE: There is little knowledge about how hospitals can best handle disruptions that reduce post-anesthesia care unit (PACU) capacity. Few hospitals in Japan have any PACU beds and instead have the anesthesiologists recover their patients in the operating room. We compared postoperative recovery times between a hospital with (University of Iowa) and without (Shin-yurigaoka General Hospital) a PACU. METHODS: This historical cohort study included 16 successive patients undergoing laparoscopic gynecologic surgery with endotracheal intubation for general anesthesia, at each of the hospitals, and with the hours from OR entrance until the last surgical dressing applied ≥ two hours...
September 12, 2018: Canadian Journal of Anaesthesia, Journal Canadien D'anesthésie
K M Giramonti, B A Kogan
INTRODUCTION: With the growing shortage of pediatric urological surgeons, it was our aim to streamline our system to get patients with less complex penile procedures performed in a timely manner. To do this, an advanced practice provider (APP) was trained to perform minor penile procedures in children in the operating room(OR). OBJECTIVES: The goal of our study was to show that with proper training an APP could safely perform a circumcision in the OR. STUDY DESIGN: After approval of the study center's credentialing committee, a NP was trained to perform revisions and initial circumcisions in children in the OR...
August 6, 2018: Journal of Pediatric Urology
Elizabeth Reine, Tone Rustøen, Johan Raeder, Karina Aase
AIMS AND OBJECTIVES: (a) To explore the factors affecting quality in postoperative handovers as perceived by the different professional groups of clinicians involved. (b) To explore possible differences in perceptions of postoperative handover quality across professional groups and level of experience. BACKGROUND: High quality patient handovers after surgery and anaesthesia are important to ensure patient safety. There is a paucity of research describing contextual factors related to handover quality and the perspectives of different professional groups involved...
September 5, 2018: Journal of Clinical Nursing
Shufang Tan, Lifen Pan, Haixuan Zhao, Jiemin Hu, Huiyi Chen
Background: To investigate the value of the nursing cooperation workflow for immediate breast reconstruction with deep inferior epigastric perforator (DIEP) flap after breast cancer resection. Methods: The clinical data of 29 patients who had undergone immediate breast reconstruction with DIEP flap after breast cancer resection in our center from January 2016 to December 2017 were retrospectively analyzed. In particular, the nursing cooperation workflow was reviewed...
July 2018: Journal of Thoracic Disease
Meghan B Lane-Fall, Jose L Pascual, Scott Massa, Meredith L Collard, Hannah G Peifer, Laura J Di Taranti, Megan Linehan, Lee A Fleisher, Frances K Barg
BACKGROUND: Operating room (OR)-to-ICU handoffs place patients at risk for preventable harm. Numerous studies have described standardized handoff procedures following cardiac surgery, but no existing literature describes a general OR-to-ICU handoff system. METHODS: As part of the Handoffs and Transitions in Critical Care (HATRICC) study, a postoperative handoff procedure was developed by conducting interviews and focus groups with staff routinely involved in OR-to-ICU patient transitions in two mixed surgical ICUs, which included nurses, house staff, and advanced practice providers...
September 2018: Joint Commission Journal on Quality and Patient Safety
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