Abstract：
:Advanced practice nurses (APN) who practice in the surgical subspecialty areas may have the opportunity to expand their scope of practice to include first assistant at surgery. Surgical APNs who practice as registered nurse first assistants (RNFA) should seek credentialing and apply for institutional privileges to assure the consumer of competent providers. Credentialing as an RNFA documents the educational learning process and skills acquired, and recognizes this area of expertise. The role of the APN as an RNFA at surgery is practiced within the specialty area of perioperative nursing which includes preoperative, intraoperative, and postoperative care. In this study, the nurse practitioners describe the role of the RNFA, its historical evolution over wartime, the required educational training, and the benefits of the role for patient care. The surgical nurse practitioner who undertakes training and education as a surgical RNFA is in an excellent position to provide patient care across the surgical continuum.
journal_name
Mil Medjournal_title
Military medicineauthors
Zarnitz P,Malone Edoi
10.7205/milmed.171.9.875subject
Has Abstractpub_date
2006-09-01 00:00:00pages
875-8issue
9eissn
0026-4075issn
1930-613Xjournal_volume
171pub_type
历史文章,杂志文章abstract：:Active duty military personnel and civilian government employees are at risk for exposure to a variety of pathogens as they meet their mission requirements throughout the world. When they present with a systemic disease, the clinician must entertain a broad differential diagnosis due to the multitude of infectious, ne...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-09-00017
更新日期：2010-05-01 00:00:00
abstract：:Medical imaging plays a critical role in the rapid diagnosis, effective triage, and management of complex poly-trauma patients. High-quality medical imaging can be accomplished successfully in a deployed or wartime setting. Due to advances in aggressive resuscitation techniques and the speed of the latest generation c...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy063
更新日期：2018-09-01 00:00:00
abstract：INTRODUCTION:Dietary intake of military initial entry trainees is often inadequate because of the structured food environment, lack of snacking, and limited time for meals. Inadequate intake during training increases risk for injury, poor performance, and attrition from training. A performance nutrition initiative was ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/MILMED-D-15-00451
更新日期：2017-01-01 00:00:00
abstract：:Recently, pyogenic vertebral osteomyelitis has been documented following transcolonic passage of bullets lodging in or near the vertebral column. It is becoming more recognized that foreign body missiles are not as sterile as was once thought--especially after passage through the gastrointestinal tract--and that this ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1989-02-01 00:00:00
abstract：INTRODUCTION:Dual-task performance, in which an individual performs two tasks simultaneously, is compromised following mild traumatic brain injury (mTBI). Proficient dual-task performance is essential in a military setting for both military member safety and execution of skilled tasks. To address the unique needs of mi...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa404
更新日期：2021-01-25 00:00:00
abstract：:In March-May 1988, we collected data on enrollment of 1,445 Army families with grade school children in the Active Duty Dependents Dental Insurance Plan at two Army posts. We also surveyed their reactions to the plan. Results show that, although nearly two-thirds of families are enrolled in the plan, most consider the...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1992-06-01 00:00:00
abstract：:Mass casualties during war, civil unrest, or natural disasters can generate chaos and disarray in the emergency room setting. The influx of numerous casualties in a short period of time can paralyze the medical facility and cause irreparable damage to the injured. Maintaining calm and order is very essential for triag...
journal_title：Military medicine
pub_type：
doi：
更新日期：2001-12-01 00:00:00
abstract：:Receipt of public support payments is associated with beneficial outcomes for homeless people with mental illness. The purpose of this study was to identify factors associated with receipt of Department of Veterans Affairs (VA) pension and compensation benefits among homeless veterans after their initial contact with ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.172.5.461
更新日期：2007-05-01 00:00:00
abstract：:Post-residency fellowship education has traditionally been a transitionary phase toward a possible career involving medical research and teaching. The increasing sophistication required for performing medical research, the emphasis on molecular medicine, significant overcrowding in specialty disciplines, high student ...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1993-04-01 00:00:00
abstract：:The prevalence of traumatic event exposure and post-traumatic stress disorder (PTSD) were surveyed in a cohort of 198 full-time operational members of the South African National Defence Force stationed in their "home" unit between deployments. Approximately 90% of members reported having experienced or witnessed traum...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2003-01-01 00:00:00
abstract：:Piercing in general and particularly tongue piercing is gaining popularity in the Western world. The French army and so the French air force are concerned by this phenomenon. A case report of a pilot suffering from dental pain with operational consequences due to a dental fracture during Operation Trident (Kosovo) is ...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-10-00149
更新日期：2010-10-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1994-01-01 00:00:00
abstract：:One hundred six astronaut applicants who had passed initial screening were evaluated for Axis I and Axis II DSM-III-R diagnoses using a structured psychiatric interview. Nine of 106 candidates (8.5%) met diagnostic criteria for six Axis I (including V-code), or Axis II disorders. The use of the NASA structured intervi...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1993-01-01 00:00:00
abstract：:Recent interest in the relevancy of near vision tests for presbyopic aircrew members has led to the development of a photographic cockpit model. This model is used to prescribe more accurately for flying personnel. Prescriptions can be evaluated by use of trial lenses. This allows the aircrew members to experience the...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1992-01-01 00:00:00
abstract：:Limited conflicts and the war against terrorism, in particular, have changed the emphasis in the present trend from preparing to cope with full-scale wars to the need to combat in limited conflicts. This shift has affected significantly medical units' preparations. Law enforcement organizations have come together with...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-11-00245
更新日期：2012-01-01 00:00:00
abstract：:Operations Just Cause and Desert Storm were of relatively brief duration; however, severe wounds were produced that required complex reconstructive procedures. This paper describes the type of wounds managed in theater and subsequently at three U.S. military medical centers. Specific reconstructive techniques included...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1995-02-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usy112
更新日期：2018-09-01 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-03-01 00:00:00
abstract：:The medical services of the German contingent of the Stabilization Forces in Bosnia maintain a high-standard-preventive health care system. Because knowledge about German food and water surveillance laboratories is not widespread, these and the methods used for sample examinations as well as their analytical capacitie...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2000-05-01 00:00:00
abstract：:Using data from a nationally representative survey, we evaluated the prevalence of multiple risk factors known to predict increased health care utilization and adverse health outcomes, comparing U.S. men who rely solely on the Veterans Affairs Health Administration (VA) for health care to men in the general population...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.172.7.690
更新日期：2007-07-01 00:00:00
abstract：OBJECTIVE:The goal of this study was to establish an efficient explosive model with spherical explosives for the study of blast injury and its wound characteristics in the maxillofacial region. METHODS:Different spherical explosives were used to produce blast waves and to establish the wound model. Fresh sheep heads a...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：2003-04-01 00:00:00
abstract：INTRODUCTION:Physical therapy (PT) is a high-volume service that treats musculoskeletal injury and improves return-to-duty rates. Our experience suggests that no-show (NS) and patient cancellation (PC) rates increase the further appointment that is booked in the future, impede access to care, and increase the healthcar...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usz287
更新日期：2020-01-07 00:00:00
abstract：:A young man presented with a 4-month history of progressive, bilateral tender gynecomastia and underwent a bilateral subcutaneous mastectomy without regard for a possible occult testicular tumor. Following the mastectomy, metastatic testicular cancer was discovered; the patient had an overlooked scrotal mass and a ver...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1992-08-01 00:00:00
abstract：INTRODUCTION:Deployment-related mild traumatic brain injury (mTBI) affects a significant proportion of those who served in Post-9/11 combat operations. The prevalence of head injuries, including those that lead to mTBI, is often reported quantitatively. However, service member (SM) and Veteran firsthand accounts of the...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa308
更新日期：2021-01-25 00:00:00
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journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1993-07-01 00:00:00
abstract：:Data were collected on 750 patients over a 6-month period at a Troop Medical Clinic in the US in an effort to identify gynecological problems of soldiers and to gain insight into the most effective ways to handle the needs of female soldiers. All female soldiers belonging to the Nurse Practitioner Gynecological Satel...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1987-02-01 00:00:00
abstract：:When the patent on fluoxetine expired in 2001, prices for it fell sharply and marketing decreased. We investigated how market share for fluoxetine changed with the introduction of the generic. Prescribing information was tracked at a military hospital where providers knew the cost of medication, but were not compelled...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed.173.1.100
更新日期：2008-01-01 00:00:00
abstract：INTRODUCTION:Neck pain among rotary-wing aviators has been established as an important issue in the military community, yet no U.S. Army regulation defines exactly what cervical spine range of motion (CROM) is adequate for flight. This lack of regulation leaves flight surgeons to subjectively determine whether an aviat...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.1093/milmed/usaa270
更新日期：2021-01-25 00:00:00
abstract：:The purpose of this investigation is to determine if intraosseous infusion (IO) is a suitable method for the delivery of recombinant human factor VIIa (rFVIIa) during hemorrhagic shock. The measures that were used to evaluate IO delivery suitability included: (1) determination of clinically significant local or system...
journal_title：Military medicine
pub_type： 杂志文章
doi：10.7205/milmed-d-58-7608
更新日期：2009-02-01 00:00:00
abstract：:This study examined the impact of a history of childhood abuse and neglect on soldiers' adaptation to Army life including commitment to the Army, confidence in leaders, and perceptions of unit cohesion and readiness. Childhood abuse and neglect were measured by the 30-item Childhood Trauma Questionnaire (CTQ) which co...
journal_title：Military medicine
pub_type： 杂志文章
doi：
更新日期：1996-11-01 00:00:00
