Optimizing perioperative pain management.

abstract：:In Part I, the concept of shared governance is presented. I have discussed what it means to move toward a shared governance model and the way of thinking and reorganizing that supports it. Basic principles that drive the concept are discussed, and the underpinnings necessary to make it work are identified. Clearly, th...

journal_title：AORN journal

authors： Porter-O'Grady T

更新日期：1991-02-01 00:00:00

abstract：:Nonmelanoma skin cancer is the most common human malignancy. An estimated 2.75 million patients worldwide are diagnosed with skin cancer each year, with more than one million in the United States alone. Treatment for skin cancer includes methods such as cryosurgery, curettage and electrodessication, local excision, an...

journal_title：AORN journal

authors： Anthony ML

更新日期：2000-03-01 00:00:00

abstract：:Temperature monitoring via the urinary bladder has become common in the OR, often replacing monitoring at the rectal site. A systematic, integrated review and synthesis of the literature was undertaken to assess the validity of using the urinary bladder as a site for temperature measurement in the OR. During steady th...

journal_title：AORN journal

authors： Fallis WM

更新日期：2002-09-01 00:00:00

abstract：:Family-centered care is an accepted and promoted philosophy within the health care community. Perioperative nurses are empowered to support change in the health care arena and to examine and institute policies that affect patient care. This study examined the feasibility of family presence in the OR during breast biop...

journal_title：AORN journal

authors： Evans LA

更新日期：2008-10-01 00:00:00

abstract：:The AORN Foundation and the National League for Nursing (NLN) cosponsored a think tank to address concerns about the shortage of perioperative nurses and the lack of perioperative experiences in many nursing programs. Think tank participants identified traditional and existing paradigms in nursing education and envisi...

journal_title：AORN journal

authors： Girard NJ

更新日期：2004-11-01 00:00:00

abstract：:Perioperative nurses are situated uniquely to promote good traffic control practices in the OR. This study was conducted to explore the effect of traffic patterns, specifically the number of people in the OR, on the incidence of surgical site infections (SSIs). Researchers analyzed 2,864 clean surgical procedures perf...

journal_title：AORN journal

authors： Pryor F,Messmer PR

更新日期：1998-10-01 00:00:00

abstract：:Despite recent advances in perioperative patient care, postsurgical pain continues to be undermanaged. There is increasing acceptance of the concept that effective postsurgical pain management is best achieved through combined use of more than one analgesic agent or technique, and overreliance on opioids produces unwa...

journal_title：AORN journal

authors： Montgomery R,McNamara SA

更新日期：2016-12-01 00:00:00

abstract：:Intraoperative neuromonitoring (IONM) is a method used to warn the surgeon of impending neurological damage while it can still be corrected, ideally preventing a permanent neurological deficit in the surgical patient. It was originally used in neurosurgery, but now also applies to other surgical specialties. Comprehen...

journal_title：AORN journal

authors： Roth M,Rakers L

更新日期：2019-07-01 00:00:00

abstract：:Medication errors involving pediatric patients in the postanesthesia care unit may occur as frequently as one in every 20 medication orders and are more likely to cause harm when compared to medication errors in the overall population. Researchers examined six years of records from the MEDMARX database and used consec...

journal_title：AORN journal

authors： Payne CH,Smith CR,Newkirk LE,Hicks RW

更新日期：2007-04-01 00:00:00

abstract：:• Bowel isolation technique in minimally invasive surgery Key words: minimally invasive surgery, bowel isolation technique, bowel resection. • Covering hair that has escaped a surgical cap Key words: OR attire, head covering, sterile technique. • Surgical head coverings Key words: skull caps, bouffant caps, quality co...

journal_title：AORN journal

authors： Fearon MC

更新日期：2017-10-01 00:00:00

abstract：:The 1993 survey is the first step in a planned, systematic method of eliciting members' opinions, demographic information, and program preferences. The data collected will be used to analyze current programs and services and plan for the future. There are limitations to survey research. Questions may be deleted accide...

journal_title：AORN journal

authors： Foss J

更新日期：1993-11-01 00:00:00

abstract：:Anterior cruciate ligament (ACL) reconstruction is one of the most commonly performed orthopedic procedures in the United States. Repair of the ACL often requires the use of autografts or allografts, and the RN first assistant (RNFA) often is the team member responsible for preparing the graft. Common grafts used in A...

journal_title：AORN journal

authors： Rozakis M

更新日期：2014-11-01 00:00:00

abstract：:Accreditation surveys protect patients and personnel by monitoring health care facility compliance with rules, regulations, and best practices. Accreditation, or the lack of it, can affect a facility's ability to be reimbursed. The ability of personnel to follow best practices and adhere to regulatory requirements in ...

journal_title：AORN journal

authors： Seavey RE

更新日期：2015-10-01 00:00:00

abstract：:Fibromatosis is the nonmalignant proliferation of fibroblasts that aggressively invade adjacent tissues. The cause of this abundant growth is unknown. When fibromatosis develops in the mandible or adjoining tissues, its aggressive growth can compress the trachea and cause death. Resection is the treatment of choice. M...

journal_title：AORN journal

authors： Steuer KS

更新日期：1995-08-01 00:00:00

abstract：:Perioperative nurses administer some medications but are primarily responsible for obtaining, preparing, and documenting medications. Unlike personnel in many other patient care areas, perioperative personnel may not have immediate access to a pharmacist; this lack of pharmacy support can complicate medication adminis...

journal_title：AORN journal

authors： Spruce L

更新日期：2020-01-01 00:00:00

abstract：:The OR has long existed as a highly specialized and distinct entity within a hospital. Recent technological advances have allowed the OR to be seamlessly integrated with the larger hospital and, in a virtual sense, with the world. The modern, integrated OR can enhance patients' surgical experiences, improve surgeons' ...

journal_title：AORN journal

authors： Acevedo AL

更新日期：2009-01-01 00:00:00

abstract：:Today's ORs are fast-paced. Generally, charge nurses are given little training to be effective in their role and are expected to keep the OR running smoothly. This article examines ways in which charge nurses can satisfy the needs of surgeons and staff members and offers suggestions for dealing with delays and disgrun...

journal_title：AORN journal

authors： Sonnenberg D

更新日期：1999-05-01 00:00:00

abstract：:Video-assisted thoracoscopic surgery is a new approach that offers an alternative to open surgical ligation of the patient ductus arteriosus. Advanced video technology precise pediatric instrumentation, and innovative surgical techniques have facilitated the development of this approach. From April 1993 to February 19...

journal_title：AORN journal

authors： Valdes MP,Boudreau SA

更新日期：1996-10-01 00:00:00

abstract：:The perioperative nurse must understand the temporal arteritis disease process and surgical procedure so that he or she may function as an integral member of the surgical team. Preoperative, intraoperative, and postoperative nursing interventions are important and necessary to provide holistic patient care. ...

journal_title：AORN journal

authors： Kellar SJ

更新日期：1992-09-01 00:00:00

abstract：:This project investigated parents' and caregivers' perceptions of the fast-track surgery process with regard to their child's surgical procedure and hospital stay. The goal of this project was to review and improve the fast-track process. Participants were parents/caregivers of pediatric patients (ie, younger than 18 ...

journal_title：AORN journal

authors： Jawahar K,Scarisbrick AA

更新日期：2009-04-01 00:00:00

abstract：:Most of the experts agree: new technology, new laser applications, and new concepts of health care will keep the ambulatory surgery industry moving and growing. Statistics from the past seem to imply the same thing. Ten years from now we can reread this article and see if we were accurate. ...

journal_title：AORN journal

authors： Cruz LD

更新日期：1990-01-01 00:00:00

abstract：:Many nursing programs removed perioperative education from their curriculum as early as the late 1960s, and perioperative nursing is now experiencing the consequences. Fewer perioperatively educated graduates are available, the workforce of experienced perioperative nurses is aging, and multiple career opportunities a...

journal_title：AORN journal

authors： Heckman R,Barnhill J

更新日期：1999-11-01 00:00:00

abstract：:The effects of the disability have decreased over the years as methods of habilitation have improved--the now successful surgical techniques followed by more normal development. The battle is not over, though, because society still attaches a stigma to this anomaly and the speech and hearing handicaps that can result....

journal_title：AORN journal

authors： McInerney TG

更新日期：1985-10-01 00:00:00

abstract：:Perioperative personnel must clean and disinfect the perioperative environment numerous times throughout the day to help prevent the risk of exposing patients to pathogenic microorganisms. However, this practice exposes perioperative team members to chemicals that could be harmful to their health. Exposure to cleaning...

journal_title：AORN journal

authors： Spruce L

更新日期：2017-11-01 00:00:00

abstract：:The role of the RN first assistant (RNFA) has expanded and evolved during the past three decades. Studies that have examined patient care outcomes relative to RNFAs substituting for surgeons as first assistants have noted no resulting adverse consequences, and the use of RNFAs in surgery may improve patient outcomes. ...

journal_title：AORN journal

authors： Pear SM,Williamson TH

更新日期：2009-06-01 00:00:00

abstract：:Surgical procedures on the spine have become increasingly complex and require careful preparation and astute assessment of the patient. When the details of good patient care are attended to by a knowledgeable and well-coordinated surgical team, spinal surgery should have a successful outcome. ...

journal_title：AORN journal

authors： Insinger J,Bailes BK

更新日期：1993-09-01 00:00:00

abstract：:A bundled approach to surgical site infection (SSI) prevention strategies includes reducing OR traffic. A nurse-led quality improvement (QI) team sought to reduce OR traffic through education and a process change that included wireless communication technology and policy development. The team measured OR traffic by co...

journal_title：AORN journal

authors： Esser J,Shrinski K,Cady R,Belew J

更新日期：2016-01-01 00:00:00

abstract：:Unilateral vocal cord paralysis causes disturbances with vocal function and swallowing, to include aspiration. Thyroplasty type I has become one of the preferred surgical treatments for unilateral vocal cord paralysis. It is tolerated better by the patient, improves predictability of surgical results, and provides goo...

journal_title：AORN journal

authors： Herman C

更新日期：2002-03-01 00:00:00

abstract：:Ophthalmologists have been searching for a treatment to control intraocular pressure in difficult cases of glaucoma. The ideal treatment is one that is simple and effective and has few side effects. Transscleral cyclophotocoagulation is less damaging to the ciliary process than cyclocryotherapy in which a probe cooled...

journal_title：AORN journal

authors： Langseth FG

更新日期：1988-12-01 00:00:00

abstract：:The perioperative arena is one of the most information-intensive, intricate, and complex work environments in health care, and it depends on sound communication to help ensure patient safety. Surgical procedures require attention, vigilance, and situational awareness. Noise and other distractions have the potential to...

journal_title：AORN journal

authors： Wright MI

更新日期：2016-12-01 00:00:00