Excellence in perioperative management: establishing a culture of safety.

abstract：:Tension blisters from adhesive dressings may lead to pain and delayed surgical wound healing for surgical patients and cause an institutional cost burden. Commercial skin barrier film products may reduce dressing-related postoperative skin blistering in surgical patients. Project investigators at an orthopedic special...

journal_title：AORN journal

authors： Cole M,Smith I,Vlad SC,Golenbock SW,Sorrentino K

更新日期：2020-07-01 00:00:00

abstract：:The patient has been on the OR bed for seven hours undergoing an abdominal aortic aneurysm repair. During the postoperative assessment, the perioperative nurse notices a reddened spot over the patient's sacral area. Why did this injury occur? Was it caused by the length of the surgery, hyperthermia blanket, pooling of...

journal_title：AORN journal

authors： Gillette MK,Caruso CC

更新日期：1989-07-01 00:00:00

abstract：:Reports by the Institute of Medicine (IOM) have brought patient safety concerns to the forefront in many health care facilities. The IOM and other organizations have said that increased use of technology has the potential to increase patient safety. This article looks at the reasons behind the increase in health care ...

journal_title：AORN journal

authors： Cobb D

更新日期：2004-08-01 00:00:00

abstract：:Surgical site infections (SSIs) occur during the postoperative period and involve the operative site. To lower the occurrence of SSIs in their patient population, the gynecology SSI prevention committee at a large academic medical institution initiated a process improvement project examining vaginal antiseptic skin pr...

journal_title：AORN journal

authors： Lee ASD

更新日期：2019-08-01 00:00:00

abstract：:Most OR nurses whether veteran or novice have had some exposure to organ donation; however, few are aware of what occurs outside of the surgical setting. This article provides an overview of the entire donation process, from the hours before the procedure to the steps needed for successful recovery. Particular attenti...

journal_title：AORN journal

authors： Lilly KT,Langley VL

更新日期：1999-04-01 00:00:00

abstract：:The standard of practice for perioperative hair removal is largely based on research that is outdated and underpowered. Although there is evidence to support the practice of clipping instead of shaving, current recommendations are to remove hair only when absolutely necessary. Human hair is bacteria-laden and challeng...

journal_title：AORN journal

authors： Edmiston CE Jr,Leaper DJ,Barnes S,Johnson HB,Barnden M,Paulson MH,Wolfe JL,Truitt K

更新日期：2019-05-01 00:00:00

abstract：:AORN conducted its 18th annual compensation survey for perioperative nurses in June 2020. A multiple regression model was used to examine how several variables, including job title, education level, certification, experience, and geographic region, affect perioperative nurse compensation. Comparisons between the 2020 ...

journal_title：AORN journal

authors： Bacon DR,Stewart KA

更新日期：2020-12-01 00:00:00

abstract：:MORBID OBESITY has a significant impact on the health, psychosocial well-being, longevity, and quality of life of those affected. BARIATRIC SURGERY is not a cure for obesity; however, surgical interventions can offer the potential for long-term weight-loss success for individuals who are obese. CAREGIVERS should be pr...

journal_title：AORN journal

authors： Murray D

更新日期：2003-12-01 00:00:00

abstract：:Craniofacial injuries are the result of deceleration, blunt, or penetrating trauma. Depending on the mechanism of injury, craniofacial fractures can be minor and go undetected, or they can produce devastating facial deformities. With the advent of intermaxillary fixation devices, surgeons can manipulate facial bone st...

journal_title：AORN journal

authors： Hayes KM,Combs NL

更新日期：1996-09-01 00:00:00

abstract：:Foot ulceration in patients with diabetes increases the risk of lower extremity amputation. Major amputations produce substantial adverse consequences, increase length of hospital stay, diminish quality of life, and increase mortality. In this article, we describe approaches that decrease amputations and improve the q...

journal_title：AORN journal

authors： Howell RS,Criscitelli T,Woods JS,Gillette BM,Brem H,Gorenstein S

更新日期：2018-04-01 00:00:00

abstract：:Perioperative nurses frequently care for victims and suspected perpetrators of violent crimes. Nurses often are the first health care providers to assess the trauma patient and collect crucial evidence for future legal action. Informational evidence includes observations about patients' behavior and appearance and doc...

journal_title：AORN journal

authors： Muro GA,Easter CR

更新日期：1994-10-01 00:00:00

abstract：:Some decisions affect no one but ourselves, and others affect more than one person. Some decisions are quite simple and have minimal, if any, ramifications; other decisions are more complex and can have major ramifications. Some decisions are easy to make because a person has the experience and knowledge, and other de...

journal_title：AORN journal

authors： McConnell EA

更新日期：1989-05-01 00:00:00

abstract：:Identifying a performance-improvement project can be a struggle when a facility's data demonstrate desirable performance. Quality-improvement teams may be limiting their data collection to only required or traditional outcome indicators. Facility personnel may need guidance on how to broaden the vision to monitor for ...

journal_title：AORN journal

authors： Allison J

更新日期：2016-05-01 00:00:00

abstract：:Cancer of the tongue is the second most common oral cavity malignancy seen in the general population. When otolaryngologists decide to treat patients surgically, perioperative nurses must institute special nursing interventions directed toward patients' tongue reconstruction procedures and rehabilitation. Surgical man...

journal_title：AORN journal

authors： Truelson JM,Pearce AN

更新日期：1997-03-01 00:00:00

abstract：:The productions of the AORN Audiovisual Committee are best measured by their popularity. Enthusiastic audiences at Congress premieres and demands for bookings by chapters and individual instructors represent thousands of viewers for each film. A complete list of all films produced by the Committee is available in the ...

journal_title：AORN journal

authors： Riall CT

更新日期：1993-11-01 00:00:00

abstract：:To determine whether to accept a contract to provide additional surgical cases, OR managers must determine the incremental costs of caring for the new patients. The expected profitability of the contract can be computed by subtracting the incremental costs from the revenue. For surgical procedures, the incremental cos...

journal_title：AORN journal

authors： Macario A,Dexter F

更新日期：2000-04-01 00:00:00

abstract：:A new development in spinal surgery uses cylindrical fusion devices for fixation and fusion. Two products, which involve differing procedures, instrumentation, and implants, have been used for more than two years and are becoming more popular as excellent fusion and recovery rates have been reported. This article disc...

journal_title：AORN journal

authors： Mangum S

更新日期：1998-11-01 00:00:00

abstract：:By following these guidelines, a pregnant woman working in the OR can maintain her health despite an erratic schedule, constant periods of standing, and exposure to radiation. Part II of this article will focus on infectious diseases and chemicals, what could happen with maternal exposure, and preventative measures. ...

journal_title：AORN journal

authors： Drinville-Shank G

更新日期：1987-02-01 00:00:00

abstract：:International experiences with operative repair of fibrous strictures indicate that satisfactory results are obtained with 80% to 85% of patients at least three years after the stent is removed. Although opinion regarding the length of time stents should be left in place is not unanimous, stents usually can be removed...

journal_title：AORN journal

authors： Braasch JW,Gasbarro KA

更新日期：1990-10-01 00:00:00

abstract：:Using our Perioperative Nursing Process form in addition to intraoperative and PACU flow sheets allows us to document the nursing process in a manner that satisfies the goals for documentation established by our committee. Because we place all forms in the patients' medical records, they are available for review by th...

journal_title：AORN journal

authors： Pobojewski BJ,Neper N,Guzzo PM,Beadle PK

更新日期：1992-07-01 00:00:00

abstract：:Perioperative nurses play a pivotal role in coordinating care during crises, employing their nursing skills to foster a positive outcome and collaborating with their colleagues and peers to achieve the desired resolution. Whether caring for a patient during a liver transplantation or one undergoing removal of a cyst, ...

journal_title：AORN journal

authors： Seifert PC,Wadlund DL

更新日期：2015-07-01 00:00:00

abstract：:Cleaning, decontaminating, and handling instructions for instruments vary widely based on the type of instrument and the manufacturer. Processing instruments in accordance with the manufacturer's instructions can help prevent damage and keep devices in good working order. Most importantly, proper cleaning and disinfec...

journal_title：AORN journal

authors： Cowperthwaite L,Holm RL

更新日期：2015-05-01 00:00:00

abstract：:Quality improvement processes and management approaches that provide a foundation for continuous quality improvement can lead to improved patient care. The Institute for Healthcare Improvement developed a high-performance management system (HPMS) for health care leaders and staff members to effect continuous quality c...

journal_title：AORN journal

authors： Rakover J,Little K,Scoville R,Holder B

更新日期：2020-04-01 00:00:00

abstract：:The use of scientific evidence to support national recommendations about clinical decisions has become an expectation of multidisciplinary health care organizations. The objectives of this project were to identify the most applicable evidence-rating method for perioperative nursing practice, evaluate the reliability o...

journal_title：AORN journal

authors： Steelman VM,Pape T,King CA,Graling P,Gaberson KB

更新日期：2011-04-01 00:00:00

abstract：:Staffing shortages among professionals in specialized health care and clinical situations that demand around-the-clock care make it challenging to address staff member fatigue. Many industries have developed restrictions on work hours to help reduce the effects of fatigue on safety. The perioperative specialty, howeve...

journal_title：AORN journal

authors： Battié RN,Rall H,Khorsand L,Hill J

更新日期：2017-03-01 00:00:00

abstract：:A large number of vaginal hysterectomies are performed on an outpatient basis through ambulatory surgery units (ASU). Recognizing this trend, we researched the possibility of performing vaginal hysterectomies in our ASU and developed an outpatient vaginal hysterectomy protocol. The preoperative and postoperative educa...

journal_title：AORN journal

authors： Bran DF,Spellman JR,Summitt RL Jr

更新日期：1995-11-01 00:00:00

abstract：:Pharmacology is integrated in all areas of nursing practice. From the most basic entry level to the most advanced clinical practice, nursing curriculums are not complete without pharmacology. The word "pharmacology" often makes nurses and other health care professionals feel uneasy. Pharmacology implies complicated wo...

journal_title：AORN journal

authors： Morrill P

更新日期：2000-01-01 00:00:00

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：:The safety and security points discussed in this article are only a few of the awareness tips that can add to your personal safety. When reporting to work, especially during odd hours, be suspicious of all activities. Ask yourself, "What if?" Becoming a victim or not becoming a victim is easy. ...

journal_title：AORN journal

authors： Moore LR,Halstead MA

更新日期：1989-08-01 00:00:00

abstract：:Advances in pharmacology, cell biology, and laser and fiberoptic technology are providing many opportunities in glaucoma research. As researchers increasingly understand the physiology of the eye, they develop new therapies. A wide variety of new drugs including dopaminergics, calcium channel blockers, and prostagland...

journal_title：AORN journal

authors： Martinelli AM

更新日期：1991-10-01 00:00:00