Guideline implementation: surgical instrument cleaning.

abstract：:The regulatory climate in which an ambulatory surgery center (ASC) must operate is complex. Seemingly contradictory regulations at the federal, state, and local levels can be resolved by using the "greatest requirement" approach to facilitate flexibility in the long-term use of an ASC. A well-designed ASC should be pr...

journal_title：AORN journal

authors： Lindeman WE

更新日期：2008-09-01 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：:Just asking the patient what he or she is concerned about may help. The vast majority of patients in this study listed multiple concerns when asked. Very few hesitated or had to take time to think about the question or their answer. Give them your time and listen. ...

journal_title：AORN journal

authors： Caldwell LM

更新日期：1991-03-01 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：: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：:Day surgery has reduced the time allowed for patient contact, but it has not reduced the need for assessment, planning, and delivery of patient care. Day surgery, however, has shifted some responsibility from nurses to patients and their families. Our goals in developing a preoperative assessment plan were to ensure c...

journal_title：AORN journal

authors： Page SM,Beresford LA

更新日期：1988-02-01 00:00:00

abstract：:Many current information management practices in the OR will have to change to comply with the Health Insurance Portability and Accountability Act and meet Joint Commission on Accreditation of Healthcare Organizations standards for managing health care information. Demands for accurate, timely, confidential, and secur...

journal_title：AORN journal

authors： Allender M

更新日期：2002-01-01 00:00:00

abstract：:Traditional coronary artery bypass surgery involves a median sternotomy and the use of a heart-lung machine to stabilize the heart during suturing. Minimally invasive coronary artery surgery employs small incisions directly over the target vessels and avoids the use of a heart-lung machine, which can cause postoperati...

journal_title：AORN journal

authors： Coulson AS,Bakhshay S,Quarnstrom JA,Mayer S,Holmes K,Villarreal M

更新日期：1997-12-01 00:00:00

abstract：:When addressing the impact of medical waste management and regulatory controls on the health care industry, it is important to remember that as long as modern medicine continues to maintain and sustain its current quality of life and wellness standards, industry will continue to generate various byproducts that have a...

journal_title：AORN journal

authors： Fay MF,Beck WC,Fay JM,Kessinger MK

更新日期：1990-06-01 00:00:00

abstract：:Rupture of an abdominal aortic aneurysm (AAA) is a significant cause of mortality in the United States. Often asymptomatic, AAA is considered a silent killer because it frequently remains undiagnosed until the time of rupture or the patient's death. Major risk factors, such as smoking, age, sex, race, and family histo...

journal_title：AORN journal

authors： Gordon PA,Toursarkissian B

更新日期：2014-09-01 00:00:00

abstract：:Several months after we initiated our PAS program, the AABB scrutinized our policy and procedure manual. At the same time, the JCAHO conducted an inspection of our blood bank and its standards. Both reviews were positive, which provided all of us involved in the PAS program with a tremendous sense of accomplishment. E...

journal_title：AORN journal

authors： Specht MD,Hofer JE,Valentine NK,Keturi J

更新日期：1997-09-01 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：: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：:Blood administration safety is the result of accurate identification of patients to blood products before transfusions, appropriate care and administration of blood products, and rapid recognition and intervention when adverse reactions occur. Health care institutions have an obligation to provide staff members clearl...

journal_title：AORN journal

authors： Craig V,Bower JO

更新日期：1997-07-01 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：: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：:Robotic-assisted laparoscopic prostatectomy is a surgical procedure performed to eradicate prostate cancer. Use of robotic assistance technology allows smaller incisions than the traditional laparoscopic approach and results in better patient outcomes, such as less blood loss, less pain, shorter hospital stays, and be...

journal_title：AORN journal

authors： Chitlik A

更新日期：2011-07-01 00:00:00

abstract：:Many people in Southeast Asia are in desperate need of medical attention, but because of poverty, remoteness, and inadequate medical services, they do not receive this care. Beginning in April 2006, a diverse group of health care professionals from around the world served for five months aboard the USNS Mercy, a 1,000...

journal_title：AORN journal

authors： Troup L

更新日期：2007-11-01 00:00:00

abstract：:Quality health care is associated with the absence of negative outcomes in patients. Institutions realize that quality cannot be assured but it can be assessed and methods can be developed to improve patient care. Many heath care institutions, therefore, have begun the conceptual transition from quality assurance mode...

journal_title：AORN journal

authors： Allen G,Josephson A

更新日期：1995-10-01 00:00:00

abstract：:Perioperative nurses have skills that lend themselves to sound financial decision-making, and during these difficult economic times, it is important to know how to secure earnings for the future. Key strategies include saving for retirement, consulting a financial advisor, investing in reliable vehicles, holding inves...

journal_title：AORN journal

authors： Yarkony K

更新日期：2009-12-01 00:00:00

abstract：:Health care-associated infections (HAIs) have received national attention because of recent news stories in print and on television. many states have mandatory reporting requirements for hospital HAI rates, and as of October 1, 2008, Medicare no longer will pay for certain HAI-related costs. Collaboration among health...

journal_title：AORN journal

authors： Arias KM

更新日期：2008-04-01 00:00:00

abstract：:Epinephrine and phenylephrine always should be used with extreme caution, especially in their most concentrated solutions. This is especially true in the OR where these medications are used for purposes involving extreme variations in doses and strengths. Although these medications may be handled and administered dail...

journal_title：AORN journal

authors： Beyea SC,Hicks RW

更新日期：2003-04-01 00:00:00

abstract：:Understanding patients' perspectives is central to providing appropriate nursing care. The purpose of this study was to explore ambulatory surgery patients' perceptions and views of the perioperative experience. A phenomenological study was conducted that included 16 patients who underwent abdominal surgical procedure...

journal_title：AORN journal

authors： Costa MJ

更新日期：2001-12-01 00:00:00

abstract：:The purpose of this needs assessment was to determine which waiting area amenities family members deem important to make them comfortable when waiting for news about surgical patients. A literature review was conducted, perioperative staff members were interviewed and surveyed, and family members were interviewed and ...

journal_title：AORN journal

authors： Carmichael JM,Agre P

更新日期：2002-06-01 00:00:00

abstract：:Surgical smoke is formed when energy-generating devices (ie, electrosurgery units, lasers, powered instruments) raise the intracellular temperature of tissue to at least 100º C (212º F), causing tissue vaporization in the form of surgical smoke. Surgical smoke contains components that are known health hazards, such as...

journal_title：AORN journal

authors： Spruce L

更新日期：2018-07-01 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：:In general, most of the physicians at the International Congress III, whether they were vascular surgeons, cardiologists, or radiologists, agreed that lasers have their place in vascular medicine. They did acknowledge, however, that further refinements are required in the lasers themselves and in assessment techniques...

journal_title：AORN journal

authors： Cruz LD

更新日期：1990-05-01 00:00:00

abstract：:The thoracic perioperative specialty team members at Inova Fairfax Hospital, Falls Church, Va, designed guidelines to improve the management of patients with esophageal perforations. They performed a retrospective analysis of 41 patients who were diagnosed with thoracic esophageal perforations from Sept 1, 1979, throu...

journal_title：AORN journal

authors： Graling PR,Hetrick VL,Vaughan B,Kiernan PD

更新日期：1998-07-01 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：: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