Abstract:
:Traditionally, one nurse is assigned per OR. Recent health care reforms and the AORN "Position statement on perioperative safe staffing and on-call practices" require managers to rethink this practice. Staffing levels that are insufficient have been linked to sentinel events. A patient classification system that includes patient acuity and procedure complexity can be used to determine which surgical procedures require more than one RN circulator and offer a scientific basis for increasing staff budgetary requests. The goal is to experience fewer sentinel events while providing better patient care and achieving higher nurse retention.
journal_name
AORN Jjournal_title
AORN journalauthors
Bell Ldoi
10.1016/j.aorn.2015.03.003subject
Has Abstractpub_date
2015-06-01 00:00:00pages
639-45; quiz 646-9issue
6eissn
0001-2092issn
1878-0369pii
S0001-2092(15)00234-3journal_volume
101pub_type
杂志文章相关文献
AORN JOURNAL文献大全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
pub_type: 杂志文章,评审
doi:10.1016/s0001-2092(06)62542-8
更新日期:1997-12-01 00:00:00
abstract::Intraoperative radiation therapy (IORT) is a treatment option that directly irradiates a surgically exposed tumor or tumor bed while preventing radiation exposure of normal tissues. This article discusses the high-dose-rate intraoperative radiation therapy (HDR-IORT) technique by reviewing the roles of IORT team membe...
journal_title:AORN journal
pub_type: 杂志文章,评审
doi:10.1016/j.aorn.2007.07.002
更新日期:2007-11-01 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
pub_type: 杂志文章
doi:10.1002/aorn.12726
更新日期:2019-07-01 00:00:00
abstract::Recent media reports have put a spotlight on the increasing number of medical errors occurring in US health care institutions. In contrast to health care's increasing error rate, the aviation industry is experiencing a decreasing error rate. Could the safety techniques used in the aviation industry be applied to healt...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(06)61385-9
更新日期:2003-01-01 00:00:00
abstract::The woman who experiences a miscarriage or ectopic pregnancy may express her grief with many different responses. Perioperative nurses can enable the woman and her family members to adequately grieve the loss of pregnancy and the baby by using sensitive communication, therapeutic listening, and empathy skills and by c...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(07)62740-9
更新日期:1994-08-01 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
pub_type: 杂志文章
doi:10.1016/j.aorn.2016.02.014
更新日期:2016-05-01 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
pub_type: 杂志文章
doi:10.1016/j.aorn.2009.07.024
更新日期:2009-12-01 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
pub_type: 杂志文章
doi:10.1016/s0001-2092(06)62694-x
更新日期:1997-09-01 00:00:00
abstract::Crisis checklists are cognitive aids used to coordinate care during critical events. Simulation training is a method to validate process improvement initiatives such as checklist implementation. In response to concerns staff members expressed regarding their comfort level when responding to infrequent occurrences such...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2016.11.002
更新日期:2017-01-01 00:00:00
abstract::Registered nurses who return to school to pursue a bachelor's degree face many challenges, including scheduling, family, and financial concerns. Despite these issues, RNs with an associate's degree or diploma are among the fastest growing groups of bachelor of science in nursing (BSN) students. Nurses return to school...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(06)61254-4
更新日期:2003-03-01 00:00:00
abstract::Estimates indicate that one million patients who smoke present annually in the United States for some form of surgical intervention. Smoking is a known cause of respiratory complications, hemodynamic fluctuations, and delayed wound healing. A literature search revealed a small number of available studies that address ...
journal_title:AORN journal
pub_type: 杂志文章,评审
doi:10.1016/j.aorn.2007.09.015
更新日期:2008-03-01 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
pub_type: 杂志文章
doi:10.1016/s0001-2092(06)61505-6
更新日期:2001-12-01 00:00:00
abstract::Growth arrests may occur after fractures, burns, and frostbite injuries, but children generally have a better prognosis from most hand and forearm injuries than adults. Stiffness is less frequent, open wounds heal faster, remodeling of angular deformities may occur, and nerve recovery following repair is significantly...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(07)68840-1
更新日期:1988-08-01 00:00:00
abstract::Following the surgical insertion of all prosthetic implants, an identical sequence of events occurs, although the magnitude of each response is variable. Initially, to maintain hemostasis, the coagulation system is stimulated and platelet activation occurs. Within minutes, leukocytes accumulate in an attempt to neutra...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(07)64976-x
更新日期:1983-06-01 00:00:00
abstract::Allograft bone (i.e., bone that is obtained from a donor) implantation is used for bone replacement and for reconstructing serious bone defects during total joint revision surgery. It is also used for bone replacement after large excisions of bone tumors. An extensive variety of laboratory tests must be completed, app...
journal_title:AORN journal
pub_type: 杂志文章,评审
doi:10.1016/s0001-2092(06)62441-1
更新日期:1999-10-01 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
pub_type: 杂志文章
doi:10.1016/s0001-2092(07)68438-5
更新日期:1993-09-01 00:00:00
abstract::Medical and scientific advances have improved the diagnosis and treatment of kidney disorders. Organ transplantation has evolved from an experimental surgery to a medically accepted form of treatment for organ failure. The kidney was the first organ to be successfully replaced by a donor organ, and it is presently the...
journal_title:AORN journal
pub_type: 杂志文章,评审
doi:10.1016/s0001-2092(06)62132-7
更新日期:1998-12-01 00:00:00
abstract::Containment of unopened sterile supplies during procedures Key words: unopened sterile instruments, unopened sterile supplies, contamination, containment, event-related sterility. Contamination of solutions in sterile basins Key words: sterile basin, splash basin, instrument table, solution contamination, surgical sit...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1002/aorn.13291
更新日期:2021-01-01 00:00:00
abstract::Though often difficult, ethical decision making is necessary when caring for surgical patients. Perioperative nurses have to recognize ethical dilemmas and should be prepared to take action based on the ethical code outlined in the American Nurses Association's (ANA's) Code of Ethics for Nurses with Interpretive State...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(06)60941-1
更新日期:2002-10-01 00:00:00
abstract::Because wrist arthroscopy is a relatively new procedure, at this point in time, it may be more valuable for diagnosis of wrist pain and mechanical disorders than for the treatment of them. It does, however, make the selection of proper surgical treatment more predictable. As more precise small joint instrumentation is...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(07)66704-0
更新日期:1989-03-01 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
pub_type: 杂志文章
doi:10.1016/j.aorn.2013.08.021
更新日期:2014-11-01 00:00:00
abstract::Surgical smoke is generated when tissue vaporizes from the use of various energy-generating devices (eg, electrosurgery units, lasers). Surgical smoke contains toxic gases and vapors that can be hazardous to patients and perioperative staff members. In addition to ocular and upper respiratory tract irritation, surgica...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1002/aorn.12149
更新日期:2018-06-01 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
pub_type: 杂志文章
doi:10.1016/s0001-2092(06)60589-9
更新日期:2003-12-01 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
pub_type: 杂志文章,评审
doi:10.1016/s0001-2092(06)61661-x
更新日期:2002-09-01 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
pub_type: 杂志文章
doi:10.1016/S0001-2092(07)60147-1
更新日期:2007-04-01 00:00:00
abstract::The authors investigated music as a method to reduce ambulatory surgery patients' preoperative anxiety. They assigned 42 patients to either an experimental or a control group and compared the patients' vital signs and self-reports of anxiety, which were measured using the state portion of the State-Trait Anxiety Inven...
journal_title:AORN journal
pub_type: 临床试验,杂志文章
doi:10.1016/s0001-2092(06)63126-8
更新日期:1996-04-01 00:00:00
abstract::Safe handling of chemotherapeutic agents during administration and disposal is critical. Most antineoplastic agents are toxic compounds that are carcinogenic, mutagenic, or teratogenic. Direct contact may cause irritation of the skin, eyes, and mucous membranes. Perioperative personnel should know how to handle hazard...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2009.09.030
更新日期:2010-04-01 00:00:00
abstract::All nurses, regardless of specialty or practice setting, must provide effective measures to relieve their patients' pain. Uncontrolled pain can result in negative consequences, such as impaired cardiac functioning and neuroplastic changes in the spine and brain. This article discusses the problem of uncontrolled pain ...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(06)61034-x
更新日期:2002-11-01 00:00:00
abstract::Perioperative nurses and nurse leaders should understand how to apply a nursing informatics framework and informatics concepts to strengthen data interpretation, transitions in care, and engagement with patients susceptible to malignant hyperthermia (MH) and their family members. Patient outcomes can be improved when ...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2016.02.001
更新日期:2016-04-01 00:00:00
abstract::With the use of electromagnetic navigational bronchoscopy and robotics, lung lesions can be diagnosed and resected during one surgical procedure. Global positioning system technology allows surgeons to identify and mark a thoracic tumor, and then robotics technology allows them to perform minimally invasive resection ...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2013.09.016
更新日期:2014-06-01 00:00:00