Ideas and Approaches for Quality-Assessment and Performance-Improvement Projects in Ambulatory Surgery Centers.

abstract：:These guidelines are not intended to be the final word in establishment of wet pack criteria. They can serve as a starting point in development of criteria and test methodology that are scientifically defensible and practical. The joint efforts of hospital personnel and industry are necessary to continue research of t...

journal_title：AORN journal

authors： Karle DA,Ryan P

更新日期：1983-08-01 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

authors： Arnstein P

更新日期：2002-11-01 00:00:00

abstract：:A host of toxic substances exist in the OR. The toxicity of prep solutions, cleaning chemicals, common medications, and trace anesthetic gases varies greatly. Nurses use, direct others in the use of, or administer potential toxins while breathing air that may be contaminated to some degree with anesthetic vapors. Ofte...

journal_title：AORN journal

authors： Fiedler MA,Biddle C

更新日期：1998-02-01 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

authors： Dagey D

更新日期：2017-01-01 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：: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

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：:AORN conducted its eighth annual compensation survey for perioperative nurses in June and July 2010. A multiple regression model was used to examine how a number of variables, including job title, education level, certification, experience, and geographic region, affect nurse compensation. Comparisons between the 2010...

journal_title：AORN journal

authors： Bacon D

更新日期：2010-12-01 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：:PATIENTS WHO HAVE EXPERIENCED multiple traumatic injuries present one of the greatest challenges for perioperative teams. IN A TRAUMA PATIENT who is hemorrhaging, increased risk of death arises from a vicious cycle of hypothermia, coagulopathy, and metabolic acidosis known as the triad of death. A STAGED SURGICAL APPR...

journal_title：AORN journal

authors： McArthur BJ

更新日期：2006-12-01 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：:When a urinary catheter is not inserted using proper technique, becomes unclean, or remains in place for too long, microorganisms can travel through the catheter lumen or along the outside of the catheter and infect the bladder or kidneys, resulting in a catheter-associated urinary tract infection (CAUTI). Urinary tra...

journal_title：AORN journal

authors： Clayton JL

更新日期：2017-05-01 00:00:00

abstract：:We describe the journey of personnel at one hospital to create a healing environment for patients and staff members at all levels through the implementation of Watson's Theory of Human Caring and her Caritas Processes (ie, loving kindness, authentic presence, spirituality, being the environment, believing in miracles)...

journal_title：AORN journal

authors： Norman V,Rossillo K,Skelton K

更新日期：2016-11-01 00:00:00

abstract：:Aseptic technique can best be described as an aggregation of reasonable practices performed in the surgical suite as part of the overall methodology in controlling or minimizing the possibility of infection. The key words in this definition are aggregation and reasonable. The real question is whether the surgical nurs...

journal_title：AORN journal

authors： Belkin NL

更新日期：1992-06-01 00:00:00

abstract：:Skill in managing immature employees is seldom learned in nursing management classes and is usually developed as a result of difficult experiences. A technique in which limits are set is most effective. As with other difficult management situations, the manager cannot expect immediate rewards. The immature employee wh...

journal_title：AORN journal

authors： Farabaugh NF,Davidhizar RE

更新日期：1988-05-01 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：: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

authors： Mellinger E,Skinker L,Sears D,Gardner D,Shult P

更新日期：2010-04-01 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：: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：: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：:The intra-aortic balloon pump (IABP) is a commonly used circulatory-assist device that increases myocardial oxygen supply and reduces myocardial oxygen demand, thus improving left ventricular function. The inflation and deflation pattern of the IABP is the opposite of the heart's rhythm. As the heart rests, the balloo...

journal_title：AORN journal

authors： Tremper RS

更新日期：2006-07-01 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：: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：: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

authors： Augustin P,Hains AA

更新日期：1996-04-01 00:00:00

abstract：:KNOWLEDGE OF FIRE PREVENTION and fire safety is essential for every OR staff member. In the event of a surgical fire, the quick and knowledgeable response of surgical team members will affect their own safety and that of their patients. A NEW FIRE SAFETY PLAN was developed at Peninsula Regional Medical Center, Salisbu...

journal_title：AORN journal

authors： Flowers J

更新日期：2004-04-01 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：: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：:BEHAVIORAL INSTRUMENTS can be useful tools to help leaders gain insight into how to better communicate with coworkers. The DISC instrument classifies behaviors into four personality types (ie, Dominant, Influencer, Steady, Conscientious) and provides methods leaders can use to work with each personality type. LEADERS ...

journal_title：AORN journal

authors： Slowikowski MK

更新日期：2005-11-01 00:00:00

abstract：:Communication and other nontechnical skills can affect the number of adverse events occurring in perioperative areas. Our study assessed the properties of the Scrub Practitioners' List of Intraoperative Non-Technical Skills (SPLINTS) used to assess nontechnical skills of scrub nurses in a diverse Asian ophthalmic ambu...

journal_title：AORN journal

authors： Loh HP,De Korne DF,Yin SQ,Ang E,Lau Y

更新日期：2019-04-01 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