Clinical Issues-July 2020.

abstract：:During the past 40 years, total knee arthroplasty (TKA) procedures have improved patients' pain, functional status, and overall health-related quality of life. Improved instrumentation and implant designs enable surgeons to make precise bone resection incisions that have made this a safer and more routinely performed ...

journal_title：AORN journal

authors： Hohler SE

更新日期：2008-01-01 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

authors： York K,Autry M

更新日期：2018-06-01 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abstract：:The standard of practice for perioperative hair removal is largely based on research that is outdated and underpowered.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：:Solid organ injuries of the upper abdomen consist primarily of injuries to the spleen and liver. Several years ago, these injuries were fairly straightforward to manage. Recently, however, combinations of new diagnostic modalities and the advent of nonsurgical treatments have added complexity to the management of sple...

journal_title：AORN journal

authors： Richardson JD,Brewer M

更新日期：1996-05-01 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 successful orientation of new employees facilitates their transition to the complex and demanding world of perioperative nursing. Whether a nurse is a recent graduate or an experienced nurse who has recently joined the facility or department, a new nurse benefits from a transition period during which new skills, p...

journal_title：AORN journal

authors： Mollohan JK,Morales M

更新日期：2016-08-01 00:00:00

abstract：:AORN conducted its 11th annual compensation survey for perioperative nurses in June 2013. 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 among the 2013 data and prev...

journal_title：AORN journal

authors： Bacon DR,Stewart KA

更新日期：2013-12-01 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：:The careful attention that the day-surgery staff provides to the child who undergoes a motor point block procedure can reduce the anxiety of the parents and child and significantly contribute to the overall interdisciplinary care of the patient. The experience should be a positive one for the family and for the surgic...

journal_title：AORN journal

authors： Morrison JE Jr,Hertzberg DL,Gourley SM,Matthews DJ

更新日期：1989-05-01 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：:Currently there is a shortage of cadaver organs that can be transplanted from one human being to another. In response to this shortage, scientists and medical researchers have developed techniques for transplanting animal organs into humans, a procedure known as xenotransplantation. This may address the shortage of or...

journal_title：AORN journal

authors： Derenge S,Bartucci MR

更新日期：1999-09-01 00:00:00

abstract：:Surgical site infections (SSIs) contribute to morbidity and mortality and increase the costs of patient care. Effective skin decontamination is recommended to reduce the risk of SSI and the transmission of antibiotic-resistant pathogens. A macrodilution broth method and an in vitro time-kill method were used to determ...

journal_title：AORN journal

authors： DeBaun B

更新日期：2008-05-01 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：:Perioperative nurses must use critical thinking and sound clinical judgment to meet their patients' needs safely and effectively. This requires the integration and continual updating of large amounts of detailed clinical information. Innovative education strategies are designed to make teaching and learning more inter...

journal_title：AORN journal

authors： Carifa L,Janiszewski Goodin H

更新日期：2011-10-01 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：:The authors developed a collaborative perioperative elective course between the Veterans Affairs Medical Center, Louisville, and Indiana University Southeast, New Albany. The course is for students studying for bachelor of science degrees in nursing and is offered as a four-hour elective. The course allows nursing stu...

journal_title：AORN journal

authors： Brown MB,Hill BJ,Brouse SH

更新日期：1996-03-01 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

authors： Gao S,Delclos ME,Tomas LC,Crane CH,Beddar S

更新日期：2007-11-01 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：: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：:Individuals with debilitating facial injuries and deformities have achieved significant improvement of aesthetic form and function after undergoing a face transplantation. The involvement of surgical technologists and perioperative nurses in the care of the recipient and donor plays a critical role in the success of t...

journal_title：AORN journal

authors： Sweeney N,Allen K,Miller B,Nolan T,Sheerin K

更新日期：2017-07-01 00:00:00

abstract：:Rheumatoid arthritis (RA) usually requires lifelong treatment and sometimes surgery. Metacarpophalangeal joint (MCPJ) implant arthroplasty is one surgical treatment for patients with severe RA malformation of the finger joints. Although not a cure, MCPJ implant arthroplasty can enhance patients' quality of life by imp...

journal_title：AORN journal

authors： Roth M

更新日期：1994-12-01 00:00:00

abstract：:Discharge of an outpatient surgical patient to home implies that the patient is clinically stable and capable, to some degree, of self-care. Nurses currently have no formal evidence-based clinical criteria to assist them in determining outpatient surgical patients' readiness for discharge to home. Nurses often make di...

journal_title：AORN journal

authors： Kingdon B,Newman K

更新日期：2006-04-01 00:00:00

abstract：:Heated intraoperative intraperitoneal chemotherapy (HIIC) was introduced at Altru Health System in August 2003 to offer the community a different treatment option for intraperitoneal carcinomatosis. The closed technique is performed to eliminate the risk of aerosolization and direct contact of the toxic chemotherapeut...

journal_title：AORN journal

authors： Foltz P,Wavrin C,Sticca R

更新日期：2004-12-01 00:00:00

abstract：:In a health care system in which decreasing costs, increasing quality, and minimizing morbidity are emphasized, new, less invasive surgical techniques are gaining popularity. Sentinel lymph node biopsy is one such procedure used to treat many types of breast cancer. By performing a biopsy of this node, which receives ...

journal_title：AORN journal

authors： Kellar SJ

更新日期：2001-08-01 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：:Global environmental problems are connected to patient care issues. The amount and toxicity of medical waste have increased in recent decades. Certain medical products contribute significantly to pollution and contamination of the food chain with persistent, bioaccumulative toxins, including mercury and dioxins. Perio...

journal_title：AORN journal

authors： Melamed A

更新日期：2003-06-01 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：:In response to complaints about the annual evaluation tool used at The Community Hospital in Munster, Indiana, the surgical services management team created a tool to rate the perioperative RNs on skills pertinent to the surgical services department. The hospital-wide evaluation tool uses vague criteria, which are reg...

journal_title：AORN journal

authors： Olmstead J,Falcone D,Lopez J,Sharpe L,Michna J

更新日期：2012-12-01 00:00:00

abstract：:The combination of silicone oil and blood is difficult to remove from ophthalmic surgical instruments during cleaning and decontamination processes. We sought to establish the most efficient cleaning procedure for this type of contaminated instrument. We uniformly contaminated microscopic instruments made of titanium ...

journal_title：AORN journal

authors： Zhou W,Ye C,Huang X,Zhang P,Zheng S,Qin L,Chen Y

更新日期：2020-08-01 00:00:00

abstract：:Until the development of implant endoscopy, the only method available to evaluate silicone-gel breast implants accurately for silicone leaks involved making a wide incision and visually inspecting the implant. Endoscopic magnification, however, allows an accurate diagnosis to be achieved rapidly and safely by using a ...

journal_title：AORN journal

authors： Stone J,Dowden RV

更新日期：1994-05-01 00:00:00