Clinical Issues-January 2021.

abstract：:Though often difficult, ethical decision making is necessary when caring for surgical patients. Perioperative nurses have to recognize ethical dilemmas and 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 Statements. ...

journal_title：AORN journal

authors： Seifert PC

更新日期：2002-07-01 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：:IN RESPONSE TO RECENT REPORTS from several major US medical centers regarding possible exposure of surgical patients to transmissible spongiform encephalopathies (TSEs), one institution developed guidelines to care for surgical patients with the preoperative diagnosis of "rule out TSE." BASED ON CURRENT sterilization ...

journal_title：AORN journal

authors： Brendle TA

更新日期：2005-09-01 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 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：:Perioperative nursing is at the threshold of an unprecedented shortage that may affect the profession for years to come as the existing workforce ages and nursing schools continue to marginalize perioperative curricula. The purpose of this study is to investigate perioperative staffing issues, preceptorship training p...

journal_title：AORN journal

authors： Ward RP,Saylor C

更新日期：2002-12-01 00:00:00

abstract：:Percutaneous transluminal balloon angioplasty (PTBA) is a minimally invasive and effective adjunct treatment for patients with atherosclerotic peripheral vascular disease. This surgical technique involves placing an intraarterial balloon within an obstructing arterial lesion and forcibly dilating the balloon under flu...

journal_title：AORN journal

authors： Henderson LJ,Kirkland JS

更新日期：1995-04-01 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：:Mastocytosis, an uncommon clinical disorder, can present a variety of clinical manifestations ranging from an asymptomatic state to one characterized by recurrent episodes of severe vasodilatation. Even the patient whose disease appears to be well controlled and is asymptomatic preoperatively can develop serious intra...

journal_title：AORN journal

authors： Goins VA

更新日期：1991-12-01 00:00:00

abstract：:Patients with severe abdominal trauma injuries can have improved outcomes if a priority-oriented approach is taken to surgical intervention. This includes temporary abdominal closure and planned reoperation to complete complex, lengthy procedures when the patient is stabilized. Temporary abdominal closure can be achie...

journal_title：AORN journal

authors： Fox VJ,Miller J,Nix AM

更新日期：1999-03-01 00:00:00

abstract：:A culture of patient safety requires commitment and full participation from all staff members. In 2008, results of a culture of patient safety survey conducted in the perioperative division of the Lehigh Valley Health Network in Pennsylvania revealed a lack of patient-centered focus, teamwork, and positive communicati...

journal_title：AORN journal

authors： Johnson HL,Kimsey D

更新日期：2012-05-01 00:00:00

abstract：:Establishing and maintaining a sterile field to help prevent surgical site infections requires specific knowledge and skills and is among the most important responsibilities of the perioperative RN. Perioperative RNs should remain vigilant in monitoring the sterile field, communicate when a break in sterile technique ...

journal_title：AORN journal

authors： Link T

更新日期：2019-10-01 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：:This article reviews recently reported patient-to-patient transmission of disease during endoscopic procedures and discusses several important instrument reprocessing issues. In addition, the author offers several infection control recommendations to minimize the risk of patient infection during endoscopic procedures....

journal_title：AORN journal

authors： Muscarella LF

更新日期：1998-03-01 00:00:00

abstract：:A three-part analysis was undertaken to increase understanding of the occurrence of pressure ulcers in lithotomy positions. An innovative measuring device was used to determine capillary pressure. Ankle blood pressure was measured compared to ankle height in 11 participants. Ankle systolic and diastolic pressure decre...

journal_title：AORN journal

authors： Roeder RA,Geddes LA,Corson N,Pell C,Otlewski M,Kemeny A

更新日期：2005-04-01 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：: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：: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：:Errors in nursing practice pose a continuing threat to patient safety. A descriptive, correlational study was conducted to examine the definitions, circumstances, and perceived causes of intraoperative nursing errors; reactions of perioperative nurses to intraoperative nursing errors; and the relationships among copin...

journal_title：AORN journal

authors： Chard R

更新日期：2010-01-01 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：: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：:We formed an interdisciplinary team to create a standardized, evidence-based protocol that would reduce cesarean delivery surgical site infection rates at our tertiary teaching facility. The Joint Commission's current implementation guide for surgical site infections, although comprehensive, does not specifically addr...

journal_title：AORN journal

authors： Money L,Eyer M,Duncan K

更新日期：2018-10-01 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：: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 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：: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：: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：: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：: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：:Perioperative nursing is faced with a staffing crisis attributed in part to minimal numbers of newly graduated nurses choosing a career in this specialty. This article analyzes and applies the concept of value to explore how to maintain an adequate perioperative nursing workforce; recruit newly graduated nurses; and e...

journal_title：AORN journal

authors： Kapaale CC

更新日期：2018-03-01 00:00:00