The immature employee. A manager's challenge.

abstract：:To date, physicians at our hospital have performed coronary atherectomy on 15 patients. Of these patients, four needed open heart surgery. One patient needed surgery because a vessel was dissected during the procedure, and the three other patients had unsuccessful procedures. One patient died due to a cerebrovascular ...

journal_title：AORN journal

authors： Good LP,Gentzler RD

更新日期：1991-01-01 00:00:00

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：:Approximately 900 surgical site infections (SSIs) were reported to the Wisconsin Division of Public Health annually from 2013 to 2015, representing the most prevalent reported health care-associated infection in the state. Personnel at the Wisconsin Division of Public Health launched an SSI prevention initiative in Ma...

journal_title：AORN journal

authors： Borlaug G,Edmiston CE Jr

更新日期：2018-05-01 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：:The productions of the AORN Audiovisual Committee are best measured by their popularity. Enthusiastic audiences at Congress premieres and demands for bookings by chapters and individual instructors represent thousands of viewers for each film. A complete list of all films produced by the Committee is available in the ...

journal_title：AORN journal

authors： Riall CT

更新日期：1993-11-01 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：: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：: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：: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：:PATIENTS WITH BODY PIERCINGS present a challenge for today's perioperative nurses. The need to prepare these patients for surgery while promoting safety, preserving body image, and respecting cultural values has gone beyond the routine practice of jewelry removal. BODY ART (ie, tattooing, piercing) has been practiced ...

journal_title：AORN journal

authors： Larkin BG

更新日期：2004-02-01 00:00:00

abstract：:We implemented a quality improvement project to reduce noise levels in the OR in response to complaints from the anesthesia staff members at two community hospitals. Excessive noise has been shown to increase staff member stress, fatigue, distraction, and ineffective communication, which can lead to medical errors. We...

journal_title：AORN journal

authors： Hogan LJ,Harvey RL

更新日期：2015-10-01 00:00:00

abstract：:One of the most troublesome ethical dilemmas that perioperative nurses face is do-not-resuscitate (DNR) orders for surgical patients. The principles of futility, informed consent, autonomy, and beneficence underpin ethical decision making about DNR orders in surgical patients. ...

journal_title：AORN journal

authors： Jacobson BS

更新日期：1994-09-01 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

authors： Cahn J

更新日期：2021-01-01 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：:The use of scientific evidence to support national recommendations about clinical decisions has become an expectation of multidisciplinary health care organizations. The objectives of this project were to identify the most applicable evidence-rating method for perioperative nursing practice, evaluate the reliability o...

journal_title：AORN journal

authors： Steelman VM,Pape T,King CA,Graling P,Gaberson KB

更新日期：2011-04-01 00:00:00

abstract：:Disasters disrupt everyone's lives, and they can disrupt the flow and function of an OR as well as affect personnel on a professional and personal level even though perioperative departments and their personnel are used to caring for trauma patients and coping with surprises. The Boston Marathon bombing was a new expe...

journal_title：AORN journal

authors： Hemingway M,Ferguson J

更新日期：2014-02-01 00:00:00

abstract：:Successful Dupuytren's surgery requires the cooperation of the patient, the surgeon, and the therapist. Cooperation of the patient is enhanced by nursing care. Preoperative and postoperative teaching by the nurse also contribute to positive outcomes. The type of incision or surgery performed does not affect the time o...

journal_title：AORN journal

authors： May PL

更新日期：1991-07-01 00:00:00

abstract：:Bed bugs Key words: bed bugs, pest management, infestation, transmission. Warming irrigation fluids Key words: irrigation fluid, warming fluid, hypothermia, warming cabinet. Fasting before surgery Key words: fasting, NPO, liquids, solids. Advanced cardiac life support requirements for perioperative nurses Key words: a...

journal_title：AORN journal

authors： Ogg MJ

更新日期：2017-12-01 00:00:00

abstract：:This article presents a summary of literature published in recent years about latex allergy. The first article on allergic reactions associated with latex was published in Britain in 1979. Since then, the number of reported cases has increased. A wide variety of allergic reactions that range from contact dermatitis to...

journal_title：AORN journal

authors： Lopes MH,Lopes RA

更新日期：2000-07-01 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：:The delivery of culturally sensitive care by perioperative nurses is an essential element of patient advocacy. To provide culturally astute care, nurses must familiarize themselves with the world's religious and ethnic groups. Islam is a worldwide religion and, like all religions, is practiced along a spectrum ranging...

journal_title：AORN journal

authors： McKennis AT

更新日期：1999-06-01 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：: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：:The Surgical Care Improvement Project (SCIP) was formed by a partnership of national organizations with the goal of reducing surgical complications by 25% by 2010. The focus of the SCIP initiative includes four key components that perioperative health care workers can address in reducing the morbidity and mortality of...

journal_title：AORN journal

authors： Brendle TA

更新日期：2007-07-01 00:00:00

abstract：:Perioperative team membership consistency is not well researched despite being essential in reducing patient harm. We describe perioperative team membership and staffing across four surgical specialties in an Australian hospital. We analyzed staffing and case data using social network analysis, descriptive statistics,...

journal_title：AORN journal

authors： Sykes M,Gillespie BM,Chaboyer W,Kang E

更新日期：2015-02-01 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：: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：: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：: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：:Obesity-related laparoscopic sleeve gastrectomy is a common yet technically challenging bariatric procedure that requires specialized surgical knowledge and training for OR personnel. Critical components of care include an effective preoperative assessment, positioning of the patient, and operation and maintenance of ...

journal_title：AORN journal

authors： Wentzell J,Neff M

更新日期：2015-08-01 00:00:00