Abstract:
:Perioperative services team members at Presbyterian Hospital of Dallas employed a methodical redesign process to redefine team members' relationships and revise roles to be patient focused. One outcome of this redesign process was the creation of multiskilled worker (ie, unlicensed assistive personnel) roles within self-managed perioperative specialty teams. An initial pilot project using the multiskilled workers in the neurosurgical specialty service resulted in increased physician and perioperative nurse collaboration and efficiency.
journal_name
AORN Jjournal_title
AORN journalauthors
Wurstner J,Koch Fdoi
10.1016/s0001-2092(06)63716-2subject
Has Abstractpub_date
1995-05-01 00:00:00pages
834-8, 840, 843-4issue
5eissn
0001-2092issn
1878-0369pii
S0001-2092(06)63716-2journal_volume
61pub_type
杂志文章相关文献
AORN JOURNAL文献大全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
pub_type: 杂志文章
doi:10.1016/s0001-2092(06)62824-x
更新日期:1998-03-01 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::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
pub_type: 杂志文章,评审
doi:10.1016/s0001-2092(06)62866-4
更新日期:1997-07-01 00:00:00
abstract::Most OR nurses whether veteran or novice have had some exposure to organ donation; however, few are aware of what occurs outside of the surgical setting. This article provides an overview of the entire donation process, from the hours before the procedure to the steps needed for successful recovery. Particular attenti...
journal_title:AORN journal
pub_type: 杂志文章,评审
doi:10.1016/s0001-2092(06)62351-x
更新日期:1999-04-01 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::Pharmacology is integrated in all areas of nursing practice. From the most basic entry level to the most advanced clinical practice, nursing curriculums are not complete without pharmacology. The word "pharmacology" often makes nurses and other health care professionals feel uneasy. Pharmacology implies complicated wo...
journal_title:AORN journal
pub_type: 杂志文章,评审
doi:10.1016/s0001-2092(06)62180-7
更新日期:2000-01-01 00:00:00
abstract::Rupture of an abdominal aortic aneurysm (AAA) is a significant cause of mortality in the United States. Often asymptomatic, AAA is considered a silent killer because it frequently remains undiagnosed until the time of rupture or the patient's death. Major risk factors, such as smoking, age, sex, race, and family histo...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2014.01.025
更新日期:2014-09-01 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
pub_type: 杂志文章
doi:10.1016/s0001-2092(06)63767-8
更新日期:1995-04-01 00:00:00
abstract::As use of autologous platelet-rich plasma (PRP) and platelet-poor plasma (PPP) increases for intraoperative care of a variety of patients, it is important for perioperative nurses to recognize their benefits. Autologous PRP may decrease postoperative drainage, reduce narcotic requirements, and facilitate an early retu...
journal_title:AORN journal
pub_type: 临床试验,杂志文章,评审
doi:10.1016/s0001-2092(06)61320-3
更新日期:2004-10-01 00:00:00
abstract::Advances in pharmacology, cell biology, and laser and fiberoptic technology are providing many opportunities in glaucoma research. As researchers increasingly understand the physiology of the eye, they develop new therapies. A wide variety of new drugs including dopaminergics, calcium channel blockers, and prostagland...
journal_title:AORN journal
pub_type: 杂志文章,评审
doi:10.1016/s0001-2092(07)68192-7
更新日期:1991-10-01 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
pub_type: 杂志文章
doi:10.1016/s0001-2092(06)62464-2
更新日期:1999-03-01 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
pub_type: 杂志文章
doi:10.1016/s0001-2092(06)60506-1
更新日期:2004-11-01 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
pub_type: 杂志文章
doi:10.1002/aorn.12099
更新日期:2018-04-01 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::The OR has long existed as a highly specialized and distinct entity within a hospital. Recent technological advances have allowed the OR to be seamlessly integrated with the larger hospital and, in a virtual sense, with the world. The modern, integrated OR can enhance patients' surgical experiences, improve surgeons' ...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2008.07.004
更新日期:2009-01-01 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
pub_type: 杂志文章
doi:10.1016/j.aorn.2016.09.018
更新日期:2016-12-01 00:00:00
abstract::Endoscopic carpal tunnel decompression is a new and effective way of relieving CTS. It shortens the recovery period and the length of time required to resume normal postoperative activity. The majority of our patients have experienced relief of symptoms and, in instances where the opposite hand was affected by CTS, ha...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(07)64100-3
更新日期:1993-02-01 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
pub_type: 杂志文章
doi:10.1016/j.aorn.2008.02.001
更新日期:2008-05-01 00:00:00
abstract::Hospitalization and surgery are stressful experiences for children and their parents. In recent years, pediatric health care has shifted toward family-centered care that is based on close and continuous involvement of the child's family members. To shape and improve how pediatric care is delivered, health care provide...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(06)61551-2
更新日期:2000-05-01 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
pub_type: 杂志文章
doi:10.1016/j.aorn.2010.11.034
更新日期:2011-04-01 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
pub_type: 杂志文章
doi:10.1002/aorn.12371
更新日期:2018-10-01 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::Suction lipolysis is a technique of blunt aspiration of fat that allows contouring and shaping of fatty distributions in a variety of areas of the body. Sufficient experience with the technique exists so that it may be considered an acceptable and safe procedure in the armamentarium of the plastic and reconstructive s...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(07)69126-1
更新日期:1988-10-01 00:00:00
abstract::Most of the experts agree: new technology, new laser applications, and new concepts of health care will keep the ambulatory surgery industry moving and growing. Statistics from the past seem to imply the same thing. Ten years from now we can reread this article and see if we were accurate. ...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/s0001-2092(07)67259-7
更新日期:1990-01-01 00:00:00
abstract::A new development in spinal surgery uses cylindrical fusion devices for fixation and fusion. Two products, which involve differing procedures, instrumentation, and implants, have been used for more than two years and are becoming more popular as excellent fusion and recovery rates have been reported. This article disc...
journal_title:AORN journal
pub_type: 历史文章,杂志文章
doi:10.1016/s0001-2092(06)62376-4
更新日期:1998-11-01 00:00:00
abstract::This systematic review revealed that there remains no evidence to indicate whether removing nail polish and finger rings affects the rate of SSIs after surgery. Given that there are no new studies on this topic, there is insufficient evidence to determine whether wearing finger rings or nail polish affects the number ...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2015.04.011
更新日期:2015-06-01 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
pub_type: 杂志文章,评审
doi:10.1016/s0001-2092(07)66869-0
更新日期:1991-12-01 00:00:00
abstract::Educators today need innovative teaching strategies to meet the learning needs of the multigenerational population of perioperative nurses. Emerging technologies, such as YouTube, the world's largest video-sharing web site, can be used as a component of an active learning strategy that can appeal to a broad group of n...
journal_title:AORN journal
pub_type: 杂志文章
doi:10.1016/j.aorn.2012.01.023
更新日期:2012-04-01 00:00:00
abstract::The most effective approach to managing patients' pain in the immediate postoperative period may include a combination of pharmacologic agents and noninvasive, nonpharmacologic interventions. In this study, nurse researchers evaluated the effect of music on pain and anxiety levels and selected physiologic parameters o...
journal_title:AORN journal
pub_type: 临床试验,杂志文章,随机对照试验
doi:10.1016/s0001-2092(06)62999-2
更新日期:1997-04-01 00:00:00