A nurse's right to refuse a patient care assignment.

abstract：:Each year, 600,000 hysterectomies are performed in the United States, costing an estimated $4 billion. Approximately 50% of these hysterectomies are performed for menorrhagia or abnormal uterine bleeding. Menorrhagia can have a negative impact on a woman's lifestyle and self-perception, often leading her to seek defin...

journal_title：AORN journal

authors： Barrow C

更新日期：1999-07-01 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：: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：: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abstract：:The standard of practice for perioperative hair removal is largely based on research that is outdated and underpowered.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：:Nursing performance, or the skills a nurse exhibits in practice, is limited by the extent or level of a nurse's knowledge base; hence, the expression "nurses are what nurses do" probes nurses' levels of satisfaction with their present educational status. Given the rapid changes in health care today, nurses are questio...

journal_title：AORN journal

authors： Domino E

更新日期：2005-01-01 00:00:00

abstract：:Achieving perioperative hemostasis is vital to surgical success. Inadequate control of bleeding is associated with serious adverse outcomes, including extended duration of surgery, unanticipated blood transfusions, shock, infection, impaired wound healing, longer hospital stays, and mortality. Appropriate clinical man...

journal_title：AORN journal

authors： Neveleff DJ,Kraiss LW,Schulman CS

更新日期：2010-11-01 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：:To estimate the prevalence, risk factors, and clinical spectrum of adverse reactions to natural rubber latex-containing products among a national sample of perioperative nurses, the investigators administered a self-reporting questionnaire to a convenience sample of 2,200 members of the Association of Operating Room N...

journal_title：AORN journal

authors： Zaza S,Reeder JM,Charles LE,Jarvis WR

更新日期：1994-11-01 00:00:00

abstract：:Systematic reviews are used to gather information from a variety of sources and distill information based on best evidence synthesis, while also excluding poor quality studies via explicit validity checks. This article provides a roadmap to conducting a systematic review with the Cochrane Collaboration and uses an exa...

journal_title：AORN journal

authors： Lipp A

更新日期：2003-07-01 00:00:00

abstract：:To determine whether to accept a contract to provide additional surgical cases, OR managers must determine the incremental costs of caring for the new patients. The expected profitability of the contract can be computed by subtracting the incremental costs from the revenue. For surgical procedures, the incremental cos...

journal_title：AORN journal

authors： Macario A,Dexter F

更新日期：2000-04-01 00:00:00

abstract：:The purpose of this needs assessment was to determine which waiting area amenities family members deem important to make them comfortable when waiting for news about surgical patients. A literature review was conducted, perioperative staff members were interviewed and surveyed, and family members were interviewed and ...

journal_title：AORN journal

authors： Carmichael JM,Agre P

更新日期：2002-06-01 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：: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：:In 2000, the Hospital of the University of Pennsylvania, Philadelphia, installed a patient flow management system. Staff members embraced the technology, finding that it improved communication and quality of patient care, and hospital administrators noticed increased productivity and revenue after implementing the sys...

journal_title：AORN journal

authors： McHugh N

更新日期：2004-09-01 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：:This collaborative study sought to describe technology used by AORN members at work, inclusive of radio-frequency identification or barcode scanning (RFID), data collection tools (DATA), workflow or dashboard management tools (DASHBOARD), and environmental services/room decontamination technologies (ENVIRON), and to i...

journal_title：AORN journal

authors： Sipes C,Baker JD

更新日期：2015-09-01 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

authors： Girard N

更新日期：2015-06-01 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：:Triple arthrodesis is the surgical fusion of the calcaneocuboid, talonavicular, and talocalcaneal joints of the foot. This is a palliative surgical procedure used to treat many painful hindfoot disorders (eg, clubfoot deformity, arthritis, Charcot's joint disease). Patient benefits include pain relief and improvement ...

journal_title：AORN journal

authors： Schramm CA,Hein SC,Cooper PS

更新日期：1996-07-01 00:00:00

abstract：:Cleaning, decontaminating, and handling instructions for instruments vary widely based on the type of instrument and the manufacturer. Processing instruments in accordance with the manufacturer's instructions can help prevent damage and keep devices in good working order. Most importantly, proper cleaning and disinfec...

journal_title：AORN journal

authors： Cowperthwaite L,Holm RL

更新日期：2015-05-01 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：: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：:The literature suggests that acts of bullying are a root cause of new nurses leaving their units or the profession entirely and have the potential to worsen the nursing shortage. As an effective way to address bullying in the perioperative setting, mentoring benefits the nursing profession. Mentoring can have a direct...

journal_title：AORN journal

authors： Frederick D

更新日期：2014-05-01 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：:Perioperative and procedure area nurses can encounter barriers during the time-out process. In March 2016, a mock regulatory agency surveyor identified a gap during a time out in our cardiac catheterization laboratory. We worked with our facility's holistic nursing group to identify a solution to gain the full attenti...

journal_title：AORN journal

authors： Brenckle EA,Gealer D,Milligan M

更新日期：2020-01-01 00:00:00

abstract：:Unilateral vocal cord paralysis causes disturbances with vocal function and swallowing, to include aspiration. Thyroplasty type I has become one of the preferred surgical treatments for unilateral vocal cord paralysis. It is tolerated better by the patient, improves predictability of surgical results, and provides goo...

journal_title：AORN journal

authors： Herman C

更新日期：2002-03-01 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

authors： Davis JL,Crick JC

更新日期：1988-08-01 00:00:00

abstract：:Approximately 500,000 surgical site infections (SSIs) occur each year in the United States. The purpose of this study was to determine if the bacteria most frequently involved in SSIs could be found on telephones in the OR. Twenty-six cultures were taken from telephones in 14 ORs and two substerile rooms at a large te...

journal_title：AORN journal

authors： Nelson J,Bivens A,Shinn A,Wanzer L,Kasper C

更新日期：2006-03-01 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