abstract：:Accreditation surveys protect patients and personnel by monitoring health care facility compliance with rules, regulations, and best practices. Accreditation, or the lack of it, can affect a facility's ability to be reimbursed. The ability of personnel to follow best practices and adhere to regulatory requirements in ...

journal_title：AORN journal

authors： Seavey RE

更新日期：2015-10-01 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：: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：: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

abstract：:Perioperative nurses play a pivotal role in coordinating care during crises, employing their nursing skills to foster a positive outcome and collaborating with their colleagues and peers to achieve the desired resolution. Whether caring for a patient during a liver transplantation or one undergoing removal of a cyst, ...

journal_title：AORN journal

authors： Seifert PC,Wadlund DL

更新日期：2015-07-01 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：:Traditionally, one nurse is assigned per OR. Recent health care reforms and the AORN "Position statement on perioperative safe staffing and on-call practices" require managers to rethink this practice. Staffing levels that are insufficient have been linked to sentinel events. A patient classification system that inclu...

journal_title：AORN journal

authors： Bell L

更新日期：2015-06-01 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：: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：:The purpose of preemptive analgesia is to reduce postoperative pain, contributing to a more comfortable recovery period and reducing the need for narcotic pain control. The efficacy of preemptive analgesia remains controversial. This systematic review of the literature evaluated the efficacy of nonsteroidal anti-infla...

journal_title：AORN journal

authors： Penprase B,Brunetto E,Dahmani E,Forthoffer JJ,Kapoor S

更新日期：2015-01-01 00:00:00

abstract：:Anterior cruciate ligament (ACL) reconstruction is one of the most commonly performed orthopedic procedures in the United States. Repair of the ACL often requires the use of autografts or allografts, and the RN first assistant (RNFA) often is the team member responsible for preparing the graft. Common grafts used in A...

journal_title：AORN journal

authors： Rozakis M

更新日期：2014-11-01 00:00:00

abstract：:Effective on-call clinical staffing is critical to providing perioperative services to patients requiring emergency surgical care. Without careful monitoring of continuous work hours and hours worked per week, staffing practices can adversely affect the ability of personnel to function and provide care. Managers and p...

journal_title：AORN journal

authors： Olmstead J,Falcone D,Lopez J,Mislan L,Murphy M,Acello T

更新日期：2014-10-01 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

authors： Gordon PA,Toursarkissian B

更新日期：2014-09-01 00:00:00

abstract：:TeamSTEPPS is a powerful, evidence-based tool available to perioperative leaders to promote patient safety. The program improves communication and develops highly effective teams that optimize the use of information, people, and resources; resolve conflicts; improve information sharing; eliminate barriers to quality a...

journal_title：AORN journal

authors： Steelman VM

更新日期：2014-07-01 00:00:00

abstract：:With the use of electromagnetic navigational bronchoscopy and robotics, lung lesions can be diagnosed and resected during one surgical procedure. Global positioning system technology allows surgeons to identify and mark a thoracic tumor, and then robotics technology allows them to perform minimally invasive resection ...

journal_title：AORN journal

authors： Christie S

更新日期：2014-06-01 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：: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：: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：:Advancements in transplantation offer promising treatment options for a variety of diseases. Organ donation, an essential part of organ transplantation, may be performed at hospitals even if the facility is not a transplant center; therefore, perioperative nurses should be aware of developments in transplantation and ...

journal_title：AORN journal

authors： Paramesh AS

更新日期：2013-04-01 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：:Efforts to comply with AORN's recommended practices for sterilization led a multidisciplinary team at H. Lee Moffitt Cancer Center & Research Institute, Tampa, Florida, to undertake a quality improvement project to reduce the frequency of immediate-use (previously called flash) sterilization. Team members determined t...

journal_title：AORN journal

authors： Shelby D,Kras B,Bryant S,Myers K,Bolyard N

更新日期：2012-11-01 00:00:00

abstract：:Organ donation after cardiac death is an ethical and acceptable practice of providing organs for transplantation. Organ recovery, the removal of life support, and patient death occur in the OR, and, because family members are not present, some feel that they have abandoned their loved one. This article reports a case ...

journal_title：AORN journal

authors： Reed CC,Gerhardt SD,Shaver K,Koebcke M,Mullins D

更新日期：2012-07-01 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：: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

authors： Logan R

更新日期：2012-04-01 00:00:00

abstract：:AORN conducted its ninth annual compensation survey for perioperative nurses in June and July 2011. 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 2011 ...

journal_title：AORN journal

authors： Bacon D

更新日期：2011-12-01 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：:A retained surgical sponge is a sentinel event that can result in serious negative outcomes for the patient. Current standards rely on manual counting, the accuracy of which may be suspect, yet little is known about why counting fails to prevent retained sponges. The objectives of this project were to describe periope...

journal_title：AORN journal

authors： Steelman VM,Cullen JJ

更新日期：2011-08-01 00:00:00

abstract：:Robotic-assisted laparoscopic prostatectomy is a surgical procedure performed to eradicate prostate cancer. Use of robotic assistance technology allows smaller incisions than the traditional laparoscopic approach and results in better patient outcomes, such as less blood loss, less pain, shorter hospital stays, and be...

journal_title：AORN journal

authors： Chitlik A

更新日期：2011-07-01 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：: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：: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：: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

authors： Mellinger E,Skinker L,Sears D,Gardner D,Shult P

更新日期：2010-04-01 00:00:00

abstract：:Prevention of health care-associated infections, specifically surgical site infections, is a fundamental responsibility of the perioperative team. Breaks in sterile technique can and do occur, even for the most conscientious perioperative practitioners. Surgical site infections are associated with unnecessary patient ...

journal_title：AORN journal

authors： Hopper WR,Moss R

更新日期：2010-03-01 00:00:00

abstract：:High- and low-pressure vacuum drains are commonly used after surgical procedures. High-pressure vacuum drains (ie, sealed, closed-circuit systems) are efficient and allow for easy monitoring and safe disposal of the drainage. Low-pressure vacuum drains use gentle pressure to evacuate excess fluid and air, and are easy...

journal_title：AORN journal

authors： Durai R,Ng PC

更新日期：2010-02-01 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：: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：:A congential head or neck mass increase the risk of airway obstruction and imminent respiratory failure at birth. The ex utero intrapartum treatment (EXIT) procedure is an option to secure the infant's airway in some clinical situations when an antenatal diagnosis of a head or neck mass or potentials airway obstructio...

journal_title：AORN journal

authors： Filipchuck D,Avdimiretz L

更新日期：2009-11-01 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：:This project investigated parents' and caregivers' perceptions of the fast-track surgery process with regard to their child's surgical procedure and hospital stay. The goal of this project was to review and improve the fast-track process. Participants were parents/caregivers of pediatric patients (ie, younger than 18 ...

journal_title：AORN journal

authors： Jawahar K,Scarisbrick AA

更新日期：2009-04-01 00:00:00

abstract：:This article describes the implementation of a couplet care program for patients who have undergone a cesarean delivery. The goals of couplet care (ie, keeping a mother and infant together after the birth) are to facilitate family bonding, support successful breastfeeding, and increase patient satisfaction. Staff memb...

journal_title：AORN journal

authors： Spradlin LR

更新日期：2009-03-01 00:00:00