Periop Nursing

Latest Issue of OR Manager
March 2018
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CMS grants exceptions to ASCs in areas affected by natural disasters

Editor's Note Because of the impact of several recent natural disasters, the Centers for Medicare & Medicaid Services (CMS) is granting exceptions for Medicare quality reporting requirements to ASCs in affected areas, the February 12 ASCA News reports. Exceptions include: ASCs in two California counties affected by wildfires ASCs located…

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By: Judy Mathias
February 16, 2018
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Study: OR skullcaps not linked to SSIs

Editor's Note Strictly enforcing a ban on skullcaps in the OR had no impact on surgical site infection (SSI) rates in this study, presented at the annual Academic Surgical Congress in Jacksonville, Florida. The analysis included American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) data on 1,901…

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By: Judy Mathias
February 15, 2018
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FDA permits marketing of new blood test for concussions

Editor's Note The Food & Drug Administration (FDA) on February 14 authorized marketing of the first blood test to help evaluate concussions in adults and reduce the need for CT scans. The Banyan Brain Trauma Indicator works by measuring levels of proteins (ie, UCH-L1 and GFAP) that are released from…

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By: Judy Mathias
February 15, 2018
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Johns Hopkins allowing animal-assisted therapy in ICU

Editor's Note Bringing specially trained dogs into ICUs can safely and substantially ease patients' physical and emotional pain, according to Johns Hopkins researchers. Having seen how successful animal-assisted therapy was in the inpatient rehabilitation unit at Johns Hopkins, the researchers adapted the hospital’s protocol to safely bring dogs to ICU…

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By: Judy Mathias
February 13, 2018
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Association of injury location to mortality

Editor's Note Injury scene characteristics are linked to mortality, with odds of death highest for those injured in communities with higher median age or lower per capita income, and located farther from level 1 or 2 trauma centers, this study finds. This study of 16,082 patients found the odds of…

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By: Judy Mathias
February 9, 2018
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Toxic Nursing : Managing Bullying, Bad Attitudes, and Total Turmoil

By: Cheryl Dellasega & Rebecca L. Volpe Nurse Managers and nurse administrators at all levels are frequently confronted by the need to manage employee issues arising from interpersonal relationships. These include: conflict (relational Aggression or covert bullying), cynicism (negative work attitudes), and calamity (drama and overt antagonism). As a much…

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Testing reprocessing procedures with PCR based method

Editor's Note A real-time polymerase chain reaction (PCR) sampling method for monitoring reprocessing of colonoscopes was successfully applied in this multicenter Italian study. PCR allowed identification of contaminated (59) and fully reprocessed (52) colonoscopes in 10 endoscopy units with high sensibility (98 %) and specificity (98%), within 3 to 4…

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By: Judy Mathias
February 8, 2018
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Exams scheduled for new ASC infection preventionist credential

Editor's Note The first exams have been scheduled for the recently launched new credential for infection preventionists in the ambulatory surgery center (ASC) setting−Certified Ambulatory Infection Preventionist (CAIP). The exam will be online at a testing center October 1-31, 2018. Electronic application must be submitted between August 1 and 31.…

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By: Judy Mathias
February 8, 2018
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Short-term weight loss before bariatric surgery linked to better outcomes

Editor's Note Patients who lose some weight before bariatric surgery achieve greater weight loss after surgery, and they have shorter procedures and hospital stays, this study finds. Those (224 patients) who lost 8% of their excess weight by following a 1,200 calorie diet for 4 weeks before their surgeries had…

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By: Judy Mathias
February 7, 2018
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FDA clears updated design, labeling for Pentax duodenoscope

Editor's Note The Food and Drug Administration (FDA) on February 7 announced that it had cleared the updated design and labeling for Pentax Medical's duodenoscope Model ED-3490TK. Pentax replaced the forceps elevator mechanism, O-ring seal, and distal end cap, and updated the Operation Manual to recommend annual maintenance. The design…

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By: Judy Mathias
February 7, 2018
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Colorectal ERP improves outcomes, lowers costs despite use of expensive drugs

Editor's Note Implementation of an enhanced recovery pathway (ERP) for colorectal surgical patients substantially reduced length of stay, total hospital costs, and direct pharmacy costs without increasing complications or readmission rates in this study. The study, which included 160 colorectal patients before ERP was implemented and 146 patients after implementation,…

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By: Judy Mathias
February 6, 2018
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