Periop Nursing

Latest Issue of OR Manager
October 2017
Home Periop Nursing

Infection control practices linked to lower SSI rates

Editor's Note Infection control practices that focus on perioperative patient skin and wound hygiene and transparent display of surgical site infection (SSI) data, not OR attire policies, were associated with lower SSI rates in this multi-center study. A total of 20 American College of Surgeons National Surgical Quality Improvement Program…

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By: Judy Mathias
September 14, 2017
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Effect of Medicare's Hospital Readmission Reduction Program on surgical readmissions

Editor's Note From 2008 to 2014, rates of postoperative readmissions declined for both Hospital Readmission Reduction Program targeted procedures (total hip and total knee replacements)--from 6.8% to 4.8%--and nontargeted procedures (colectomy, lung resection, abdominal aortic aneurysm repair, coronary artery bypass graft, aortic valve replacement, and mitral valve repair)--from 17.1% to…

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By: Judy Mathias
September 13, 2017
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Preadmission frailty predicts adverse outcomes in geriatric trauma patients

Editor's Note In this study, preadmission clinical frailty independently predicted adverse discharge destination (ie, death or discharge to a long-term, chronic or acute care facility) in geriatric trauma patients. The analysis of 266 trauma patients 65 years and older using the Clinical Frailty Scale (CFS) and the laboratory Frailty Index…

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By: Judy Mathias
September 11, 2017
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FDA issues alert for alcohol pads, benzalkonium chloride antiseptic towelettes by Foshan Flying Medical Products

Editor's Note The Food and Drug Administration (FDA) on September 1 issued a Safety Alert notifying healthcare professionals and patients not to use alcohol pads or benzalkonium chloride antiseptic towelettes made by Foshan Flying Medical Products Co Ltd (China) because of lack of sterility and other quality issues. Use of…

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By: Judy Mathias
September 6, 2017
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Joint Commission temporarily suspends accreditation surveys in Houston

Editor's Note The Joint Commission announced on August 30 that because of flooding in Houston and surrounding areas, it is temporarily suspending accreditation survey activity for organizations severely affected by Hurricane Harvey. Joint Commission Online Weekly Newsletter

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By: Judy Mathias
September 1, 2017
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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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FDA recommends use of thermal regulating systems during surgery

Editor's Note The Food and Drug Administration (FDA) on August 30 issued a Safety Alert reminding healthcare providers that using thermal regulating systems, including forced air systems, during surgical procedures has been shown to result in less bleeding, faster recovery times, and decreased risk of infections for patients. The FDA…

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By: Judy Mathias
September 1, 2017
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23 Houston-area hospitals move patients; 25 more are vulnerable

Editor's Note At least 23 hospitals in the Houston area affected by flooding from Hurricane Harvey have moved patients to other facilities, and another 25 are considered vulnerable to flooding or shortages of staff and supplies, the August 29 Houston Chronicle reports. The full tally of evacuated patients was not…

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By: Judy Mathias
August 30, 2017
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Joint Commission issues R3 Report on pain assessment and management standards for hospitals

Editor's Note The Joint Commission has issued a new R3 Report to help accredited hospitals better understand and comply with its new and revised pain management standards, which are effective January 1, 2018. This R3 Report provides in-depth rationale, references, and evidence used in the development of the new and…

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By: Judy Mathias
August 30, 2017
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Barriers, benefits of using mobile health technology postoperatively

Editor's Note This survey of 800 patients identified a range of potential barriers and benefits to using mobile health technology to enhance recovery after surgery. Potential barriers included: protecting personal health information technology effectiveness and failure preference for face-to-face interaction with their surgeons level of effort required ability of older…

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By: Judy Mathias
August 30, 2017
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Postop pain predicts readmissions, ED visits

Editor's Note Postoperative pain trajectories can identify patients at risk for 30-day readmissions and emergency department (ED) visits, and are not mediated by postdischarge complications, this study finds. In this analysis of 211,231 surgical procedures (45.4% orthopedic, 37.0% general, and 17.6% vascular), the 30-day unplanned readmission rate was 10.8%, and…

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By: Judy Mathias
August 29, 2017
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