Periop Nursing

Latest Issue of OR Manager
December 2017
Home Periop Nursing

Preop cognitive screening predicts postop complications in older total joint patients

Editor's Note Poor preoperative cognition, as assessed by preoperative Mini-Cog screening, is prevalent among older total joint patients and predictive of adverse outcomes, including postoperative delirium, longer hospital stay, and greater likelihood of discharge to a place other than home, this study finds. Of 211 patients 65 years of age…

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By: Judy Mathias
November 7, 2017
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Joint Commission updates emergency management requirements

Editor's Note The Joint Commission on November 3 updated its emergency management requirements for hospital, ambulatory, home health, and hospice settings, effective November 15. The updated standards will assist healthcare organizations in more effectively planning for disasters and coordinate with federal, state, tribal, regional, and local emergency preparedness systems. The…

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By: Judy Mathias
November 6, 2017
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Joint Commission redesigning Accreditation and Certification reports

Editor's Note The Joint Commission announced November 1 that it is redesigning its Accreditation and Certification reports to be more user-friendly.  The redesigned reports will highlight the most relevant information about surveys and reviews, outcomes, and required follow-ups. Additional changes include: removing unnecessary white space and repetitive text prioritizing and grouping…

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By: Judy Mathias
November 2, 2017
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Surveillance is safe for noncancerous, high-risk breast lesions

Editor's Note High-risk, noncancerous flat epithelial atypia (FEA) breast lesions can be treated with close observation rather than surgical removal in most cases, this study finds. The analysis of 208 patients diagnosed with FEA over a 9-year period found that after mammography, biopsy, and surgical excision, five lesions (2.4%) were…

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By: Judy Mathias
November 1, 2017
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Improving readability of discharge instructions linked to fewer follow-up phone calls

  Editor's Note Making discharge instructions easier to read resulted in fewer phone calls from traumatic injury patients after discharge, finds this study presented October 25 at the American College of Surgeons Clinical Congress 2017 in San Diego. A total of 1,006 patients were included in the study, 493 in…

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By: Judy Mathias
October 31, 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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Belly fat predicts adverse outcomes after emergency surgery

Editor's Note A patient’s waist measurement can predict the risk of complications and death after emergency general surgery, finds this study presented October 26 at the American College of Surgeons Clinical Congress 2017 in San Diego. Included in the study were 608 emergency general surgery patients who had preoperative CT…

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By: Judy Mathias
October 30, 2017
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PSH model reduces deaths, ED visits in elderly hip fracture patients

Editor's Note Elderly hip fracture patients were less likely to die or return to the emergency department (ED) after discharge if they received care under the Perioperative Surgical Home (PSH) model of care, finds this study presented October 21 at the Anesthesiology 2017 annual meeting in Boston. PSH patients also…

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By: Judy Mathias
October 30, 2017
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Total joint patients using fewer opioids to manage postop pain

Editor's Note Opioid use in total hip and knee patients decreased by one-third between 2006 and 2014, which reflects success in the use of a multimodal approach (ie, opioids plus additional pain management methods, such as peripheral nerve blocks and acetaminophen) to pain management, finds this study presented October 21…

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By: Judy Mathias
October 27, 2017
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Study: Cloth skull caps more effective than bouffant disposable caps in preventing airborne contamination

Editor's Note Surgeon’s cloth skull caps that expose small amounts of the ears and hair are not inferior to bouffant disposable hats that cover those features, finds this study presented October 25 at the American College of Surgeons Clinical Congress 2017 in San Diego and published online October 26 in…

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By: Judy Mathias
October 26, 2017
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Most hip fractures occur in warm months, indoors

Editor's Note Most elderly hip fractures occur during warm months, and a greater number happen indoors rather than out, finds this study presented October 23 at the Anesthesiology 2017 annual meeting in Boston. In this analysis of 544 hip fracture patients treated at The Hospital of Central Connecticut from 2013…

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By: Judy Mathias
October 25, 2017
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