Periop Nursing

Latest Issue of OR Manager
October 2017
Home Periop Nursing

ASCs struggle to match staffing to demand

Hiring experienced staff remains a challenge for leaders in ambulatory surgery centers (ASCs) even as many organizations increase case volume and specialties, according to the 2017 annual OR Manager Salary/Career Survey. More than two-thirds (67%) of respondents said that recruiting experienced RNs had become more difficult in the past 12…

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By: Cynthia Saver, MS, RN
August 22, 2017
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VA notifies 526 patients at risk from improperly cleaned scopes

Editor's Note The Veterans Affairs Medical Center, in Buffalo, New York, is notifying 526 patients that they may be at risk of infection from improperly cleaned endoscopes, the August 16 Buffalo News reports. A recent hospital review of endoscope disinfection processes found that steps in the manufacturer’s instructions may not…

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By: Judy Mathias
August 21, 2017
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Five-year outcomes of on-pump vs off-pump CABG

Editor's Note In this multicenter study, on-pump coronary artery bypass grafting (CABG) led to significantly higher rates of 5-year survival and event-free survival than off-pump CABG. From 2002 to 2007, a total of 2,203 patients at 18 medical centers were randomly assigned to undergo either on-pump (1,099 patients) or off-…

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By: Judy Mathias
August 17, 2017
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Effect of antibiotic duration on colorectal SSIs

Editor's Note When colorectal surgical patients, who were given a single dose of antibiotic before surgery and re-dosing if the procedure lasted longer, were compared to patients given additional antibiotics for 24 hours postoperatively, infection rates were identical, this study finds. A total of 965 patients were included in this…

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By: Judy Mathias
August 14, 2017
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FDA: Safety Alert on liquid-filled intragastric balloon systems

Editor's Note The Food and Drug Administration (FDA) on August 10 issued a Safety Alert to update healthcare providers on five reports of unanticipated deaths that have occurred from 2016 to the present in patients with liquid-filled intragastric balloon systems used to treat obesity. Four reports involve the Orbera Intragastric…

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By: Judy Mathias
August 14, 2017
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Outcomes in patients diagnosed with OSA during preop screening vs previously diagnosed

Editor's Note In this study, patients diagnosed on the day of surgery as moderate to high risk for obstructive sleep apnea (OSA) had similar rates of adverse respiratory events (ie, perioperative hypoxemia and difficult airway management) as patients who had been diagnosed with OSA previously. However, those diagnosed with OSA…

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By: Judy Mathias
August 14, 2017
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Cognitive assessment helps predict survival in frail surgical patients

Editor's Note Adding cognitive assessment to frailty assessment predicted poor postoperative outcomes and survival in frail patients better than either measurement alone, this study finds. The study included 330 patients having major surgery who were assessed with a four-level composite frailty scoring system, which was created by combining the Fried…

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By: Judy Mathias
August 10, 2017
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Obese cardiac surgery patients use more ICU resources

Editor's Note After cardiac surgery, obese patients required significantly more ICU resources and longer recovery times, resulting in more expensive, labor-intensive care, this study finds. Of 5,365 patients included in the analysis, 1,948 were classified as obese. Patients with greater obesity were: four times more likely to have longer time…

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By: Judy Mathias
August 10, 2017
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Preop elderly assessment tool identifies postop complication risks

Editor's Note Screening elderly patients preoperatively using the Vulnerable Elders Surgical Pathways and Outcomes Assessment (VESPA) tool helped identify patients at higher risk of postoperative complications in this study. A total of 736 patients 70 years of age or older were assessed in a preoperative clinic from July 9, 2008,…

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By: Judy Mathias
August 4, 2017
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National ASC Week is August 7-11

Editor's Note The 2017 National Ambulatory Surgery Center (ASC) Week is August 7 to 11. ASCs across the country will host a variety of activities and events to celebrate, including educational seminars, tours of ASCs, health screenings, and social media outreach. The Ambulatory Surgery Center Association has a National ASC…

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By: Judy Mathias
August 2, 2017
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