Periop Nursing

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December 2017
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Millennials almost twice as likely as baby boomers to become RNs

Editor's Note Millennials are entering the nursing workforce at nearly double the rate that baby boomers once did, this study finds. Overall, a millennial is 186% more likely to become an RN than a baby boomer. This means the RN workforce will continue to grow, but boomer retirements will still…

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By: Judy Mathias
October 9, 2017
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Diffusion, implementation of acute care surgery across the US

Editor's Note Acute care surgery (ie, an organized system of trauma, general surgery, and critical care) implementation has occurred unevenly across the US, with rural communities and regions the slowest, this study finds. Of 1,690 hospitals surveyed, 272 had implemented acute care surgery by 2015−an increase from 34 in 2001…

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By: Judy Mathias
October 9, 2017
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Joint Commission deletes Medication Management EP

Editor's Note The Joint Commission announced on October 4 that it is deleting element of performance (EP) 3 for Medication Management 09.01.01 for hospitals and critical access hospitals, effective October 1. The standard states: “The [critical access] hospital educates patients, and their families as needed, regarding the appropriate use of…

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By: Judy Mathias
October 5, 2017
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Preop conditions that predict postop outcomes, mortality in elderly

Editor's Note In patients 85 years of age and older, surgical complexity and certain geriatric variables (malnutrition, frailty), which are overlooked in American Society of Anesthesiologists and most other scores, were relevant in predicting postoperative outcomes and mortality, finds this study. Of 127 patients who completed follow-up, 30-day mortality was…

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By: Judy Mathias
September 27, 2017
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Strategies for retaining, recruiting mature experienced nurses

Editor's Note No single key retention strategy solves the issue of keeping older nurses in the workplace but, rather, a multifaceted approach is necessary, this study finds. An exploratory study was conducted at a 730-bed teaching hospital in northeast Ohio using four focus groups of staff nurses−three groups consisted of…

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By: Judy Mathias
September 25, 2017
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Mode of transport to hospital linked to mortality in penetrating trauma patients

Editor's Note Private vehicle transport was associated with a significantly lower likelihood of death compared with ground emergency medical services (EMS) transport for patients with gunshot and stab wounds in this study. In this analysis of 103,029 patients in the National Trauma Data Bank, 87.6% were male, 47.9% were black,…

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By: Judy Mathias
September 21, 2017
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FDA clears first duodenoscope with disposable end cap

Editor's Note The Food and Drug Administration (FDA) on September 20 cleared the first duodenoscope with a disposable end cap, which will improve access for cleaning and reprocessing. The new features of the Pentax ED34-i10T duodenoscope include a single-use detachable and disposable distal cap, simpler user interface, improved ergonomics, improved…

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By: Judy Mathias
September 21, 2017
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Risk assessment system from private industry identifies SSI risks in ASCs

Editor's Note A risk-assessment system designed to avoid harm in private industry (ie, Socio-Technical Probabilistic Risk Assessment [ST-PRA]), was used by Agency for Healthcare Research and Quality (AHRQ)-funded researchers to identify practices likely to pose infection risks in ambulatory surgery centers (ASCs). The ST-PRA ranks failure points (events) according to…

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By: Judy Mathias
September 20, 2017
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Little change in physical activity after total joint surgery

Editor's Note Physical activity in total joint patients did not change at 6 months after surgery and small-moderate improvement was found at 12 months, despite large improvements in pain and quality of life, this meta-analysis finds. A total of seven studies (336 patients) were analyzed. Reasons for the lack of…

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By: Judy Mathias
September 20, 2017
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OR leaders report strong job satisfaction but weak compensation

Despite continued challenges ranging from declining reimbursements to finding qualified staff, most OR leaders (71%) are satisfied with their jobs, according to the 2017 annual OR Manager Salary/Career Survey. However, they are less inclined to view some parts of that job favorably. Slightly more than half (55%) are satisfied with…

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By: Cynthia Saver, MS, RN
September 20, 2017
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