Periop Nursing

Latest Issue of OR Manager
October 2017
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Global outbreak of M chimaera linked to German factory

Editor's Note The LivaNova factory in Munich, Germany, a manufacturer of heater-cooler units used in cardiothoracic surgery, appears to be the source of a global outbreak of Mycobacterium chimaera, this study finds. Researchers matched the DNA of samples taken from 21 infected cardiothoracic surgical patients to samples from heater-cooler units…

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By: Judy Mathias
July 17, 2017
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Distinguishing risk factors for SSIs after pancreatic surgery

Editor's Note Reporting of surgical site infections (SSIs) after pancreatic surgery should distinguish between superficial and organ-space infections, which will require different preventative strategies, this study finds. Results showed that risk factors for superficial and organ-space SSIs after pancreatic surgery differed. Preoperative biliary stenting was an independent risk factor for superficial…

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By: Judy Mathias
July 13, 2017
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Conference closer reveals keys to engaging staff

Anyone who heard Vicki Hess, MS, RN, CSP, speak at the annual OR Manager Conference in 2013 probably remembers her lively, compelling message in the closing keynote presentation. Her interactive “Time Out!” talk left attendees with renewed energy and a take-home tool—a simple five-step “SHIFT” checklist to help OR managers…

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By: Elizabeth Wood
July 13, 2017
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Orthopedic PSH a prime model for value-based care—Part 1

Uncertainties pepper the healthcare landscape, but the shift to value-based care is expected to continue, even though momentum may slow under the current administration. That means perioperative services leaders must continue to explore new care delivery options such as the perioperative surgical home (sidebar, p 17). “The demand for value…

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By: Cynthia Saver, MS, RN
July 13, 2017
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Novice OR nurses fill pipeline through effective education programs

Leaders seeking competent staff for the OR are increasingly training their own. These internal programs, typically targeted toward both new graduates and nurses without previous OR experience, require planning, organization, and follow-through. “You need to integrate the didactic with the clinical setting,” says Ellen Lord, MS, RN, CNOR, a perioperative…

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By: Cynthia Saver, MS, RN
July 13, 2017
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Study identifies high-risk groups for readmissions

Editor's Note Comparing rates, characteristics, and costs of hospital readmissions across all ages and insurance types, researchers from Beth Israel Deaconess Medical Center, Boston, found that of more than 12.5 million patients discharged in 2013, approximately 1.8 million were readmitted within 30 days. Medicare patients accounted for 56% of readmissions,…

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By: Judy Mathias
July 11, 2017
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New guidelines published on enhanced recovery after colon, rectal surgery

Editor's Note The American Society of Colon and Rectal Surgeons and the Society of American Gastrointestinal Endoscopic Surgeons have jointly published new clinical practice guidelines on enhanced recovery after colon and rectal surgery. The enhanced recovery protocol is multidisciplinary, including physicians, nurses, physical therapists, and dietitians and involves all aspects of care…

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By: Judy Mathias
July 10, 2017
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Influence of nurse leaders on professional practice environment

Editor's Note Nurse leaders are integral in enhancing professional practice environments, and their influence links structures necessary for an environment that supports outcomes, this study finds. In this analysis of 30 nurse leaders and 169 clinical nurses at a 247-bed acute care Magnet hospital, leaders perceived their influence from “often”…

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By: Judy Mathias
July 6, 2017
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Study characterizes ED visits after total joint procedures

Editor's Note Emergency department (ED) visits after total joint procedures were numerous and mostly for pain-related diagnoses, and Medicaid patients had almost double the risk of an ED or pain-related ED visit, this study finds. Of 152,783 patients analyzed, 3.42% returned to the inpatient setting and 5.81% visited the ED…

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By: Judy Mathias
June 28, 2017
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Alcohol fixation of bacteria to instruments increases cleaning difficulty

Editor's Note Treating contaminated surgical instruments with alcohol, allowing them to dry, or allowing them to soak in water for extended periods of time increases cleaning difficulty and may contribute to sterilization inefficacy, this study finds. Soaking or spraying instruments with alcohol significantly reduced viable bacterial numbers, but significantly increased…

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By: Judy Mathias
June 27, 2017
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