Perioperative Practice

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March 2018
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Joint Commission improves access to revised EM standards for ambulatory care customers

Editor's Note The Joint Commission on February 21 announced that it has created specific versions of 19 elements of performance (EPs) for deemed ambulatory surgical centers and specific versions for federally qualified health centers and rural health clinics to improve access in the E-dition. The EPs were added for the Centers…

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By: Judy Mathias
February 22, 2018
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Effect of dedicated OR teams on clinical outcomes in a colorectal ERAS program

Editor's Note Dedicated OR teams for a colorectal Enhanced Recovery after Surgery (ERAS) program at Johns Hopkins Hospital led to anesthesia providers becoming more central to the ERAS network, which increased process measure compliance and improved clinical outcomes in this study. Before the dedicated OR teams were instituted, surgeons were…

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By: Judy Mathias
February 22, 2018
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Hand Hygiene TST now available as mobile app

Editor's Note The Joint Commission announced on February 21 that users of the Center for Transforming Healthcare’s Targeted Solutions Tool (TST) for Hand Hygiene can now record their observations on any mobile device or tablet by downloading a mobile app from the Google Play or Apple app store. The mobile…

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By: Judy Mathias
February 22, 2018
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New guideline focuses on high-level disinfection safety

The new year brings a newly updated Guideline for Manual Chemical High-Level Disinfection (formerly the Guideline for High-Level Disinfection). This AORN guideline, which is based on a comprehensive, systematic review of research- and non-research-based evidence, recommends best practices for safe and effective high-level disinfection (HLD) performed manually when automated methods…

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By: Susan Klacik, BS, CRCST, CHL, CIS, ACE, FCS
February 22, 2018
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Prolonged catheter use linked to infections in regional anesthesia

Editor's Note Infection risk with peripheral and epidural catheter use in continuous regional anesthesia increases over time, especially after 4 days, this study finds. Of 44,555 continuous regional anesthesia patients analyzed in this German study, the probability of infection-free catheter use decreased each day of peripheral and epidural catheter use.…

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By: Judy Mathias
February 20, 2018
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Implementing Evidence Based Practice

Evidence-based practice has emerged as one of the most important health care movements of the 21st century. But the challenge for many nurses is converting the theory of evidence-based practice into action and incorporating it into a daily routine. In Implementing Evidence-Based Practice for Nurses: Real-Life Success Stories, real clinicians,…

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Family care program helps cut readmissions after cardiac surgery

Editor's Note Intermountain Healthcare’s (Salt Lake City, Utah) Partners in Healing program, which involves family members in in-patient care, helped reduce 30-day readmissions after cardiac surgery by 65%, the February 13 Healthcare Finance reports. The program enables family members to help with basic care, which in turn prepares them for…

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By: Judy Mathias
February 20, 2018
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Association between bariatric surgery and diabetes treatment

Editor's Note In this nationwide French study, bariatric surgery was associated with a significantly higher 6-year postoperative diabetes treatment discontinuation rate, compared with baseline and a control group who did not have bariatric surgery. Of more than 30,000 patients included in the study, the treatment discontinuation rate was 49.9% for…

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By: Judy Mathias
February 16, 2018
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CMS grants exceptions to ASCs in areas affected by natural disasters

Editor's Note Because of the impact of several recent natural disasters, the Centers for Medicare & Medicaid Services (CMS) is granting exceptions for Medicare quality reporting requirements to ASCs in affected areas, the February 12 ASCA News reports. Exceptions include: ASCs in two California counties affected by wildfires ASCs located…

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By: Judy Mathias
February 16, 2018
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Study: OR skullcaps not linked to SSIs

Editor's Note Strictly enforcing a ban on skullcaps in the OR had no impact on surgical site infection (SSI) rates in this study, presented at the annual Academic Surgical Congress in Jacksonville, Florida. The analysis included American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) data on 1,901…

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By: Judy Mathias
February 15, 2018
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FDA permits marketing of new blood test for concussions

Editor's Note The Food & Drug Administration (FDA) on February 14 authorized marketing of the first blood test to help evaluate concussions in adults and reduce the need for CT scans. The Banyan Brain Trauma Indicator works by measuring levels of proteins (ie, UCH-L1 and GFAP) that are released from…

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By: Judy Mathias
February 15, 2018
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Back to Basics: Nurses Take Charge of Their Practice - On-Demand Webinar

Date: Thursday, May 8Time: 2:00 p.m. – 3:00 p.m. ET CEs: 1 Contact Hour The Institute of Medicine has urged nurses to take charge of their practice.  Yet day to day observations of nursing staff might reveal poor professional behavior.  How do you change the culture at a large university…

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