Periop Nursing

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June 2018
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Military-civilian partnership creates first fully integrated trauma system

Editor's Note The American College of Surgeons on May 23 announced that a partnership between the Military Health System and civilian trauma institutions is underway to create the first fully integrated military-civilian trauma system. The system will train military surgeons before deployment, help surgeons retain skills while deployed, and bring…

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By: Judy Mathias
May 24, 2018
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New formulation of bupivacaine does not reduce opioid use after TKA

Editor's Note Contrary to what some studies are suggesting, use of the local anesthetic liposomal bupivacaine as part of a multimodal approach to postoperative pain did not reduce in-hospital opioid use or opioid-related complications after total knee arthroplasty (TKA) in this study. Researchers analyzed data on 88,830 TKAs performed with…

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By: Judy Mathias
May 21, 2018
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Statewide safety program sharply reduces colorectal SSIs

Editor's Note A Hawaii statewide collaborative for surgical patient safety successfully reduced colorectal surgical site infections (SSIs) and improved patient safety culture, finds this study. Between January 2013 and June 2015, Hawaii’s 15 hospitals implemented the Agency for Healthcare Research and Quality’s (AHRQ’s) Comprehensive Unit-based Safety Program (CUSP) in addition…

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By: Judy Mathias
May 18, 2018
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ECRI Institute: Boston Medical Center wins 2018 Health Devices Achievement Award

Editor's Note The ECRI Institute on May 17 announced that Boston Medical Center had won the 2018 Health Devices Achievement Award for its patient-centric mobile pulmonary care app. The ICOUGH Recovery app guides patients through the hospitals postoperative pulmonary care protocol, which focuses on: Incentive spirometry Coughing and deep breathing…

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By: Judy Mathias
May 18, 2018
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Editorial

Societal problems in recent years have placed increasing burdens on healthcare workers. With the increase in mass casualty victims, people displaced by natural disasters, and drug or alcohol addicts, it’s not uncommon to experience disruptive patients or families of patients who arrive at the facility under a great deal of…

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By: Elizabeth Wood
May 18, 2018
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"X" Marks the Spot: Finding a Fit for a Regional Block Program in Your PACU

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Opioid prescriptions drop after orthopedic team changes protocol

Can hospital leaders and surgeons partner to reduce opioid use while maintaining high patient satisfaction scores? Leaders at OSS Orthopaedic Hospital in York, Pennsylvania, answer that question with a yes. Meghan McNelly, PharmD, MHA, FACHE, who was director of pharmacy at OSS when the opioid-reduction project started, says that from…

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By: Cynthia Saver, MS, RN
May 18, 2018
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More cases start on time after nurses change workflow

Among the many variables that influence on-time starts of surgical cases are the arrival times of patients and staff, as well as the verifications and documentation required before patients are brought to the OR. Increasing on-time starts was a key initiative at Fox Chase Cancer Center. By exploring the influences…

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By: Julie Dameus, MBA, BSN, RN
May 18, 2018
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AAMI releases new standard on sterilization quality management

The Association for the Advancement of Medical Instrumentation (AAMI) has released a sterilization standard on quality management for central service (CS) sterile processing. The new standard, ANSI/AAMI ST90: 2017 Processing of Health Care Products: Quality Management Systems for Processing in Health Care Facilities, provides guidelines to support quality management systems…

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By: Susan Klacik, BS, CRCST, CHL, CIS, ACE, FCS
May 18, 2018
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Planning eases compliance with CMS emergency preparedness rules

As of November of 2017, healthcare providers—including ambulatory surgery centers (ASCs)—receiving reimbursement from the Centers for Medicare & Medicaid Services (CMS) were expected to comply with the 2016 Emergency Preparedness Requirements. And as with most government regulations, there are multiple pages of instructions to dissect and understand to satisfy the…

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By: Janet M. Boivin, BSN, BSJ, RN
May 18, 2018
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Cost-benefit analysis of maintaining a fully stocked MH cart in maternity units

Editor's Note This study found no cost benefit to maintaining a fully stocked malignant hyperthermia (MH) cart with a full supply of dantrolene in maternity units, where triggering agents are rarely used. Maintaining an MH cart in every maternity unit in the US would reduce morbidity and mortality costs by…

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By: Judy Mathias
May 17, 2018
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Perioperative Leadership Course: Leading Teams to Higher Performance

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