Periop Nursing

Latest Issue of OR Manager
June 2019
Home Periop Nursing

Lower ED triage scores linked to delayed antibiotics for sepsis patients

Editor's Note Antibiotic delivery is significantly faster for sepsis patients treated in an emergency department (ED) if they are assigned a higher score on an acuity scale used for patient triage, finds this study presented May 22 at ATS 2019, the annual international conference of the American Thoracic Society in…

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By: Judy Mathias
May 22, 2019
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DHS releases action guide for healthcare facilities on active shooter incidents

Editor's Note The Department of Homeland Security (DHS) has issued an action guide for active shooter incidents specifically for hospitals and healthcare facilities. The action guide includes potential indicators of an individual who may become an active shooter. It also gives recommendations for staff on what they should do if…

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By: Judy Mathias
May 21, 2019
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IV bags of normal saline, D5W do not support bacterial growth 24 hours after spiking

Editor's Note No bacterial growth was found in any of 257 samples of normal saline and dextrose 5% in water (D5W) 24 hours after using standard sterile techniques to spike them in the perioperative area. Two 1000 mL bags of IV normal saline and D5W were spiked and hung in…

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By: Judy Mathias
May 20, 2019
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How will artificial intelligence impact surgical patient care? Part 2

As part of a special series on artificial intelligence (AI), OR Manager is taking a deep dive into the many facets of this new technology and its impact on patient care. Part 1 of this introduction to the series (OR Manager, May 2019, 1, 7-11) defined several different types of…

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By: Cynthia Saver, MS, RN
May 17, 2019
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OR leaders see benefits of briefer NPO period

Though long fasting before a surgical procedure is tied to increased patient risks, the outdated guideline of NPO after midnight continues to be practiced by many healthcare organizations. In 1999, the American Society of Anesthesiologists (ASA) revised their fasting guidelines to clear liquids up to 2 hours before surgery and…

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By: Judith M. Mathias, MA, RN
May 17, 2019
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

A Blessing or a Curse? Social Media and Online Collaboration Best Practices and Compliance

After this session you’ll be able to: Identify the social media trends in the healthcare space today., Define best practices to follow to remain compliant with HIPAA and privacy laws., Explain laws and regulations to keep in mind when online., Why this is important: While healthcare providers are often reluctant…

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Editorial

Nearly 40 “awareness” or prevention and education wellness initiatives are listed for the month of May—among them, National Nurses Week, World Hand Hygiene Day, and Mental Health Month. Mental health caught my eye because it was a featured topic at the World Healthcare Congress in Washington, DC, where a panel…

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By: Elizabeth Wood
May 17, 2019
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Good questions lay foundation for powerful leadership pipeline

Success for any new leader hinges on the ability to be both “student” and “teacher” because the role requires learning and mentoring. Striking a balance between these roles can be especially daunting for new perioperative services leaders, which is why Bruce Tulgan was invited to speak at the 2019 OR…

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By: Elizabeth Wood
May 17, 2019
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Top 10 Patient Safety Concerns for 2019

Healthcare is striving to become an industry of high-reliability organizations, and part of being a high-reliability industry means staying vigilant and identifying problems proactively. ECRI Institute’s annual Top 10 list helps organizations identify looming patient safety challenges and offers suggestions and resources for addressing them. ECRI Institute relied on event…

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By: ECRI
May 17, 2019
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From NASA to the OR: How to launch on-time starts

Northwestern Medicine Lake Forest Hospital, located in Lake Forest, Illinois, has taken a giant leap in curtailing late starts in the OR. In December 2016, the facility’s on-time start percentage was only 37%. Perioperative team members dug in their heels and, by August 2017, increased their on-time starts to 77%.…

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By: Catherine Spader, RN
May 17, 2019
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What should you do if your sterilizer fails?

A sterilization failure is a significant event. Receiving a positive biological indicator (BI) result from a sterilizer can be devastating and presents a patient safety concern because it could result in infection. This article addresses the proper action to take in the event of a positive BI result and biological…

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By: Susan Klacik, BS, CRCST, CHL, CIS, ACE, FCS
May 17, 2019
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Where We Are Today: Nurses Supporting Nurses

After this session you’ll be able to: Recognize signs of emotional and physical stress in your team., Identify a strategy for eliminating stigma and developing a peer support program in your surgical suite., Explain the positive impact of compassion and empathy following a critical incident.,   Why this is important:…

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