Periop Nursing

Latest Issue of OR Manager
June 2019
Home Periop Nursing

Effect of opioid-sparing postop pathway on patient satisfaction, pain control

Editor's Note Patients on an opioid-sparing postoperative pain management pathway reported minimal or no opioid use and high satisfaction and pain control in this study. A total of 190 patients having one of six different procedures participated in the pathway and were advised to use acetaminophen and ibuprofen every 6…

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By: Judy Mathias
June 3, 2019
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Association of step volume, intensity with mortality in older women

Editor's Note In this study, women who averaged approximately 4,400 steps per day had significantly lower mortality rates than women who took approximately 2,700 steps per day. Of 16,741 women with a mean age of 72 years analyzed, their mean step count was 5,499 per day. A step volume of approximately…

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By: Judy Mathias
May 30, 2019
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Joint Commission announces performance measures for heart attack certifications

Editor's Note The Joint Commission on May 29 announced performance measures for two newly developed advanced Disease-Specific Care Certification programs−Acute Heart Attack Ready and Primary Heart Attack Center. The measures will go into effect July 1, 2019, for critical access hospitals and hospitals (including freestanding emergency departments) pursuing these certifications.…

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By: Judy Mathias
May 30, 2019
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Survey: C-suite support needed to fully unleash nursing innovation

Editor's Note A new survey by the University of Pennsylvania School of Nursing and BDO Center for Healthcare Excellence & Innovation finds that clinical and business leaders value the innovation nurses bring to their organizations, just not at the C-suite level. Clinical and business leaders ranked skills, such as “the…

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By: Judy Mathias
May 30, 2019
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Association between postop delirium, cognitive dysfunction

Editor's Note In this study, postoperative delirium significantly increased the risk of postoperative cognitive dysfunction in older adults at 1 month after surgery, but there was no association at 2 and 6 months. Of 560 patients analyzed, 24% developed delirium during hospitalization. At 1 month after surgery, 47% had not…

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By: Judy Mathias
May 29, 2019
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Beyond the Chart: Understanding and Providing Care for the LGBTQ Population

After this session you’ll be able to: Define LGBTQ language, vocabulary, and concepts within the perioperative setting., Promote a culture of safety and quality for LGBTQ caregivers and patients., Apply empathy and practice intentional inclusion., Why this is important: In an ever-changing healthcare system, caregivers need the tools and resources…

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Risks, benefits of using CHG for handwashing

Editor's Note Because of the potential risk of selecting mutants carrying genes for cross-resistance to chlorhexidine gluconate (CHG) and antibiotics, it is advisable to reserve the use of CHG for purposes other than hand hygiene, this study finds. A review of studies showed no significant difference in healthcare-associated infection rates…

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By: Judy Mathias
May 28, 2019
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Effect of open vs closed ICU model on HAI

Editor's Note A closed ICU model was associated with significantly reduced rates of central line associated blood stream infection (CLABSI), catheter associated urinary tract infection (CAUTI), and ventilator-associated pneumonia (VAP) in this study, presented May 22 at ATS 2019, the annual international conference of the American Thoracic Society in Dallas.…

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By: Judy Mathias
May 23, 2019
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Joint Commission issues Quick Safety on disinfection of tonometers, other ophthalmology devices

Editor's Note The Joint Commission on May 21 issued Quick Safety 49: Disinfection of tonometers and other ophthalmology devices. The Joint Commission noted that the American Academy of Ophthalmology has reported that transmission of adenovirus and herpes simplex virus HIV, hepatitis C virus, enterovirus 70, Pseudomonas aeruginosa, methicillin-resistant Staphylococcus aureus,…

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By: Judy Mathias
May 23, 2019
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Targeting MAP during CPB reduces postop delirium

Editor's Note Targeting a patient’s mean arterial pressure (MAP) during cardiopulmonary bypass (CPB) by monitoring cerebral blood flow autoregulation may reduce the incidence of delirium after cardiac surgery in older patients, this Johns Hopkins study finds. In this analysis of 199 patients, the incidence of delirium was significantly greater in…

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By: Judy Mathias
May 23, 2019
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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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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Opening Keynote: The Art of Human Care: Change the World One Patient at a Time

After this session you’ll be able to:  Explain the six essential steps for providing timely, comprehensive, patient-centered care., Define actionable goals to become the preferred choice for diverse patient populations. , Identify and appreciate your true purpose as a healer., Why this is important: Have you lost your passion…

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