Periop Nursing

Latest Issue of OR Manager
April 2019
Home Periop Nursing

Association between nurse work environments and outcomes

Editor's Note Better work environments are associated with lower odds of negative outcomes ranging from job dissatisfaction to patient mortality, finds this meta-analysis from the University of Pennsylvania School of Nursing. This analysis of data from 2,677 hospitals, 141 nursing units, 165,024 nurses, and 1,368,420 patients in 22 countries found…

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By: Judy Mathias
March 27, 2019
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CDC: Healthcare-associated infections declining

Editor's Note The Centers for Disease Control and Prevention on March 19 released its current progress report on healthcare-associated infections, which includes state and national level statistics for 2017. Among the findings for acute care hospitals: Clostridium difficile infections declined by 13%. Central line-associated bloodstream infections fell by 9%. Methicillin-resistant…

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By: Judy Mathias
March 26, 2019
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Improving hand hygiene compliance among anesthesia providers in the OR

Editor's Note Educating anesthesia providers on the World Health Organization’s five indications for hand hygiene, increasing access to hand hygiene products in the OR, and monitoring  hand hygiene among anesthesia providers can improve hand hygiene compliance, this study finds. Hand hygiene was observed in three phases: Preimplementation, postimplementation, and 60…

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By: Judy Mathias
March 25, 2019
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Effect of care bundle on emergency laparotomy outcomes

Editor's Note Hospitals should consider adopting a care bundle approach to improve outcomes for emergency laparotomy patients, this study finds. In this analysis of 14,809 patients in 28 hospitals in the UK, reduction in unadjusted mortality (from 9.8% to 8.3%) and length of stay (from 20.1 days to 18.9 days)…

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By: Judy Mathias
March 21, 2019
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Effect of PPE doffing errors on healthcare worker self-contamination

Editor's Note The risk of hand contamination was higher when healthcare workers (HCWs) removed their gloves before their gowns during personal protective equipment (PPE) doffing, and HCWs who made multiple PPE doffing errors were more likely to have contaminated clothes after patient interactions, this study finds. In this analysis of…

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By: Judy Mathias
March 20, 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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Effect of hospital intervention, state legislation on postop opioid prescribing practices

Editor's Note After a hospital-wide intervention and state-wide legislation, this community hospital in Michigan achieved a 60%-70% decrease in postoperative opioid prescriptions and less variation in opioid prescription practices. This retrospective study of opioid naïve adult patients who had one of five general surgical procedures between 2015 and 2017 found…

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By: Judy Mathias
March 18, 2019
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ORBMC gets business leaders off to a strong start in 2019

San Diego in January is a place where many people would rather be, and the 475 healthcare business and industry leaders who gathered there for the 2019 OR Business Management Conference (ORBMC) enjoyed the mild climate along with high-quality presentations and fun networking events. Conference attendance rises each year, yet…

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By: Elizabeth Wood
March 15, 2019
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Savvy leaders know how to 'read' themselves and their staffs

Managing the OR is similar to playing a game of poker. To win, a player must be able to read the others around the table, and to succeed, managers must be able to read their staff members and colleagues. Most importantly, they all must know the rules and when it’s…

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By: Judith M. Mathias, MA, RN
March 15, 2019
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Editorial

Attendees at the annual OR Manager Conference have enjoyed the opportunity to ask experienced OR leaders questions about difficult managerial and clinical issues. The popularity of these “Ask Me Anything” sessions reflects the hunger for knowledge about how things are handled in ORs around the country, and they will be…

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By: Elizabeth Wood
March 15, 2019
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'Coming clean' in the SPD requires collaboration and competency--Part 1

Contaminated surgical instruments made ECRI Institute’s 2019 annual top 10 list of health technology hazards, coming in at number five: “Mishandling flexible endoscopes after disinfection can lead to patient infections.” Number two on the list in 2018 was “Endoscope reprocessing failures continue to expose patients to infection risk.” It’s not…

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By: Cynthia Saver, MS, RN
March 15, 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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