Periop Nursing

Latest Issue of OR Manager
August 2018
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Joint Commission releases prepublication revisions for pain assessment and management standards

Editor's Note The Joint Commission on June 25 released new and revised pain assessment and management standards that will be applicable to accredited critical access hospitals and ambulatory care and office-based surgery organizations, effective January 1, 2019. The standards are designed to strengthen an organization’s practices for pain assessment, treatment,…

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By: Judy Mathias
June 27, 2018
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Accuracy of Medicare’s HACRP to identify outlier hospitals for SSIs

Editor's Note Medicare’s Hospital Acquired Condition Reduction Program’s (HACRP) measure for surgical site infections (SSIs) after hysterectomy and colectomy unfairly places hospitals that are not statistical outliers at risk for financial penalties, this study from the University of Michigan finds. SSIs occurred in 1.1% of hysterectomies and 4.8% of colectomies…

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By: Judy Mathias
June 26, 2018
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Diabetes linked to adverse outcomes after surgery

Editor's Note Patients with diabetes are more likely to have adverse outcomes after surgery, and greater risks are associated with increasing HbA1c levels, this study finds. Of 7,565 patients analyzed, 30% had diabetes and 37% had prediabetes. After adjustments, diabetes was linked to increased: 6-month mortality (9% in patients with…

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By: Judy Mathias
June 25, 2018
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Sharps inflicting increased wounds in the OR

Injuries from needlesticks—whether from disposable syringes, IV catheters, or blood collection devices—accounted for more than 30% of all sharps injuries in 2016, especially among nurses. Injuries from skin injections alone accounted for 25.7% of all sharps injuries that year. And, for the first time, injuries occurring from suturing during procedures…

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By: OR Manager
June 21, 2018
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ALS by physicians linked to increased survival

Editor's Note In patients with traumatic out-of-hospital cardiac arrest (OHCA) after traffic collisions, advanced life support (ALS) performed by physicians was associated with increased chance of 1-month survival compared with ALS or basic life support (BLS) performed by emergency medical services (EMS) personnel, this Japanese study finds. Of 4,328 patients…

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By: Judy Mathias
June 20, 2018
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Workshop: Does Your Disaster Recovery Plan Pass the Test of Real-Life Catastrophe?

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Effectiveness of reprocessing reusable flexible bronchoscopes

Editor's Note In a study on the effectiveness of reprocessing flexible bronchoscopes presented June 14 by Ofstead and Associates at the Association for Professionals in Infection Control’s annual conference in Minneapolis, the majority of bronchoscopes were found to be contaminated and damaged even when cleaned and high-level disinfected according to…

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By: Judy Mathias
June 20, 2018
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Endoscope fluid, contaminants linger after faulty drying

What does it take to get endoscopes dry? That is the question that prompted a new study on endoscope drying effectiveness by Ofstead & Associates (St Paul, Minnesota). “We asked that question after a study we did 2 years ago found that increasing the automated endoscope reprocessor [AER] drying cycle…

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By: Judith M. Mathias, MA, RN
June 20, 2018
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Managing patient and family disruption in the perioperative setting--Part 2

Disruption in the healthcare setting occurs all too often and can be dangerous for patients and staff like. Part 1 of this series discussed some of the reasons behind the volatile behavior of patients or their families and provided a list of organizations with resources for managing the problem (OR…

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By: Cynthia Saver, MS, RN
June 20, 2018
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Editorial

By 2024, the demand for registered nurses in the US will top 1 million, according to the Bureau of Labor Statistics (BLS), with the largest gaps seen in hospitals in the South and West. The RN workforce is expected to grow 16%, from 2.7 million in 2014 to 3.2 million…

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By: Elizabeth Wood
June 20, 2018
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Three key competencies forecast success for OR leaders

Employee engagement is a buzzword that often crops up in articles, webinars, and conferences. OR leaders may be tired of seeing it, but engagement is crucial for success in an environment of fast-paced change, leadership turnover, and increasing demands for better performance. In healthcare, research has linked engagement with greater…

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By: Elizabeth Wood
June 20, 2018
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Closing Keynote: IQ Will Get You Hired, EQ Will Get You Promoted

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