Periop Nursing

Latest Issue of OR Manager
June 2018
Home Periop Nursing

Homeless veterans at increased risk of postop readmission

Editor's Note For veterans having surgical procedures performed in the VA healthcare system, homelessness is an important risk factor for unplanned readmission, finds this study. Analyzing 232,373 surgical procedures performed on 199,879 patients, researchers found that 5,068 of the procedures were performed on homeless patients. The rate of readmission within…

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By: Judy Mathias
May 16, 2018
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Working overtime associated with less collaboration between nurses and physicians

Editor's Note In this study, working overtime negatively influenced nurse-nurse and nurse-physician collaboration. Survey data from 24,013 nurses in 957 units from 168 hospitals in the National Database of Nursing Quality Indicators showed that one third of nurses work beyond their scheduled shifts. One hour of overtime was associated with…

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By: Judy Mathias
May 14, 2018
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Preop walking test helps predict postop cognitive dysfunction

Editor's Note A simple 6-minute walking test before cardiac surgery helped predict the risk for cognitive issues after surgery, in this study from Japan. A 6-minute walk distance (6MWD) test was performed preoperatively on 181 patients who had nonemergency cardiac surgery. After surgery, 51 patients had postoperative cognitive dysfunction (POCD).…

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By: Judy Mathias
May 14, 2018
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Effect of ambient OR temperature on patient temperature

Editor's Note Ambient intraoperative OR temperature had a negligible effect on core temperature when patients were warmed with forced air in this study. The effect was larger when patients were passively insulated, but the magnitude remained small. A total of 292 adult patients were randomized to ambient temperatures 19º, 21º,…

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By: Judy Mathias
May 11, 2018
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Opioid abuse, dependence increases postop readmissions

Editor's Note Opioid abuse or dependence after major surgical procedures was associated with increased readmission rates and healthcare utilization. Of 16,016,842 patients in the National Readmission Database analyzed, 94,903 (0.6%) had diagnoses of opioid abuse or dependence. Comparing patients with and without opioid abuse or dependence, researchers found that patients…

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By: Judy Mathias
May 9, 2018
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Preventability of early vs late readmissions

Editor's Note Early readmissions (within 7 days of discharge) were more likely to be preventable and amenable to hospital-based interventions, and late readmissions (8 to 30 days after discharge) were less likely to be preventable and more amenable to ambulatory and home-based interventions, this study finds. In this study of…

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By: Judy Mathias
May 9, 2018
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ACS, other organizations offer recommendations on OR attire

Editor's Note The American College of Surgeons (ACS), Association for Professionals in Infection Control and Epidemiology, AORN, Joint Commission, and three other organizations have developed consensus recommendations on OR attire. The recommendations focus on ear and hair covering and include: Evidence-based recommendations on surgical attire are best created collaboratively, with…

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By: Judy Mathias
May 8, 2018
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Effect of bouffant vs skull caps on SSIs

Editor's Note Surgeon preference for bouffant versus skull caps does not have a significant effect on surgical site infection (SSI) rates, after accounting for procedure type, this study finds. Of 1,543 procedures analyzed, surgeons wore bouffant caps in 39% and skull caps in 61% of cases. Overall, SSIs occurred in…

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By: Judy Mathias
May 7, 2018
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First US study on nurses’ evidence-based practice competencies finds major deficits

Editor's Note The results of this study indicate that US nurses do not believe they are meeting evidence-based practice competencies. In this survey of 2,344 nurses from 19 hospitals or healthcare systems, the nurses overall reported they were not yet competent in meeting any of the 24 evidence-based practice competencies.…

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By: Judy Mathias
May 4, 2018
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National Nurses Week is May 6-12

Editor's Note National Nurses Week begins each year on May 6 and ends on May 12, Florence Nightingale’s birthday. National Nurses Week is celebrated annually to raise awareness of the important role nurses play in society. This year’s theme is “Nurses Inspire, Innovate, Influence.” The American Nurses Association has a…

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By: Judy Mathias
May 3, 2018
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