Periop Nursing

Latest Issue of OR Manager
February 2019
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Study: Fish oil does not increase bleeding risk in cardiac surgery patients

Editor's Note Fish oil did not increase perioperative bleeding and reduced the number of blood transfusions in cardiac surgery patients, in this study. A total of 1,516 cardiac surgery patients were randomized to perioperative fish oil or placebo−from 2 to 5 days before surgery until discharge. The primary outcome of…

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By: Judy Mathias
December 6, 2018
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FDA updates draft guidance on safety of US blood supply

Editor's Note The Food & Drug Administration on December 4 updated a draft guidance that promotes the development and adoption of innovations to ensure continued safety of the US blood supply. The draft guidance entitled, “Bacterial risk control strategies for blood collection establishments and transfusion services to enhance the safety…

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By: Judy Mathias
December 6, 2018
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Effect of changes in hospital nursing resources on patient safety, quality care

Editor's Note Improvements in hospital work environments, nurse staffing, and educational levels of nurses coincided with improvements in patient safety and quality of care in this panel study from Linda Aiken, PhD, RN, and colleagues at the University of Pennsylvania School of Nursing, Philadelphia. Using data from a panel of…

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By: Judy Mathias
December 4, 2018
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Statewide comparison of postop opioid prescribing in teaching vs nonteaching hospitals

Editor's Note In this study, patients in teaching hospitals in Michigan received significantly larger postoperative opioid prescriptions and had higher rates of high-risk prescribing compared with nonteaching hospitals in the state. The amount of opioid prescribed in initial opioid prescriptions varied 4.7-fold across hospitals, from 130 to 616 oral morphine…

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By: Judy Mathias
December 4, 2018
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SSI incidence, risk factors in total knees

Editor's Note In this 9-year prospective cohort study from Spain, researchers identified surgical site infection (SSI) risk factors that showed the necessity  to strictly comply with wound decontamination and patient preparation protocols, reduce the length of surgical time, and identify patients requiring comprehensive monitoring. This analysis of 1,969 patients who…

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By: Judy Mathias
November 29, 2018
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Incidence of sharps injuries among surgical staff

Editor's Note This meta-analysis found that a surgeon will have a sharps injury in about 1 in 10 surgical procedures. Of 45 studies analyzed, the incidence rate was 13.2 sharps injuries per 100 time-units. Per 100 person-years, the rate was 88.2 for self-reported injuries, 40.0 for perforations, and 5.8 for administrative…

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By: Judy Mathias
November 29, 2018
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Multimodal program reduces job stress in ICU nurses

Editor's Note In this study, a multimodal program that included education, role-play, and debriefing resulted in a lower prevalence of job stress in intensive care unit (ICU) nurses. A total of 198 ICU nurses from 8 hospitals in France were randomized to the multimodal program intervention group (101 nurses) or…

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By: Judy Mathias
November 26, 2018
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Munro Scale assessment helps reduce HAPI rates

Each year, more than 2.5 million adults in the US develop pressure ulcers, according to the Agency for Healthcare Research and Quality (AHRQ). These lesions bring pain, risk for serious infection, and increased healthcare utilization. Data on the costs of treatment vary, but some estimates range between $37,800 and $70,000…

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By: Judith M. Mathias, MA, RN
November 14, 2018
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Editorial

Polls leading up to the midterm elections put healthcare as the top issue of concern among likely voters, with gun policy, Supreme Court nominees, the economy and jobs, and education right behind it. In a year fraught with an ever-widening chasm along party lines, there were distinctly different priorities among…

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By: Elizabeth Wood
November 14, 2018
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New safety program helps hospitals adopt ERAS

Enhanced recovery after surgery (ERAS) led the list of newer patient care models in use at hospitals that employ respondents to the 2018 OR Manager Salary/Career Survey. A total of 42% of hospital-based OR leaders said ERAS had been or would soon be implemented in their facilities, down slightly from…

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By: Elizabeth Wood
November 14, 2018
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