Periop Nursing

Latest Issue of OR Manager
August 2018
Home Periop Nursing

FDA: US will no longer perform Zika tests on individual blood donations

Editor's Note The Food & Drug Administration (FDA) on July 6 announced that individual blood donations no longer need to be screened for Zika virus, “unless there is an increased risk of local mosquito-borne transmission of Zika virus in a specific geographic area that would trigger individual donation testing in…

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By: Judy Mathias
July 9, 2018
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Freestanding EDs lower admission rates

Editor's Note Patients assessed in hospital-based emergency departments (EDs) were 20% more likely to be admitted than patients at freestanding EDs, this study finds. Data for the 3,230 patient study, were collected from 2015 Cleveland Clinic statistics of its tertiary hospital-based ED and two of its freestanding EDs. Of 1,708…

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By: Judy Mathias
June 28, 2018
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Prevalence of unused opioids after joint, spine surgery

Editor's Note In this study, many patients reported unused opioids after joint and spine surgery, infrequent use of nonopioid analgesics, and lack of knowledge on safe opioid storage and disposal. Of 140 patients analyzed, 35% were taking preoperative opioids. Among those who stopped taking opioids after surgery, possession of unused…

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By: Judy Mathias
June 27, 2018
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Factors predicting postop opioid used in spine surgery patients

Editor's Note Patients having surgery for degenerative spondylolisthesis (DS) are less likely to be dependent on opioids after surgery than before, this study finds. Of 10,708 DS patients who had surgery between 2000 and 2012, 14.85% were opioid dependent within 12 months before surgery, and 9.90% were opioid dependent 3…

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By: Judy Mathias
June 27, 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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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Breakfast & General Session: Grace Under Fire: The Resilient Nurse Leader

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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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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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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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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Keynote: Second Victim’s Silver Lining: Creating a Culture of Patient Safety

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