Periop Nursing

Latest Issue of OR Manager
April 2019
Home Periop Nursing

'Noncritical' OR items deserve due diligence in disinfection

Much emphasis has been placed on high-level disinfection over the past several years; however, low- and intermediate-level disinfection are also performed in healthcare facilities and are an important part of an infection prevention program. Noncritical items, defined by the Spaulding Classification as those that may contact intact skin, are cleaned…

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By: Susan Klacik, BS, CRCST, CHL, CIS, ACE, FCS
February 20, 2019
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Factors linked to functional recovery of geriatric major surgery patients

Editor's Note In this prospective study, nonfrailty and elective surgery were positively associated with functional recovery of older patients after major surgery. Of 754 community-living patients 70 years or older who were analyzed, 266 survived major surgery with increased disability and were monitored for 6 months. A total of 174…

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By: Judy Mathias
February 19, 2019
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Government payment policies linked to hospital performance fail to improve CAUTI rates

Editor's Note This study found no evidence that value-based incentive programs (VBIPs), which link financial incentives or penalties to hospital performance, had any measurable association with changes in catheter-associated urinary tract infection (CAUTI) rates. Researchers at Boston University School of Medicine analyzed 592 hospitals across the country, and found that…

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By: Judy Mathias
February 14, 2019
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Less anesthesia during surgery doesn’t prevent postop delirium in older patients

Editor's Note Closely monitoring of brain activity with electroencephalography (EEG) and minimizing anesthesia in older patients during surgery had no significant effect on the occurrence of delirium after surgery, but it was linked to lower 30-day mortality, this study finds. In this analysis of 1,232 older surgical patients, researchers assigned…

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By: Judy Mathias
February 12, 2019
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Joint Commission announces new Speak Up campaign on infection prevention

Editor's Note The Joint Commission on February 6 announced its new Speak Up campaign that focuses on ways to prevent infection. The Joint Commission offers free educational resources that include: an infographic poster/flyer an animated video a guide with recommendations on how healthcare organizations can use and provide the materials…

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By: Judy Mathias
February 12, 2019
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You may also be interested in these sessions at the OR Manager Conference this September in Nashville, TN

Stigma and Substance Use Disorder: What We Say Matters

After this session you'll be able to: Discuss the impact of substance use disorder (SUD) and the severity of the opioid epidemic in the United States. Provide education to improve knowledge and attitudes towards SUD as a treatable, chronic, medical condition. Identify strategies to overcome the barriers presented by stigma…

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Use of regional anesthesia in ambulatory arthroscopic knee surgery and ACL reconstruction

Editor's Note Adductor canal nerve block (ACB) provides modest analgesic benefits after ambulatory arthroscopic knee surgery, including improved relief for rest pain for 8 hours and reduced opioid consumption for 24 hours, this meta-analysis finds. However, ACB did not provide any analgesic benefits and did not improve any outcomes, compared…

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By: Judy Mathias
January 24, 2019
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Robotics expanding rapidly in orthopedics, spine

Editor's Note The Healthcare Quarterly report by Moody’s Investors Service shows the orthopedics and spine sectors increasingly performing robotic-assisted procedures, the January 18 Becker’s Spine Review reports. This is resulting in strong growth for device firms with major investments in these specialties, particularly Medtronic with its Mazor robotics platform for…

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By: Judy Mathias
January 22, 2019
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CDC provides first estimates of flu season

Editor's Note New data from the Centers for Disease Control and Prevention (CDC) show that so far, during the 2018-2019 season, between 6 and 7 million people have been sick with the flu. Up to half have sought medical care, and between 69,000 and 84,000 have been hospitalized. These estimates…

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By: Judy Mathias
January 17, 2019
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Researchers pinpoint factor that predicts unplanned readmissions

Editor's Note The widely used “LACE index,” which assesses a patient’s risk of hospital readmission, has a “blindspot” because it fails to consider whether patients are on Medicaid, West Virginia University researchers say. LACE stands for length of stay, acuity, comorbidity, and emergency department. To assess the predictive value of…

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By: Judy Mathias
January 17, 2019
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Predicting ICU readmission of surgical patients

Editor's Note ICU readmission risk for surgical patients can be predicted using a simple, clinical nomogram based on seven demographic and physiologic variables, this study finds. Of 3,109 patients admitted to the ICU by general surgery, transplant, trauma, and vascular surgery services, there were 141 (5%) unplanned readmissions within 72…

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By: Judy Mathias
January 16, 2019
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