Periop Nursing

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February 2019
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Opioid prescribing linked to postop opioid consumption

Editor's Note Excessive opioid prescribing was associated with higher postoperative opioid consumption in this study. In this analysis of 2,392 surgical patients, the quantity of opioids prescribed was significantly higher than opioid consumption, with patients reporting using only 27% of the opioids prescribed to them. Prescription size had the strongest…

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By: Judy Mathias
November 7, 2018
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Voters reject Massachusetts ballot Question 1 on nurse-patient ratios

Editor's Note The Massachusetts ballot Question 1 that would have set strict limits on the number of hospital patients a nurse could care for at one time went down in defeat on November 6, the November 7 Boston Globe reports. Hospitals spent nearly $25 million to defeat the measure, more…

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By: Judy Mathias
November 7, 2018
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Becoming more sensitive to knee pain increases risk of persistent pain

Editor's Note Becoming more sensitive to pain (ie, pain sensitization) is an important risk factor for developing persistent knee pain in osteoarthritis, this study finds. Researchers followed 852 patients over 2 years who had or were at risk of knee osteoarthritis but were free of persistent pain at the beginning…

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By: Judy Mathias
November 1, 2018
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CDC reports decline in hospital infections

Editor's Note The Centers for Disease Control and infection (CDC) on October 31 reported that the risk of hospital patients having healthcare-associated infections was 16% lower in 2015 than in 2011, largely because of declines in surgical site and urinary tract infections. The percentage of patients having surgical site and…

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By: Judy Mathias
November 1, 2018
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Identifying SSIs using electronic health record data

Editor's Note In this study, researchers developed an algorithm model that accurately identified surgical site infections (SSIs) using independent variables from electronic health record data and outcomes from the American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP). Researchers fit 3 models to data from patients having surgery at the…

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By: Judy Mathias
October 31, 2018
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Effect of prehabilitation program on abdominal surgery patients

Editor's Note Colectomy patients participating in a preoperative prehabilitation program had positive physiologic effects and experienced fewer complications, this study finds. The prehabilitation program−Michigan Surgical and Health Optimization Program (MSHOP)−engages patients in four activities before surgery: Physical activity, pulmonary rehabilitation, nutritional optimization, and stress reduction. For the study, patients were…

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By: Judy Mathias
October 30, 2018
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Study: Bachelor’s degree nurses better prepared than associate degree nurses

Editor's Note In this study, nurses with bachelor’s degrees were found to be significantly better prepared than nurses with associate degrees in 5 of 16 test topics between 2007 and 2008, and in 12 of 16 topics between 2014 and 2015. Researchers tested the quality and safety educational preparedness differences…

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By: Judy Mathias
October 26, 2018
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Effect of wound photography for remote postop assessment of SSIs

Editor's Note Wound photography facilitates online postoperative wound assessment for surgical site infections (SSIs) but needs refinement to make sure critical issues aren’t missed, this study finds. A total of 523 surgeons reviewed online clinical vignettes with or without wound photography to diagnose SSIs. The addition of photography did not…

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By: Judy Mathias
October 26, 2018
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Joint Commission: Cardiac certifications available to all hospitals

Editor's Note The Joint Commission on October 24 announced that beginning January 1, 2019, any hospital wanting to pursue the Advanced Certification in Heart Failure or Comprehensive Cardiac Center Certification will no longer have to be accredited by the Joint Commission. The Joint Commission says it is making this change…

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By: Judy Mathias
October 26, 2018
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Multimodal pain control minimizes need for postop opioids after outpatient mastectomy

Editor's Note Mastectomy patients treated with a new long-acting pain medication were able to be discharged the same day of surgery with a reduced need for opioids in this study presented October 23 at the American College of Surgeons 2018 Clinical Congress in Boston. A total of 100 mastectomy patients…

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By: Judy Mathias
October 24, 2018
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