Periop Nursing

Latest Issue of OR Manager
July 2019
Home Periop Nursing

Editorial

Nearly 40 “awareness” or prevention and education wellness initiatives are listed for the month of May—among them, National Nurses Week, World Hand Hygiene Day, and Mental Health Month. Mental health caught my eye because it was a featured topic at the World Healthcare Congress in Washington, DC, where a panel…

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By: Elizabeth Wood
May 17, 2019
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Good questions lay foundation for powerful leadership pipeline

Success for any new leader hinges on the ability to be both “student” and “teacher” because the role requires learning and mentoring. Striking a balance between these roles can be especially daunting for new perioperative services leaders, which is why Bruce Tulgan was invited to speak at the 2019 OR…

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By: Elizabeth Wood
May 17, 2019
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Top 10 Patient Safety Concerns for 2019

Healthcare is striving to become an industry of high-reliability organizations, and part of being a high-reliability industry means staying vigilant and identifying problems proactively. ECRI Institute’s annual Top 10 list helps organizations identify looming patient safety challenges and offers suggestions and resources for addressing them. ECRI Institute relied on event…

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By: ECRI
May 17, 2019
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From NASA to the OR: How to launch on-time starts

Northwestern Medicine Lake Forest Hospital, located in Lake Forest, Illinois, has taken a giant leap in curtailing late starts in the OR. In December 2016, the facility’s on-time start percentage was only 37%. Perioperative team members dug in their heels and, by August 2017, increased their on-time starts to 77%.…

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By: Catherine Spader, RN
May 17, 2019
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What should you do if your sterilizer fails?

A sterilization failure is a significant event. Receiving a positive biological indicator (BI) result from a sterilizer can be devastating and presents a patient safety concern because it could result in infection. This article addresses the proper action to take in the event of a positive BI result and biological…

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By: Susan Klacik, BS, CRCST, CHL, CIS, ACE, FCS
May 17, 2019
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Study: Negative pressure wound therapy lowers SSI risk

Editor's Note In this study, the use of negative pressure wound therapy resulted in a significantly lower risk of surgical site infections (SSIs) than standard surgical incision closure. A total of 123 patients undergoing pancreaticoduodenectomy were randomized to receive either negative pressure wound therapy or a standard closure of the…

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By: Judy Mathias
May 16, 2019
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Performance on patient safety measures linked to hospital financial performance

Editor's Note Hospitals that perform better on measures to prevent postoperative complications also have better performance on measures of profitability, this study finds. Improved patient safety performance was associated with higher net patient revenue for five of seven Surgical Care Improvement Project (SCIP) measures, including starting and stopping preventive antibiotics…

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By: Judy Mathias
May 16, 2019
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Correlation of intraop staff movements, door openings with SSI risk

Editor's Note This multicenter study demonstrated an association between intraoperative staff movements and door openings with risk of surgical site infections (SSIs). In this study of 13 ORs in 10 hospitals, performing cardiac and total hip or knee replacement surgery, door openings were assessed by sensors fixed on the doors.…

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By: Judy Mathias
May 15, 2019
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Nurse staffing linked to healthcare-associated infections

Editor's Note In this study from the Columbia University School of Nursing, New York City, researchers found that nurse understaffing is associated with increased risk of healthcare-associated infections (HAIs). Using data from 2007 to 2012 in a large urban hospital system: 15% of patient days had one shift understaffed (defined…

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By: Judy Mathias
May 13, 2019
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Adherence to ERAS protocols associated with fewer postop complications

Editor's Note An increased in adherence to Enhanced Recovery after Surgery (ERAS) protocols was associated with a decrease in postoperative complications in this study. Of 2,084 patients analyzed, 566 had moderate to severe postoperative complications. The number of patients with moderate to severe complications was lower in the ERAS group…

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By: Judy Mathias
May 13, 2019
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