Critical assessment and rapid response are essentials skills for perioperative staff members, and that goes double for perioperative leadership. Patient-centered leadership is a must. Like the OR, the postanesthesia care unit (PACU, formerly referred to as the “recovery room”) is a critical care area plagued by an influx of new…

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Editor's Note A new app developed by researchers in Japan aims to improve care coordination for nurses involved in managing critically ill patients on life support. The findings were published January 25 in the Japan Journal of Nursing Science.  Relying on the scoring system known as the Nurses' Care Coordinate…

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Editor's Note Video laryngoscopy was found to lead to higher intubation success rates over direct laryngoscopy in critically ill adult patients, an August 2023 randomized controlled trial published by the The New England Journal of Medicine shows. The findings were consistent whether they were intubated in an emergency room or…

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Editor's Note High-performance intensive care units (ICUs) may have better patient outcomes during health crises such as the COVID-19 pandemic, according to new findings published by the journal CHEST. The study, titled "The association between pre-pandemic ICU performance and mortality variation in COVID-19: A multicenter cohort study of 35,619 critically…

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Editor's Note Using a tube that collects about half the blood of a standard tube will still provide enough blood for a lab test while reducing transfusions for critically ill patients, a new investigative study published by JAMA Network reports. The study, titled "Small-Volume Blood Collection Tubes to Reduce Transfusions…

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Editor's Note This article by nurse researchers at Washington University in St Louis and University of Arkansas in Fayetteville, shows how mentorship can positively affect role transitioning from an experienced RN to a novice acute care nurse practitioner (ACNP) in a cardiothoracic ICU. The authors note the differences between preceptors,…

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Editor's Note A quality improvement study led by clinicians at the Mayo Clinic in Jacksonville, FL, improved clinical alarm management skills and reduced alarm fatigue and desensitization among nurses in a surgical intensive care unit. The study included 115 direct-care nurses working full-time, modified full-time, or part-time schedules in a…

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Editor's Note Capstone projects by the 2021-22 cohort of American Hospital Association’s Next Generation Leaders Fellowship focused on improving gaps in education and patient care. The year-long capstone projects focus on key issues and challenges affecting healthcare affordability, cost, quality, and safety. Among the 2021-22 projects were delirium in the…

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When Ayumi Fielden, MSN, RN, CCRN-K, CPAN, worked as a preceptor in a PACU nurse residency program for new graduate nurses, she realized quickly that something was missing. “The graduate nurses struggled because they were not yet comfortable with basic nursing skills, such as assessments and giving medications. They also…

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Today’s chat is with Ayumi Fielden, MSN, RN, CCRN-K, CPAN, Professional Practice Leader, Houston Methodist Hospital, Houston, Texas. Q: What is something that went right at your facility and/or that you are thankful for this year? We have a lot to be thankful for this year. We lost some surgical…

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