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    Understanding Value as a Key Concept in Sustaining the Perioperative Nursing Workforce.
    AORN J 2018 Mar;107(3):345-354
    Perioperative nursing is faced with a staffing crisis attributed in part to minimal numbers of newly graduated nurses choosing a career in this specialty. This article analyzes and applies the concept of value to explore how to maintain an adequate perioperative nursing workforce; recruit newly graduated nurses; and encourage career professional, nurse educator, and student collaboration to generate meaningful value for perioperative nursing. This analysis revealed that value co-creation for perioperative nursing could lead to newly graduated nurses increasingly choosing perioperative nursing as a career, and enjoying satisfying perioperative nursing careers while providing high-quality patient care. Read More

    Surgical Fire Safety: An Ambulatory Surgical Center Quality Improvement Project.
    AORN J 2018 Mar;107(3):335-344
    Surgical team members use fire risk assessment tools to determine the risk of a surgical fire occurring and facilitate communication to reduce risk. The purposes of this quality improvement project were to improve knowledge and awareness of surgical fire risk and increase practitioners' use of a fire risk assessment tool during the surgical safety communication process. We recruited a purposive sample of participants that included all surgical team members of a metropolitan ambulatory surgical center. Read More

    Use of a Novel Memory Aid to Educate Perioperative Team Members on Proper Patient Positioning Technique.
    AORN J 2018 Mar;107(3):325-332
    Interdisciplinary collaboration is key to safe surgical positioning. Although the surgical procedure dictates the patient's position, surgeons, anesthesia care providers, intraoperative nurses, and ancillary staff members must work together to achieve the goal of safe positioning. Correct patient positioning includes the provision of adequate access to the surgical site for the surgeon and surgical assistants. Read More

    Implementing a Cardiac Skills Orientation and Simulation Program.
    AORN J 2018 Feb;107(2):215-223
    Patients with cardiac morbidities admitted for cardiac surgical procedures require perioperative nurses with a high level of complex nursing skills. Orienting new cardiac team members takes commitment and perseverance in light of variable staffing levels, high-acuity patient populations, an active cardiac surgical schedule, and the unpredictability of scheduling patients undergoing cardiac transplantation. At an academic medical center in Boston, these issues presented opportunities to orient new staff members to the scrub person role, but hampered efforts to provide active learning opportunities in a safe environment. Read More

    The Meaning of Intraoperative Errors: Perioperative Nurse Perspectives.
    AORN J 2018 Feb;107(2):225-235
    Medical errors involve different health care professionals, are multifaceted, and can occur at the individual practitioner or system level. The conditions for errors vary in the health care environment; some practice areas may be more vulnerable to errors than others. Limited research exists that explores perioperative nursing errors. Read More

    Improving Performance Measures With Perioperative Analytics.
    AORN J 2018 Feb;107(2):189-198
    Perioperative nurses and leadership teams across the country strive to improve outcomes, increase operational efficiency, and achieve performance improvement on key measures in the perioperative department. In today's changing health care environment, which involves increasing pressure to do more with less, it is essential for perioperative leaders to understand analytics and how to use analytics to identify, plan, and implement improvement initiatives that will provide the greatest value. This article examines key performance indicators in the OR, barriers to change, and the strategies and processes that perioperative leaders can use to achieve efficiency and performance improvement goals. Read More

    A Postprocedure Wrap-up Tool for Improving OR Communication and Performance.
    AORN J 2018 Jan;107(1):108-115
    In 2015, perioperative nursing staff members at a community hospital designed and implemented a tool to help improve communication and performance. Our postprocedure wrap-up tool and its follow-up process have allowed us to achieve improvements in both efficiency and staff member satisfaction. By implementing a process to document problems as they occur and quickly transmit information to the staff members who are best able to correct these issues, we greatly improved our workflow. Read More

    Implementing a Perioperative Nursing Student Summer Internship.
    AORN J 2018 Jan;107(1):83-90
    Using qualitative research and a collaborative academic service partnership, we created an innovative 120-hour perioperative nursing summer internship for eight undergraduate nursing students in 2016. Recognizing that perioperative exposure is limited in the traditional baccalaureate program, this unpaid internship served to clarify student perceptions of perioperative nursing care and encourage graduates to meet perioperative workforce demands. We based the theoretical and practical student learning experiences on the AORN Periop 101 learning modules and included faculty-led discussions, student journaling, and onsite precepted clinical activities. Read More

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