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    7532 results match your criteria AORN Journal[Journal]

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    Clinical Issues-November 2017.
    AORN J 2017 Nov;106(5):443-449
    Heating, ventilation, and air-conditioning (HVAC) systems in the OR Key words: airborne contaminants, HVAC system, air pressure, air quality, temperature and humidity. Air changes and positive pressure Key words: air changes, positive pressure airflow, unidirectional airflow, outdoor air, recirculated air. Product selection Key word: product evaluation, product selection, selection committee. Read More

    Back to Basics: Environmental Cleaning Hazards.
    AORN J 2017 Nov;106(5):424-432
    Perioperative personnel must clean and disinfect the perioperative environment numerous times throughout the day to help prevent the risk of exposing patients to pathogenic microorganisms. However, this practice exposes perioperative team members to chemicals that could be harmful to their health. Exposure to cleaning and disinfecting products has been associated with potential health problems such as skin irritation, burns, rashes, and difficulty breathing. Read More

    Temporary Perioperative Tobacco Cessation: A Literature Review.
    AORN J 2017 Nov;106(5):415-423.e5
    Perioperative tobacco cessation decreases rates of surgical complications associated with the use of tobacco. The link between patient outcomes and reimbursement to health care providers and systems is another important motivating factor supporting temporary pre- and postoperative tobacco cessation to improve surgical patient outcomes. The optimal time frame for tobacco cessation to improve surgical outcomes has not been definitively established. Read More

    Epilepsy: Clinical Review and Surgical Options.
    AORN J 2017 Nov;106(5):393-414
    Epilepsy is the fourth leading neurologic disorder in the United States and affects the quality of life of approximately 2.9 million Americans. Despite modern progress in medicine and technology, the disease may prove to be drug resistant, a condition that serves as a primary indication to consider invasive treatment modalities. Read More

    Translating Evidence Into Practice: How Advanced Practice RNs Can Guide Nurses in Challenging Established Practice to Arrive at Best Practice.
    AORN J 2017 Nov;106(5):378-392
    Nursing is an information-intensive profession, requiring nurses to have high information literacy and the skills to find, understand, evaluate, and use information from a multitude of sources. The advanced practice RN (APRN) is a valuable resource to support and guide nurses in this effort. The APRN's skills encompass understanding and implementing evidence-based practice, evaluating the organizational structure (eg, units, facilities, multisystem organizations) across the continuum of care, and facilitating collaboration between perioperative nurses and other interprofessional team members to sustain practice changes in the clinical setting. Read More

    Local Anesthetic Systemic Toxicity.
    AORN J 2017 Nov;106(5):367-377
    Local anesthetics are commonly used in the perioperative environment to facilitate surgical procedures or to provide postoperative pain management for patients. The use of local anesthetics, however, introduces the risk of complications resulting from local anesthetic systemic toxicity and the risks of increased morbidity and mortality for the surgical patient. Systemic toxicity from the injection or overdose of local anesthetics is a rare but potentially fatal complication that occurs in less than 1 in 1,000 patients. Read More

    Clinical Issues-October 2017.
    AORN J 2017 Oct;106(4):338-345
    • Bowel isolation technique in minimally invasive surgery Key words: minimally invasive surgery, bowel isolation technique, bowel resection. • Covering hair that has escaped a surgical cap Key words: OR attire, head covering, sterile technique. • Surgical head coverings Key words: skull caps, bouffant caps, quality control, quality initiative. Read More

    An Integrative Review of Postoperative Accelerated Recovery Protocols.
    AORN J 2017 Oct;106(4):324-330.e5
    We undertook an integrative literature review of articles pertaining to perioperative nursing care provided to patients using postoperative accelerated recovery protocols. To select the articles, we searched the MEDLINE, PubMed, Cumulative Index to Nursing and Allied Health Literature, and LiteraturaLatino-Americana e do Caribe em Ciências da Saúde databases. We identified 329 studies, 13 of which met our inclusion criteria and described perioperative nursing care activities. Read More

    The Role of Emotional Intelligence in Perioperative Nursing and Leadership: Developing Skills for Improved Performance.
    AORN J 2017 Oct;106(4):317-323
    Many responsibilities of perioperative professionals involve concrete tasks that require high technical competence. Emotional intelligence, referred to as EQ, which involves the ability to relate to and influence others, may also be important for perioperative professionals. High EQ has been linked to higher performance in the workplace, higher job satisfaction, lower turnover intentions, and less burnout. Read More

    Surgical Head Coverings: A Literature Review.
    AORN J 2017 Oct;106(4):306-316.e6
    Microorganisms that cause surgical site infections may either be present on the patient's skin or mucous membranes or transmitted to the patient by health care personnel, the environment, or other items in the perioperative setting. This literature review analyzes the evidence used to support the recommendation that perioperative personnel should cover their heads, hair, and ears in the semirestricted and restricted areas. A literature search produced 27 articles related to bacterial shedding from skin and hair, pathogenic organisms present on the hair and ears, and case reports of infectious organisms passed from health care providers to patients. Read More

    A Communication Training Program to Encourage Speaking-Up Behavior in Surgical Oncology.
    AORN J 2017 Oct;106(4):295-305
    Patient safety in the OR depends on effective communication. We developed and tested a communication training program for surgical oncology staff members to increase communication about patient safety concerns. In phase one, 34 staff members participated in focus groups to identify and rank factors that affect speaking-up behavior. Read More

    Maximizing Efficiency and Reducing Robotic Surgery Costs Using the NASA Task Load Index.
    AORN J 2017 Oct;106(4):283-294
    Perioperative leaders at our facility were struggling to meet efficiency targets for robotic surgery procedures while also maintaining the satisfaction of the surgical team. We developed a human resources time and motion study tool and used it in conjunction with the NASA Task Load Index to observe and analyze the required workload of personnel assigned to 25 robotic surgery procedures. The time and motion study identified opportunities to enlist the help of nonlicensed support personnel to ensure safe patient care and improve OR efficiency. Read More

    Clinical Issues-September 2017.
    AORN J 2017 Sep;106(3):254-261
    Performing Staphylococcus aureus decolonization for urgent procedures Key words: decolonization, Staphylococcus aureus, MRSA, MSSA, mupirocin. Hand hygiene before donning gloves Key words: hand hygiene, glove, personal protective equipment. Hand hygiene before skin prep Key words: hand hygiene, skin prep, sterile task, aseptic task. Read More

    Guideline Implementation: Positioning the Patient.
    AORN J 2017 Sep;106(3):227-237
    Every surgical procedure requires positioning the patient; however, all surgical positions are associated with the potential for the patient to experience a positioning injury. The locations and types of potential injuries (eg, stretching, compression, pressure injury) depend on the position. Factors that may increase the patient's risk for an injury are the length of the procedure and risk factors inherent to the patient (eg, weight, age, frailty). Read More

    Back to Basics: Pneumatic Tourniquet Use.
    AORN J 2017 Sep;106(3):219-226
    Pneumatic tourniquets are commonly used in surgeries involving the limbs to achieve a nearly bloodless surgery and an optimal operating field or when administering regional anesthesia during surgery on a limb. Complications can arise from the use of tourniquets, including nerve injuries, pain, compartment syndrome, pressure injuries, chemical burns, and tissue necrosis. More serious injuries-including deep vein thrombosis, thermal damage to tissues, severe ischemic injuries, and rhabdomyolysis-also can occur. Read More

    An Integrative Review of the Hands-Free Technique in the OR.
    AORN J 2017 Sep;106(3):211-218.e6
    Sharps injury rates are proportionally higher in perioperative areas than in other practice settings. The hands-free technique (HFT) has been shown to decrease the hazards of sharps injuries when passing sharps during surgery. We reviewed and synthesized research studies regarding compliance with the HFT and factors facilitating its use using a key word search of online databases and a secondary search of references. Read More

    Professional and Regulatory Infection Control Guidelines: Collaboration to Promote Patient Safety.
    AORN J 2017 Sep;106(3):201-210
    Professional organizations and regulatory agencies collaborate on infection prevention and control guidelines to support preventing and controlling infection in the surgical setting. More specifically, regulatory and accrediting agencies, professional associations, and advisory committees create and promote the use of evidence-based recommendations for preventing surgical site infections. Many agencies perform accreditation surveys to ensure compliance with these standards and guidelines. Read More

    The Effect of Offloading Heels on Sacral Pressure.
    AORN J 2017 Sep;106(3):194-200
    Offloading a patient's heels during supine surgical procedures is a common practice to prevent heel pressure injuries. This practice may increase sacral pressure and jeopardize sacral skin integrity, but prophylactic dressings may help protect sacral skin. The purpose of this study was to examine the effects of offloading the heels and of multilayered silicone foam dressings on sacral pressure. Read More

    Professional Development Strategies to Enhance Nurses' Knowledge and Maintain Safe Practice.
    AORN J 2017 Aug;106(2):99-110
    Maintaining competence is a professional responsibility for nurses. Individual nurses are accountable for their practice, as outlined in the American Nurses Association's Nursing: Scope and Standards of Practice. Nurses across clinical settings face the sometimes daunting challenge of staying abreast of regulatory mandates, practice changes, equipment updates, and other workplace expectations. Read More

    Clinical Issues-August 2017.
    AORN J 2017 Aug;106(2):162-171
    Caring for patients with tattoos undergoing magnetic resonance imaging (MRI) procedures Key words: magnetic resonance imaging, tattoos. Reducing slips, trips, and falls caused by electrical cords on the procedure room floor Key words: slips, trips, falls, electrical cords, equipment booms. Classifying surgical limb amputation wounds Key words: wound classification, documentation, amputation. Read More

    Guideline Implementation: Minimally Invasive Surgery, Part 2-Hybrid ORs.
    AORN J 2017 Aug;106(2):145-153
    Performing both surgical and imaging procedures in a hybrid OR can increase efficiency by reducing the number of patient transfers between departments and the number of patient hand overs between personnel. A hybrid OR is, however, a complex environment that requires integrating the knowledge and skills of personnel from multiple disciplines to create a successful workflow. When magnetic resonance imaging (MRI) equipment is installed in the hybrid OR, additional precautions are required to help ensure the environment is safe for patients and personnel. Read More

    Introducing Perioperative Nursing as a Foundation for Clinical Practice.
    AORN J 2017 Aug;106(2):121-127
    This article describes one school's experience in providing a perioperative nursing course as a first clinical course in a bachelor of science in nursing curriculum. This innovation reframes the perspective on perioperative nursing from that of an elective clinical specialty that is not essential to basic nursing education to a practice setting that provides key foundational clinical learning experiences for the novice nursing student. A strong academic-practice partnership; effective preparation for key stakeholders including nursing staff members, preceptors, and students; and collaboration with AORN were essential elements in the success of this clinical learning innovation. Read More

    Transitioning From Perioperative Staff Nurse to Perioperative Educator.
    AORN J 2017 Aug;106(2):111-120
    Perioperative nurses who enjoy teaching may wish to become staff development educators. The shift to this new role requires a transition period during which the new educator acquires the knowledge, skills, and attitudes integral to mastering the job. A systematic approach to achieving baseline competencies in the educator role helps to ensure a successful conversion from providing direct patient care to supporting the educational needs of staff members. Read More

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