7,686 results match your criteria AORN Journal[Journal]


Guideline Quick View: Instrument Cleaning.

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AORN J 2018 Jul;108(1):106-109

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When Bullying Affects Patient Safety.

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AORN J 2018 Jul;108(1):78-80

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A Multidisciplinary Approach to Treating Traumatic Pelvic Fractures: 1.1 www.aornjournal.org/content/cme.

Authors:
Ramie Miller

AORN J 2018 Jul;108(1):13-22

Pelvic fractures are traumatic injuries that can be caused by motor vehicle accidents, motorcycle accidents, motor vehicle-related pedestrian injuries, or falls from a significant height. These injuries can be life threatening because of the high vascularity of the pelvis and the difficulty in being able to see bleeding occurring in this area. Traditional approaches to treat pelvic fractures have been pelvic binding, external fixation, and open preperitoneal packing; however, the use of angiography and embolization enables faster pinpointing of the location of the bleeding. Read More

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July 2018
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Advances in Orthopedic Surgery.

Authors:
Ramie Miller

AORN J 2018 Jul;108(1):9-11

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Establishing a Successful Outpatient Joint Arthroplasty Program.

AORN J 2018 Jul;108(1):44-50

Many surgical procedures are performed in outpatient settings, and outpatient joint replacements are one of the emerging trends in orthopedics. Rising consumer demand for value-driven health care, new technology, and pain management advancements, and more physicians training in minimally invasive surgical techniques during their residency have driven this change. When a facility is considering the establishment of an outpatient joint arthroplasty program, leaders must take into consideration the outcomes data from the facility's current joint arthroplasty program. Read More

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Unexpected Drawbacks of Electronic Order Sets.

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AORN J 2018 Jul;108(1):116-118

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Did You Know?

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AORN J 2018 Jul;108(1):P14

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Back to Basics: Protection From Surgical Smoke: 1.2 www.aornjournal.org/content/cme.

Authors:
Lisa Spruce

AORN J 2018 Jul;108(1):24-32

Surgical smoke is formed when energy-generating devices (ie, electrosurgery units, lasers, powered instruments) raise the intracellular temperature of tissue to at least 100º C (212º F), causing tissue vaporization in the form of surgical smoke. Surgical smoke contains components that are known health hazards, such as benzene, toluene, hydrogen cyanide, formaldehyde, volatile organic compounds, viruses, and bacteria. There have been case reports of human disease tied to the inhalation of surgical smoke; therefore, it is important for perioperative team members to minimize their exposure and patient exposure. Read More

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2018 Conference Poster Collection.

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AORN J 2018 Jul;108(1):66-77

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July 2018
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Positioning Patients Undergoing Orthopedic Procedures.

AORN J 2018 Jul;108(1):52-58

Positioning patients for orthopedic procedures can be a daunting experience for nurses because of the wide variety of orthopedic procedures and available positioners. Understanding what to use for a particular procedure can help perioperative nurses feel more confident and allow them to provide the safest patient care possible. This knowledge also helps avoid workflow delays because of missing or incorrect equipment. Read More

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Parental Perception of the Perioperative Experience for Children With Autism.

AORN J 2018 Jul;108(1):34-43

Children with autism spectrum disorders (ASDs) face unique challenges when preparing for and undergoing surgery in the perioperative setting. Our goal was to describe this experience via the qualitative evaluation of interviews with parents whose children with ASD had recently undergone surgery in a tertiary medical center. Twelve parents or guardians participated in these interviews. Read More

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Guideline Implementation: Prevention of Venous Thromboembolism: 1.6 www.aornjournal.org/content/cme.

Authors:
Terri Link

AORN J 2018 Jun;107(6):737-748

Venous thromboembolism (VTE) is a serious and costly complication of surgery. Many cases of health care-associated VTE could be prevented with the use of evidenced-based interventions. Perioperative nurses are in a position to advocate for patients by assessing each patient's risk for VTE and implementing preventive measures, such as administering anticoagulants as ordered and correctly applying graduated compression stockings and intermittent pneumatic compression devices. Read More

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June 2018
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2018 Conference Highlights.

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AORN J 2018 Jun;107(6):666-671

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June 2018
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Systematic Review and Meta-Analysis of Cricoid Pressure Training and Education Efficacy.

AORN J 2018 Jun;107(6):716-725

We examined the evidence on the effectiveness of education and training on cricoid pressure (ie, Sellick maneuver) application. Cricoid pressure is used during rapid sequence induction and intubation to reduce the risk of pulmonary aspiration. We searched seven databases for studies on the education and training of health care personnel expected to apply cricoid pressure as a part of their regular clinical responsibilities. Read More

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The Value and Process of Peer Review.

Authors:
Debra Dunn

AORN J 2018 Jun;107(6):661-664

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Good Catch Campaign: Improving the Perioperative Culture of Safety.

AORN J 2018 Jun;107(6):705-714

Although health care workers feel pressure to reduce adverse events in the perioperative department, a lack of education, communication, and leadership can prevent hospital personnel from reporting good catches. The purpose of this evidence-based quality improvement project was to improve the culture of safety in our perioperative department by implementing the Good Catch Campaign. An interprofessional team led staff member education after implementing a standardized electronic reporting system and debriefing process to occur after good catches. Read More

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2018 Conference Awards.

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AORN J 2018 Jun;107(6):684-690

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Synergism in Perioperative Services.

AORN J 2018 Jun;107(6):726-736

This article presents an analysis of the concept of synergism in perioperative services. Perioperative services can account for a hospital's highest expenditures and net income or loss, and leaders must understand how to maximize outcomes by creating value above expectations. Using Walker and Avant's methodology, I examined the use of synergism in the literature across multiple databases. Read More

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Guideline Quick View: Autologous Tissue.

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AORN J 2018 Jun;107(6):789-792

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Did You Know?

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AORN J 2018 Jun;107(6):P18

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Surgical Smoke: Putting the Pieces Together to Become Smoke-Free: 1.6 www.aornjournal.org/content/cme.

AORN J 2018 Jun;107(6):692-703

Surgical smoke is generated when tissue vaporizes from the use of various energy-generating devices (eg, electrosurgery units, lasers). Surgical smoke contains toxic gases and vapors that can be hazardous to patients and perioperative staff members. In addition to ocular and upper respiratory tract irritation, surgical smoke can have mutagenic potential. Read More

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Educational Opportunities.

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AORN J 2018 Jun;107(6):783-787

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Femoral popliteal bypass.

Authors:
Lisa Hauk

AORN J 2018 Jun;107(6):P13-P15

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Implementation of a Wisconsin Division of Public Health Surgical Site Infection Prevention Champion Initiative.

AORN J 2018 May;107(5):570-578

Approximately 900 surgical site infections (SSIs) were reported to the Wisconsin Division of Public Health annually from 2013 to 2015, representing the most prevalent reported health care-associated infection in the state. Personnel at the Wisconsin Division of Public Health launched an SSI prevention initiative in May 2015 using a surgical care champion to provide surgical team peer-to-peer guidance through voluntary, nonregulatory, fee-exempt onsite visits that included presentations regarding the evidence-based surgical care bundle, tours of the OR and central processing areas, and one-on-one discussions with surgeons. The surgical care champion visited 10 facilities from August to December 2015, and at those facilities, SSIs decreased from 83 in 2015 to 47 in 2016 and the overall SSI standardized infection ratio decreased by 45% from 1. Read More

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A Nurse's Accountability.

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AORN J 2018 May;107(5):612-614

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Educational Opportunities.

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AORN J 2018 May;107(5):638-642

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Kidney transplantation.

Authors:
Lisa Hauk

AORN J 2018 May;107(5):P11-P13

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