PubMed Journal Database | AORN journal 
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Showing PubMed Articles 1–25 of 187 from AORN journal
Defining the value of perioperative nursing.
Social networking and professional boundaries.
A few minutes with beverly a. Kirchner.
Elimination of immediate-use steam sterilization of radioactive seed implants.
Immediate-use steam sterilization (IUSS) was routinely used to prepare radioactive seeds for use in elective urology cases at an urban academic medical center. In an attempt to eliminate this practice, the senior clinical nurse queried educators from nearby facilities about their practices for processing these implants and met with all stakeholders to identify concerns and explore acceptable alternatives. After rejecting the alternative of having central sterile processing personnel sterilize the seeds, a p...
Implementing AORN Recommended Practices for Sterilization.
Any hospital or facility in which surgery and other invasive procedures are performed should have accommodations for cleaning, decontaminating, disinfecting, and sterilizing instruments, equipment, and other essential supplies that are used for patient procedures. Sterilization is essential to reducing or preventing the risk of surgical site infections. This is a collaborative process and should include all health care providers who handle these instruments, including perioperative nurses. The revised AORN...
Quality improvement: single-field sterile scrub, prep, and dwell for laparoscopic hysterectomy.
The vulva and vaginal interior are considered a contaminated surgical area, and current OR guidelines require surgeons who are gloved and gowned at the abdominal field to avoid contact with the urethral catheter, the uterine manipulator, and the introitus or to change their gloves and even regown if contact occurs. It is our belief that the perception of the vaginal field as contaminated reflects a lack of specific standards for the preoperative cleansing of the deeper vagina and a lack of preoperative prep...
Effectiveness of 2% CHG Cloth Bathing for Reducing Surgical Site Infections.
We conducted a prospective cohort study on the effectiveness of preoperative bathing with chlorhexidine gluconate (CHG) cloths for reducing surgical site infections. We hypothesized that use of CHG cloths as an adjunct to surgical prep would significantly reduce the endogenous flora of surgical patients and therefore reduce surgical site infections. Data from a control group of patients who had undergone general, vascular, and orthopedic surgery were used for comparison. Results indicated an overall reducti...
Differences in intraoperative prep solutions: a retrospective chart review.
Surgical site infections (SSIs) are the most common type of health care-associated infection in surgical patients. We wanted to identify which intraoperative prep solution used in our health network for adult open abdominal surgical procedures resulted in the lowest incidence of SSI 30 days after surgery. In addition, we wanted to know specifically how parachoroxylenol compared with chlorhexidine gluconate, povidone-iodine, and 0.7% iodine and 74% isopropyl alcohol as an intraoperative prep solution. We con...
Meningococcemia: the pediatric orthopedic sequelae.
Meningococcal disease affects as many as 3,000 people in the United States per year, with the highest incidence in children younger than two years of age and two-thirds of cases occurring in children younger than five years of age. Children who survive meningococcemia face quality-of-life issues that result from limb deficiencies. Consultation with an experienced pediatric orthopedic surgeon in the early stages of the illness is vital for planning surgical approaches for amputation of the resulting necrotic...
The road to magnet: implementing new knowledge, innovations, and improvements.
Safe Patient Hand-off Strategies.
Immunization recommendations for perioperative observers Key words: immunization, vaccine, vaccination, perioperative observers, perioperative visitors. Legislation related to the immunization of perioperative observers Key words: immunization, vaccine, vaccination, perioperative observers, perioperative visitors, students, immunization legislation, immunization regulation, immunization law. Scrubbed personnel who are sneezing Key words: sneezing, coughing, saliva, mucus, surgical mask. Length of time after...
Bridging collaboration to innovation.
Connections: mind, health, spirit.
Priority patient safety issues identified by perioperative nurses.
Much of the work done by perioperative nurses focuses on patient safety. Perioperative nurses are aware that unreported near misses occur every day, and they use that knowledge to prioritize activities to protect the patient. The purpose of this study was to identify the highest priority patient safety issues reported by perioperative RNs. We sent a link to an anonymous electronic survey to all AORN members who had e-mail addresses in AORN's member database. The survey asked respondents to identify top peri...
Using simulation training to improve perioperative patient safety.
Simulation learning provides medical and nursing personnel with the opportunity to develop and refine their skills without putting patients at risk. Faced with ensuring the competence of a large number of new staff members, the management team at one facility implemented a simulation training program. Surgical team members are able to participate in an ongoing program of simulated scenarios involving surgical drape fires and airway fires, cardiac arrest of patients in the supine position and prone position,...
Instituting Code Blue Drills in the OR.
A code blue in the OR is a low-volume, high-risk event. To be effective during a code blue event, perioperative personnel must be able to properly execute a response plan and perform seldom-used skills and procedures. I developed and implemented a code blue drill educational experience for OR staff members that included a review of code blue policy, how to use a defibrillator, and simulated code blue scenarios. In addition, I worked with educational facilitators to provide an assessment of the personnel wh...
What's New in the Transplant OR?
Advancements in transplantation offer promising treatment options for a variety of diseases. Organ donation, an essential part of organ transplantation, may be performed at hospitals even if the facility is not a transplant center; therefore, perioperative nurses should be aware of developments in transplantation and the implications for patient care at their facilities. Considerations for organ transplant protocols include the type of documentation required, the elements of the transplant OR time out, and...
During the initiation of a new robotic surgery program, a quality improvement team explored different techniques for positioning patients in the lithotomy and steep Trendelenburg position during robot-assisted procedures. Concerns associated with placing patients in the steep Trendelenburg position include the patient slipping toward the head of the bed and experiencing hemodynamic changes that may result in a rise in blood pressure, increased intraocular and intracranial pressures, and difficulty with vent...
Proper use of surgical n95 respirators and surgical masks in the or.
Proper adherence to infection control precautions, including appropriate selection and use of personal protective equipment (PPE), is of significant importance to the health and well-being of perioperative personnel. Surgical masks are intended for use as a barrier to protect the wearer's face from large droplets and splashes of blood and other body fluids; however, surgical and high-filtration surgical laser masks do not provide enough protection to be considered respiratory PPE. Potential exposure to air...
Learning to adapt during a surgical mission to remote Africa.
Surgical attire compliance for safe patients and practitioners.
Eye examinations for health care personnel using lasers Key words: lasers, eye examinations, laser eye injuries. The difference between a laser safety specialist and a laser safety site contact Key words: laser, laser safety specialist, laser safety site contact, laser safety officer. Isolation precautions during care of a patient with a herpes simplex virus infection of the eye Key words: herpes simplex virus (HSV), herpes, eye infection, ocular infection, contact isolation precautions, standard precaution...
Medication reconciliation pitfalls.
