MedWorm.com provides a medical RSS filtering service. Over 6000 RSS medical sources are combined and output via different filters. This feed contains the latest items from the 'AORN Journal' source. Wed, 08 Feb 2012 21:54:31 +0100 http://www.medworm.com/index.php?rid=5639642&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211014979%2Fabstract%3Frss%3Dyes Orders, claims, online, change of address: Elsevier Health Sciences Division, Subscription Customer Service, 3251 Riverport Lane, Maryland Heights, MO 63043; telephone: (800) 654-2452 (United States and Canada), (314) 447-8871 (outside United States and Canada); fax: (800) 225-4030 (United States and Canada), (314) 447-8029 (outside United States and Canada); e-mail: JournalsCustomerService-usa@elsevier.com (for print support); JournalsOnlineSupport-usa@elsevier.com (for online support). Address changes must be submitted four weeks in advance. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639642 Mon, 30 Jan 2012 03:56:37 +0100 5639642 http://www.medworm.com/index.php?rid=5639641&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211014967%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639641 Mon, 30 Jan 2012 03:56:37 +0100 5639641 http://www.medworm.com/index.php?rid=5639640&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211014955%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639640 Mon, 30 Jan 2012 03:56:37 +0100 5639640 http://www.medworm.com/index.php?rid=5639639&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211012312%2Fabstract%3Frss%3Dyes A 60-year-old man underwent an elective anterior cervical discectomy for persistent right arm weakness caused by cervical stenosis. Later that night, he developed tightness and swelling on the right side of his neck. The surgical unit nurse notified the covering physician, who asked about stridor or other respiratory symptoms. When told that they were absent, he recommended continued close observation. During the next few hours, the patient's symptoms persisted, and he experienced mild dysphagia. The nurse contacted the inhouse intensivist, who evaluated the patient and again found no evidence of respiratory distress or stridor. A few hours later, the patient stood up from bed to use the urinal, began coughing, turned cyanotic, and fell to the floor unconscious. Cardiopulmonary resuscitati... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639639 Mon, 30 Jan 2012 03:56:37 +0100 5639639 http://www.medworm.com/index.php?rid=5639638&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209212000208%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639638 Mon, 30 Jan 2012 03:56:37 +0100 5639638 http://www.medworm.com/index.php?rid=5639637&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209212000191%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639637 Mon, 30 Jan 2012 03:56:37 +0100 5639637 http://www.medworm.com/index.php?rid=5639636&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS000120921200018X%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639636 Mon, 30 Jan 2012 03:56:37 +0100 5639636 http://www.medworm.com/index.php?rid=5639635&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209212000166%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639635 Mon, 30 Jan 2012 03:56:37 +0100 5639635 http://www.medworm.com/index.php?rid=5639634&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209212000142%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639634 Mon, 30 Jan 2012 03:56:37 +0100 5639634 http://www.medworm.com/index.php?rid=5639633&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211015183%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639633 Mon, 30 Jan 2012 03:56:37 +0100 5639633 http://www.medworm.com/index.php?rid=5639632&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211009768%2Fabstract%3Frss%3Dyes This book demonstrates that conflict is inevitable in life, but we can learn to manage conflict in a constructive and advantageous manner while experiencing better results and outcomes. The authors tell the story of a salesman overlooked for yet another promotion and how he strives to improve both his professional and personal relationships by learning to resolve conflict in a productive way. They discuss how to work with other people, make coworkers feel worthwhile, and strengthen and build relationships whenever possible. The book is written in a conversational style that makes it both entertaining and easy to read. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639632 Mon, 30 Jan 2012 03:56:37 +0100 5639632 http://www.medworm.com/index.php?rid=5639631&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211010957%2Fabstract%3Frss%3Dyes Nursing research and evidence-based practice (EBP) are heavily used catch phrases today. Nursing research can be defined as the systematic discovery of new nursing knowledge; however, there is no unified or consensus-driven definition for EBP. Instead, EBP is an umbrella term used to describe the processes by which practitioners apply the best available evidence to answer clinical questions. Evidence constitutes published research findings as well as other credible sources of information, such as consensus statements from professional organizations (eg, AORN), internal quality improvement data, community practice standards, and knowledge gained through clinical experience. Evidence rating is often used to evaluate the quality of evidence as it relates to effectiveness, but other scales can... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639631 Mon, 30 Jan 2012 03:56:37 +0100 5639631 http://www.medworm.com/index.php?rid=5639630&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS000120921101091X%2Fabstract%3Frss%3Dyes Although this classic nursing textbook is geared toward nursing students, it can also be a helpful resource for practicing nurses. The text lists all medications alphabetically, with an extensive index that allows the reader to search by both generic and trade name. Information on each medication follows a monograph format, and important information within each monograph is highlighted. The information includes the medication's generic name and its brand or trade name, a pronunciation guide, therapeutic class, pharmacologic class, pregnancy category, indications for use and dosages, methods of administration, mechanism of action, adverse reactions, interactions, effects on laboratory results, contraindications, cautions, nursing considerations, and patient teaching information. The text is... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639630 Mon, 30 Jan 2012 03:56:37 +0100 5639630 http://www.medworm.com/index.php?rid=5639629&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211010933%2Fabstract%3Frss%3Dyes The clear and concise content in this excellent book will be meaningful to anyone involved in the care of the surgical patient, including anyone who cares for patients during and after their postanesthesia care unit stay. The writing style of the various authors is consistently precise and to the point. The authors describe complications that can occur during a surgical intervention, many of which perioperative nurses may not be aware. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639629 Mon, 30 Jan 2012 03:56:37 +0100 5639629 http://www.medworm.com/index.php?rid=5639628&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211013500%2Fabstract%3Frss%3Dyes The purpose of this retrospective, cross-sectional, observational study was to examine the relationships among Patient falls in health care facilities can cause pain and suffering and result in higher costs for care. According to one study, the incidence of patient falls ranges from one to eight per 1,000 inpatient days, depending on the type of nursing unit. Patient falls is one of the patient outcomes included in the National Quality Forum nursing care performance measures. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639628 Mon, 30 Jan 2012 03:56:37 +0100 5639628 http://www.medworm.com/index.php?rid=5639627&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211012336%2Fabstract%3Frss%3Dyes This Month: Patients wearing personal clothing into the OR Key words: patient attire, underwear. Tracking and documenting implants Key words: implant, implant documentation, infection prevention. Returning explants to patients Key words: implant, returning explanted devices. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639627 Mon, 30 Jan 2012 03:56:37 +0100 5639627 http://www.medworm.com/index.php?rid=5639626&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211012348%2Fabstract%3Frss%3Dyes Technical skills alone do not define a “good nurse.” In addition to competence and efficiency, it is also important for the nurse to be able to empathize with and understand patients and their family members. Each year as I write my self-evaluation, I think about why I became a nurse and what keeps my passion for nursing alive. Florence Nightingale referred to nursing as a calling, not a job. Throughout her life, she demonstrated that a nurse's deep commitment and caring could nurture a lifetime of growth and learning. As nurses, we take caring for granted and sometimes do not take time to think about how our experiences affect our practice. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639626 Mon, 30 Jan 2012 03:56:37 +0100 5639626 http://www.medworm.com/index.php?rid=5639625&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211012968%2Fabstract%3Frss%3Dyes This article highlights each of these steps and provides you with tools to help in your evaluation and implementation of a new piece of technology in your OR. This process is not restricted to new technology and can be leveraged whenever you are considering a new idea, service, or product, regardless of the industry. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639625 Mon, 30 Jan 2012 03:56:37 +0100 5639625 http://www.medworm.com/index.php?rid=5639624&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211011070%2Fabstract%3Frss%3Dyes Surgical wound classification is information that most circulating nurses document on a patient's record at the end of a surgical procedure. Nurses must understand the different classifications and the process of assigning categories to ensure that wound classification is accurate. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639624 Mon, 30 Jan 2012 03:56:37 +0100 5639624 http://www.medworm.com/index.php?rid=5639623&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211009744%2Fabstract%3Frss%3Dyes Perioperative nurses around the world struggle with many of the same issues, from supply management to improving patient safety and from medical tourism to establishing a safe and respectful work environment. Many nurses learn about their similarities to other nurses by traveling to other nations and actively working to improve nursing on a global scale. Although developing nations have problems in addition to those seen in developed nations, such as access to sufficient medical supplies, the issues of patient safety and respect resonate in ORs around the globe. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639623 Mon, 30 Jan 2012 03:56:37 +0100 5639623 http://www.medworm.com/index.php?rid=5639622&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211012464%2Fabstract%3Frss%3Dyes Abstract: Patient-controlled analgesia (PCA) is an effective treatment option for reducing pain, but PCA errors can be quite serious. Opioid analgesics are among the most effective pain relievers available, but all have contraindications and can have adverse effects, including respiratory depression and other effects on the central nervous system. Practitioners must weigh the potential benefits of PCA use against the risks. Errors associated with the PCA process have been documented in each phase of the medication-use process; therefore, practice improvements in prescribing, transcribing, dispensing, administering, and monitoring PCA may reduce the likelihood of errors. Perioperative nurses can make important contributions to safe PCA use by establishing standardized processes to help ens... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639622 Mon, 30 Jan 2012 03:56:37 +0100 5639622 http://www.medworm.com/index.php?rid=5639621&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211013494%2Fabstract%3Frss%3Dyes Abstract: Surgical facilities often stock many types of bone and bone products to meet the needs of multiple surgeons. In this era of cost containment, product standardization is necessary for the financial well-being of health care facilities. By familiarizing themselves with bone and bone product harvesting and processing and the US Food and Drug Administration requirements for approval of these products, perioperative nurses and managers can more easily standardize the bone and tissue products stocked and reduce costs. Steps toward standardization include establishing a multidisciplinary surgical product use committee to evaluate products used in the OR, limiting the number of tissue vendors for the facility to as few as possible, completing a product inventory to identify what is curr... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639621 Mon, 30 Jan 2012 03:56:37 +0100 5639621 http://www.medworm.com/index.php?rid=5639620&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211012452%2Fabstract%3Frss%3Dyes Abstract: Validating existing count practices and reducing individual practice variance are necessary to decrease the risk for retained surgical items. A quality improvement project was undertaken at one large city hospital to identify best practice and eliminate variability in count practices. The project included an analysis of 20 surgical count policies from hospitals across the country and a review of count practices among nurses and surgical technologists at the facility. Assessment of the policies and practices indicated that clinical practice requirements in the policies varied greatly, and there was a high degree of count practice variability among staff members. The facility OR manager and OR quality coordinator collaborated with staff nurses and surgical technologists to identif... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639620 Mon, 30 Jan 2012 03:56:37 +0100 5639620 http://www.medworm.com/index.php?rid=5639619&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211012439%2Fabstract%3Frss%3Dyes Abstract: During the 2007 meeting of the Child Health Corporation of America Operating Room Director's Forum, members identified two major discrepancies in surgical count policies among the member hospitals: variations for instrument counts in pediatrics and exceptions to radiographic verification when needle counts were incorrect. The group agreed to collaboratively develop a pediatric count policy based on directors' expertise and current literature to help improve count practices. The task force members reviewed the literature as well as count policies from 30 member hospitals to identify and combine best practices and to create a single, standardized count policy. The project exemplifies a successful nurse-led, national group effort. The outcome is a policy that represents best practi... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639619 Mon, 30 Jan 2012 03:56:37 +0100 5639619 http://www.medworm.com/index.php?rid=5639618&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211012324%2Fabstract%3Frss%3Dyes PURPOSE: To provide guidance for perioperative RNs in preventing retained surgical items (RSIs) in patients undergoing surgical and other invasive procedures. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639618 Mon, 30 Jan 2012 03:56:37 +0100 5639618 http://www.medworm.com/index.php?rid=5639617&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211012440%2Fabstract%3Frss%3Dyes Abstract: Retention of a surgical item is a preventable event that can result in patient injury. AORN's “Recommended practices for prevention of retained surgical items” emphasizes the importance of using a multidisciplinary approach for prevention. Procedures should include counts of soft goods, needles, miscellaneous items, and instruments, and efforts should be made to prevent retention of fragments of broken devices. If a count discrepancy occurs, the perioperative team should follow procedures to locate the missing item. Perioperative leaders may consider the use of adjunct technologies such as bar-code scanning, radio-frequency detection, and radio-frequency identification. Ambulatory and hospital patient scenarios are included to exemplify appropriate strategies for preventing ... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639617 Mon, 30 Jan 2012 03:56:37 +0100 5639617 http://www.medworm.com/index.php?rid=5639616&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211014074%2Fabstract%3Frss%3Dyes The following is a partial list of vendors who will exhibit at the 59th AORN Congress in New Orleans, Louisiana. A more detailed, comprehensive listing of exhibiting companies and product descriptions is available online and will be provided in the Congress Program to attendees of the event. To view all exhibitors or to register for the event, visit http://www.aorn.org/congress. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639616 Mon, 30 Jan 2012 03:56:37 +0100 5639616 http://www.medworm.com/index.php?rid=5639615&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211013834%2Fabstract%3Frss%3Dyes Each year at Congress, AORN strives to provide the very best in perioperative nursing education. Congress attendees will receive continuing education that focuses on current issues and trends, evidence-based practice and research, and health care initiatives relative to the advancement of perioperative practice. This year, several of the Congress speakers were invited and graciously agreed to participate in interviews about their upcoming presentations to provide just a small sample of the many educational offerings from which attendees will have the opportunity to choose. The first interviews were published in the January issue of the Journal, pages 8-18. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639615 Mon, 30 Jan 2012 03:56:37 +0100 5639615 http://www.medworm.com/index.php?rid=5639614&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211014086%2Fabstract%3Frss%3Dyes Parliamentary Briefing (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639614 Mon, 30 Jan 2012 03:56:37 +0100 5639614 http://www.medworm.com/index.php?rid=5639613&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211015146%2Fabstract%3Frss%3Dyes Twelve tracks. Six days. One amazing event. Visit us in New Orleans to attend the premier perioperative event of the year. Get energized, motivated, and connected with more than 10,000 others in the perioperative profession. This year’s Congress features more than 100 education sessions, six days of networking, and career-building opportunities. Do not forget to register for pre-Congress intensive sessions to gain a deeper understanding of critical topics. Visit http://www.aorn.org/Congress for more information and to register. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639613 Mon, 30 Jan 2012 03:56:37 +0100 5639613 http://www.medworm.com/index.php?rid=5639612&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211013895%2Fabstract%3Frss%3Dyes Elouise Hardy passed away August 20, 2011, in Norwalk, Ohio. Hardy was a graduate of St Luke's Hospital School of Nursing in Cleveland, and she worked as a nurse at the Fisher Titus Medical Center in Norwalk for 25 years before retiring in 1995. She joined AORN in 1973 and was a charter member of the Ohio State Council. She was active in the AORN National Legislative Committee for many years and was profiled in Members Making a Difference in the February 2009 issue of AORN Connections for her grassroots political efforts in promoting RN circulator legislation for the state of Ohio. She was quoted as saying, “Every nurse needs to know what is going on with health care reform and legislation, and the best way to do that is to be an AORN legislative grassroots member.” Hardy was also a fo... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639612 Mon, 30 Jan 2012 03:56:37 +0100 5639612 http://www.medworm.com/index.php?rid=5639611&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS000120921101235X%2Fabstract%3Frss%3Dyes I am currently the graduate program director and assistant dean in the College of Nursing at the University of Wisconsin Oshkosh. Before going back to school to obtain my master's degree in nursing and my doctorate, I was a perioperative staff nurse and manager for more than 10 years. After I started teaching in 1993, I continued to work as a perioperative nurse during summer months and school breaks. That connection to practice made me a better and more respected educator. Perioperative nursing is my passion, and I have influenced many students to go on to become perioperative nurses. I am an avid researcher and writer, and I won the AORN Journal Writers Contest Award for research twice (2005 and 2007). I have chaired two AORN national committees: the Scholarship Board (2005-2006) and the... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639611 Mon, 30 Jan 2012 03:56:37 +0100 5639611 http://www.medworm.com/index.php?rid=5639610&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS000120921101297X%2Fabstract%3Frss%3Dyes In 1925, President Calvin Coolidge (1872-1933), speaking to the Society of American Newspaper Editors, made the statement, “The business of America is business.”(p911) I have been reminded of that quotation numerous times over the years while sitting in the business meetings of AORN and other professional organizations. I am again reminded when thinking about the tremendous business and fiscal responsibilities of nurses in general and perioperative nurses in particular. These responsibilities relate not only to the multimillion dollar budget for staffing, supplies, and equipment in a perioperative nurse manager's department (or, increasingly, multiple departments) but also to individual staff nurse's responsibilities for the judicious use of resources (eg, suture, disposable devices, s... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639610 Mon, 30 Jan 2012 03:56:37 +0100 5639610 http://www.medworm.com/index.php?rid=5639609&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211014098%2Fabstract%3Frss%3Dyes The concept of passion has traditionally been associated with love; however, George Bernard Shaw insisted “that there are passions far more exciting than the physical ones … ‘intellectual passion, mathematical passion, passion for discovery and exploration: the mightiest of all passions.'”(p172) In the context of a career or professional goals, passion may be the single factor that keeps us interested and fulfilled. It is easy to pursue a career that is a match for our skills and talents; however, to have a career that also inspires us and promotes a desire to perform better and work smarter requires passion. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5639609 Mon, 30 Jan 2012 03:56:37 +0100 5639609 http://www.medworm.com/index.php?rid=5545807&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS000120921101355X%2Fabstract%3Frss%3Dyes Orders, claims, online, change of address: Elsevier Health Sciences Division, Subscription Customer Service, 3251 Riverport Lane, Maryland Heights, MO 63043; telephone: (800) 654-2452 (United States and Canada), (314) 447-8871 (outside United States and Canada); fax: (800) 225-4030 (United States and Canada), (314) 447-8029 (outside United States and Canada); e-mail: JournalsCustomerService-usa@elsevier.com (for print support); JournalsOnlineSupport-usa@elsevier.com (for online support). Address changes must be submitted four weeks in advance. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545807 Wed, 28 Dec 2011 18:50:27 +0100 5545807 http://www.medworm.com/index.php?rid=5545806&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211013548%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545806 Wed, 28 Dec 2011 18:50:27 +0100 5545806 http://www.medworm.com/index.php?rid=5545805&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211013536%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545805 Wed, 28 Dec 2011 18:50:27 +0100 5545805 http://www.medworm.com/index.php?rid=5545804&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211010969%2Fabstract%3Frss%3Dyes A six-year-old girl with a history of asthma and chronic adenotonsillitis was scheduled for a tonsillectomy and adenoidectomy in an ambulatory surgery center. She was in otherwise good health and was experiencing no acute symptoms at the time of surgery. After an uneventful surgery, the patient was extubated and had spontaneous ventilation and stable vital signs. Within an hour, however, the patient became hypoxic, with an inability to ventilate spontaneously, and she required reintubation. The etiology of the need for reintubation was unclear. The patient ultimately recovered with no additional complications and was discharged home. Her parents expressed concern about the safety of what they believed was a routine surgical procedure performed on children every day. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545804 Wed, 28 Dec 2011 18:50:27 +0100 5545804 http://www.medworm.com/index.php?rid=5545803&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211014037%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545803 Wed, 28 Dec 2011 18:50:27 +0100 5545803 http://www.medworm.com/index.php?rid=5545802&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211014025%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545802 Wed, 28 Dec 2011 18:50:27 +0100 5545802 http://www.medworm.com/index.php?rid=5545801&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211013986%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545801 Wed, 28 Dec 2011 18:50:27 +0100 5545801 http://www.medworm.com/index.php?rid=5545800&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211014001%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545800 Wed, 28 Dec 2011 18:50:27 +0100 5545800 http://www.medworm.com/index.php?rid=5545799&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211013962%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545799 Wed, 28 Dec 2011 18:50:27 +0100 5545799 http://www.medworm.com/index.php?rid=5545798&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211013767%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545798 Wed, 28 Dec 2011 18:50:27 +0100 5545798 http://www.medworm.com/index.php?rid=5545797&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211009781%2Fabstract%3Frss%3Dyes Nursing theory provides a framework of concepts designed to guide the nurse in providing care to an individual, a family, a group, or even a community. For many years, nurses relied on medical models of care as directed by physicians. As nursing education evolved, nurses developed theories to guide nursing care and nursing education curriculum development, and nursing professionals recognized the importance of these theories in establishing nursing as a distinct profession rather than an offshoot of the medical profession. The author writes about nursing theorists and the historical development and application of nursing theory. She provides the reader with tools to evaluate existing theory as well as methods of theory development for all nurses. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545797 Wed, 28 Dec 2011 18:50:27 +0100 5545797 http://www.medworm.com/index.php?rid=5545796&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS000120921100977X%2Fabstract%3Frss%3Dyes This book is an excellent resource on various physiological and psychological illnesses that may be related to stress. Numerous medical consultants and professional organizations have contributed to the content and validated the information presented. The book is divided into six independent sections that can be used individually or in combination to meet the reader's needs. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545796 Wed, 28 Dec 2011 18:50:27 +0100 5545796 http://www.medworm.com/index.php?rid=5545795&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211009756%2Fabstract%3Frss%3Dyes A synergistic team (ie, a team that works together in harmony) is what every employer wants and, in this book, author Brian Tracy explains how to achieve that goal. This very readable book is full of stories and mnemonics to help readers remember the practical, simple advice that he delivers on every page. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545795 Wed, 28 Dec 2011 18:50:27 +0100 5545795 http://www.medworm.com/index.php?rid=5545794&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211012270%2Fabstract%3Frss%3Dyes The objective of this prospective study was to evaluate the usefulness of an algorithmic model incorporating onset of acute elevation of serum glucose level and subsequent pattern of glucose stabilization or variability in predicting infection and outcome in critically injured trauma patients. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545794 Wed, 28 Dec 2011 18:50:27 +0100 5545794 http://www.medworm.com/index.php?rid=5545793&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211011069%2Fabstract%3Frss%3Dyes This Month: Venous thromboembolism prophylaxis in pediatric patients Key words: pediatric patients, venous thromboembolism, prophylaxis. The Centers for Disease Control and Prevention surgical wound classification system Key words: surgical wound, wound classification, clean wound, clean-contaminated wound, contaminated wound, dirty infected wound. Using the Surgical Wound Classification Decision Tree tool Key words: surgical wound, wound classification, clean-contaminated wound, contaminated wound. Using cotton surgical masks Key words: allergy, cotton surgical masks, fabric surgical masks, disposable surgical masks. Using povidone-iodine solution for surgical skin antisepsis before thyroid procedures Key words: povidone iodine, thyroid, surgical skin antisepsis. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545793 Wed, 28 Dec 2011 18:50:27 +0100 5545793 http://www.medworm.com/index.php?rid=5545792&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211012300%2Fabstract%3Frss%3Dyes How many continuous hours should a nurse be asked or allowed to work before he or she is provided with mandatory relief? How many hours of rest should hospital policy require before a nurse is allowed to return to work? The answers to these questions are complicated by staffing shortages and budget constraints, yet they are crucial to safe practice and patient safety. There is abundant literature concerning the effects of fatigue, the need for improved work cultures that support adequate staffing patterns conducive for safe practice, and the responsibilities of both organizations and individual nurses in assuring safe practice as it relates to hours worked. The literature, however, does not provide easy solutions. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545792 Wed, 28 Dec 2011 18:50:27 +0100 5545792 http://www.medworm.com/index.php?rid=5545791&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211013949%2Fabstract%3Frss%3Dyes DEC 2011, VOL 94, NO 6, page 572. Figure 1 in the article, “Using a learning needs assessment to identify knowledge deficits regarding procedural sedation for pediatric patients,” contains printing errors in section V on lines B, C, D, and F. The corrected figure is available online at http://www.aornjournal.org/article/S0001-2092(11)00980-X/fulltext#fig1. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545791 Wed, 28 Dec 2011 18:50:27 +0100 5545791 http://www.medworm.com/index.php?rid=5545790&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211011082%2Fabstract%3Frss%3Dyes There is finding information and then there is searching medical literature, and, although a quick Internet search might be adequate in the first case, in the latter, it is just not enough. Sometimes you need to know the best methods of evidence-based nursing practice, you would like articles to support a position, or you have a presentation to prepare or a paper to write. In those situations, the AORN Journal is a great place to look for both current and historical literature on perioperative nursing practice. Searching the Journal online is one of the best and most convenient ways to find the information you need. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545790 Wed, 28 Dec 2011 18:50:27 +0100 5545790 http://www.medworm.com/index.php?rid=5545789&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211010921%2Fabstract%3Frss%3Dyes PURPOSE: To provide guidelines for surgical attire and other accessories worn in the semirestricted and restricted areas of the surgical or invasive procedure setting. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545789 Wed, 28 Dec 2011 18:50:27 +0100 5545789 http://www.medworm.com/index.php?rid=5545788&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211011124%2Fabstract%3Frss%3Dyes Abstract: Surgical attire is intended to protect both patients and perioperative personnel. AORN published the “Recommended practices for surgical attire” to guide perioperative RNs in establishing protocols for selecting, wearing, and laundering surgical attire. Perioperative RNs should work with vendors and managers to ensure appropriate surgical attire is available, model the correct practices for donning and wearing surgical attire, and teach team members about evidence-based practices. The recommendation that surgical attire not be home laundered is supported by evidence that perioperative nurses can share with their colleagues and managers to help support appropriate practices. Hospital and ambulatory surgery center scenarios have been included as examples of appropriate executi... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545788 Wed, 28 Dec 2011 18:50:27 +0100 5545788 http://www.medworm.com/index.php?rid=5545787&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211011094%2Fabstract%3Frss%3Dyes Abstract: Retained surgical items were the most frequently reported sentinel event in 2010, according to The Joint Commission. Perioperative nurse leaders at Children's Hospital Boston, a pediatric teaching hospital, conducted a quality improvement initiative to reduce or eliminate incorrect counts and count discrepancies, which increase the risk of an item being unintentionally retained after surgery. Work included educating the perioperative staff members, standardizing count practices, formally reviewing every reported count discrepancy with the nursing team, and reviewing and revising the count policy for prevention of retained surgical items. The initiative reduced the number of incorrect counts and count discrepancies by 50% between 2009 to 2010. These initiatives continue to be exp... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545787 Wed, 28 Dec 2011 18:50:27 +0100 5545787 http://www.medworm.com/index.php?rid=5545786&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211012282%2Fabstract%3Frss%3Dyes Abstract: Kaizen is a proven management technique that has a practical application for health care in the context of health care reform and the 2010 Institute of Medicine landmark report on the future of nursing. Compounded productivity is the unique benefit of kaizen, and its principles are change, efficiency, performance of key essential steps, and the elimination of waste through small and continuous process improvements. The kaizen model offers specific instruction for perioperative nurses to achieve process improvement in a five-step framework that includes teamwork, personal discipline, improved morale, quality circles, and suggestions for improvement. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545786 Wed, 28 Dec 2011 18:50:27 +0100 5545786 http://www.medworm.com/index.php?rid=5545785&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211011148%2Fabstract%3Frss%3Dyes Abstract: Manufacturing organizations have used Lean management principles for years to help eliminate waste, streamline processes, and cut costs. This pragmatic approach to structured problem solving can be applied to health care process improvement projects. Health care leaders can use a step-by-step approach to document processes and then identify problems and opportunities for improvement using a value stream process map. Leaders can help a team identify problems and root causes and consider additional problems associated with methods, materials, manpower, machinery, and the environment by using a cause-and-effect diagram. The team then can organize the problems identified into logical groups and prioritize the groups by impact and difficulty. Leaders must manage action items carefull... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545785 Wed, 28 Dec 2011 18:50:27 +0100 5545785 http://www.medworm.com/index.php?rid=5545784&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211011136%2Fabstract%3Frss%3Dyes Cleaning and processing of surgical instrumentation has come under increased scrutiny during the past few years. Not so long ago, most surgery was performed with a knife; scissors; clamps; retractors; special tools for cardiac, neurosurgery, and orthopedic procedures; suture ties; and needles that we threaded by hand. More recently, we have seen increasingly complex rigid and flexible scopes, staplers, and instrumentation with many parts and crevices that are difficult to clean, and we have become increasingly concerned with biofilm, the prevention of surgical site infections (SSIs), and many other related challenges. Therefore, I have asked my colleagues to answer the following questions: (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545784 Wed, 28 Dec 2011 18:50:27 +0100 5545784 http://www.medworm.com/index.php?rid=5545783&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211013731%2Fabstract%3Frss%3Dyes Periop 101: A Core Curriculum is a comprehensive, online program for educating new perioperative nurses that provides 40 continuing education contact hours. The curriculum covers 25 pertinent topics and is designed to be integrated with your facility's specific policies and procedures in a clinical practicum and preceptorship. Periop 101 will help you develop confident, better-educated, safety-conscious, entry-level perioperative nurses. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545783 Wed, 28 Dec 2011 18:50:27 +0100 5545783 http://www.medworm.com/index.php?rid=5545782&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211012981%2Fabstract%3Frss%3Dyes The following is a list of vendors who will exhibit at the 59th AORN Congress in New Orleans, Louisiana. This list is comprehensive as of November 14, 2011. A more detailed listing of exhibiting companies and product descriptions is available online at http://www.aorncongress.org, and additional information will be published in the February 2012 AORN Journal. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545782 Wed, 28 Dec 2011 18:50:27 +0100 5545782 http://www.medworm.com/index.php?rid=5545781&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211011823%2Fabstract%3Frss%3Dyes Rosemarie T. Schroeder, BSN, RN, CNOR, is the director of perioperative services at St Joseph's Hospital, Ministry Health Care, Marshfield, Wisconsin. She earned her bachelor of science degree in nursing from the University of Wisconsin, Eau Claire. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545781 Wed, 28 Dec 2011 18:50:27 +0100 5545781 http://www.medworm.com/index.php?rid=5545780&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211012269%2Fabstract%3Frss%3Dyes The names of the candidates for the 2012 national election appear on the ballot to the right. Officers, members of the Board of Directors, and members of the Nominating and Leadership Development Committee will be elected by electronic ballot, unless a paper ballot is requested, by members in good standing with voting rights as defined in Article III of AORN's bylaws. Voting opens on February 28, 2012, and closes at midnight on March 28, 2012. Members can log in to the voting system from any computer with Internet access by using their AORN username and password. The voting system will verify that the member is eligible to vote. The voting results will be announced at the end of the last session of the House of Delegates at Congress. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545780 Wed, 28 Dec 2011 18:50:27 +0100 5545780 http://www.medworm.com/index.php?rid=5545779&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211011835%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545779 Wed, 28 Dec 2011 18:50:27 +0100 5545779 http://www.medworm.com/index.php?rid=5545778&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211011057%2Fabstract%3Frss%3Dyes The AORN House of Delegates will meet twice during the 2012 Congress in New Orleans, Louisiana—Wednesday, March 28, from 3 PM to 4:30 PM, and Thursday, March 29, from 12:30 PM to 2:30 PM. A Forum is scheduled on Tuesday, March 27, from 3 PM to 4:30 PM. The agenda for the Forum and House of Delegates sessions will be published in the February issue of the Journal. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545778 Wed, 28 Dec 2011 18:50:27 +0100 5545778 http://www.medworm.com/index.php?rid=5545777&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211011811%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545777 Wed, 28 Dec 2011 18:50:27 +0100 5545777 http://www.medworm.com/index.php?rid=5545776&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211012294%2Fabstract%3Frss%3Dyes Each year at Congress, AORN strives to provide the very best in perioperative nursing education. Congress attendees will receive continuing education that focuses on current issues and trends, evidence-based practice and research, and health care initiatives relative to the advancement of perioperative practice. This year, several of the Congress speakers were invited and graciously agreed to participate in interviews about their upcoming presentations to provide just a small sample of the many educational offerings from which attendees will have the opportunity to choose. Additional interviews will be published in the February issue of the Journal. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545776 Wed, 28 Dec 2011 18:50:27 +0100 5545776 http://www.medworm.com/index.php?rid=5545775&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211013032%2Fabstract%3Frss%3Dyes Perhaps no other city in the United States combines history, excitement, magic, and spice like New Orleans, Louisiana, site of AORN's 59th Congress. From March 24 to 29, 2012, more than 5,000 health care professionals and 5,000 exhibitors will gather at the Ernest N. Morial Convention Center and combine their efforts to influence safe perioperative practice. Come prepared to learn from some of the more than 100 education sessions, take advantage of networking opportunities, visit with exhibitors who will be showcasing their best and most innovative products for the OR, celebrate AORN award winners, and have fun with your friends and colleagues. All the information you need to answer your questions and help you plan your Congress experience can be accessed on the comprehensive AORN Congress... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545775 Wed, 28 Dec 2011 18:50:27 +0100 5545775 http://www.medworm.com/index.php?rid=5545774&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211011100%2Fabstract%3Frss%3Dyes Steve Jobs (1955-2011), who died October 5th and was co-founder of Apple, Inc, is remembered for the innovative devices (eg, iMac®, iPod®, iPhone®, and iPad®) that have changed the way people communicate and receive information. Jobs is also remembered for his creative association of seemingly different experiences to produce new ideas with practical applications. He referred to this as “connecting the dots” (ie, seeing relationships or trends among various ideas) and described his version of the process in a famous commencement address at Stanford University, California, in 2005. To achieve this, Jobs said, “You can't connect the dots looking forward; you can only connect them looking backwards. So you have to trust that the dots will somehow connect in your future.” The examp... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545774 Wed, 28 Dec 2011 18:50:27 +0100 5545774 http://www.medworm.com/index.php?rid=5545773&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211012993%2Fabstract%3Frss%3Dyes In the Logic of Operating Room Nursing, published in 1962, Jacqueline Willingham, RN, wrote to OR nurses, You have a very responsible position. Every set-up a doctor uses is prepared by a nurse. A good part of the doctor's success and the patient's well-being is in your hands. Remember this obligation. Only you can answer the question, “Did I use good surgical technique while preparing and executing this procedure?” Everyone connected with the procedure is sure you did. Have you betrayed these people and yourself?(p19) As perioperative nurses, we should understand and live by the concept of a surgical conscience. Do we hold ourselves accountable when no one is there to challenge our actions and monitor our behaviors? Self-accountability defines our ethics; it is who we are and what we... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5545773 Wed, 28 Dec 2011 18:50:27 +0100 5545773 http://www.medworm.com/index.php?rid=5450426&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211011884%2Fabstract%3Frss%3Dyes Orders, claims, online, change of address: Elsevier Health Sciences Division, Subscription Customer Service, 3251 Riverport Lane, Maryland Heights, MO 63043; telephone: (800) 654-2452 (United States and Canada), (314) 447-8871 (outside United States and Canada); fax: (800) 225-4030 (United States and Canada), (314) 447-8029 (outside United States and Canada); e-mail: JournalsCustomerService-usa@elsevier.com (for print support); JournalsOnlineSupport-usa@elsevier.com (for online support). Address changes must be submitted four weeks in advance. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5450426 Mon, 28 Nov 2011 15:06:36 +0100 5450426 http://www.medworm.com/index.php?rid=5450425&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211011872%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5450425 Mon, 28 Nov 2011 15:06:36 +0100 5450425 http://www.medworm.com/index.php?rid=5450424&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211011860%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5450424 Mon, 28 Nov 2011 15:06:36 +0100 5450424 http://www.medworm.com/index.php?rid=5450423&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211009604%2Fabstract%3Frss%3Dyes A 65-year-old man was admitted to the hospital for a left carotid endarterectomy. During the procedure, the surgeon requested 5,000 units of IV heparin. The anesthesiologist administered 5 mL of heparin from what he believed was a 1,000 units/mL concentration vial. After three minutes, an activated clotting time (ACT) was drawn while the surgeon clamped the carotid artery and proceeded with the surgery. When the ACT returned as normal rather than prolonged (as it should have been after heparin administration), the anesthesiologist repeated the ACT to confirm the result. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5450423 Mon, 28 Nov 2011 15:06:36 +0100 5450423 http://www.medworm.com/index.php?rid=5450422&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211012427%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5450422 Mon, 28 Nov 2011 15:06:36 +0100 5450422 http://www.medworm.com/index.php?rid=5450421&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211012415%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5450421 Mon, 28 Nov 2011 15:06:36 +0100 5450421 http://www.medworm.com/index.php?rid=5450420&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211012403%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5450420 Mon, 28 Nov 2011 15:06:36 +0100 5450420 http://www.medworm.com/index.php?rid=5450419&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211012397%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5450419 Mon, 28 Nov 2011 15:06:36 +0100 5450419 http://www.medworm.com/index.php?rid=5450418&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211012373%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5450418 Mon, 28 Nov 2011 15:06:36 +0100 5450418 http://www.medworm.com/index.php?rid=5450417&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS000120921101221X%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5450417 Mon, 28 Nov 2011 15:06:36 +0100 5450417 http://www.medworm.com/index.php?rid=5450416&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211010441%2Fabstract%3Frss%3Dyes Understanding complications of spinal surgery and determining how to reduce them are hampered by a lack of meaningful definitions among practitioners, organizations, and regulatory bodies. Like many areas in health care, terminology can be confusing, such as when different definitions are assigned to the same term. For example, a complication can be an adverse event, adverse occurrence, or sentinel event. Different terms used to describe complications could affect patient safety. The researchers conducting this systematic review of the literature sought to answer the following questions: (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5450416 Mon, 28 Nov 2011 15:06:36 +0100 5450416 http://www.medworm.com/index.php?rid=5450415&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211009793%2Fabstract%3Frss%3Dyes This Month: Pre-charting patient care informationKey words: documentation, pre-charting, corrections, electronic health record.Using the most current edition of the Perioperative Nursing Data Set (PNDS)Key words: Perioperative Nursing Data Set, PNDS 3rd edition, PNDS 2nd edition, clinical terminology, versioning.Data quality and the electronic health record (EHR)Key words: data quality, electronic health record, retrospective data analysis, front-end data acquisition.Assessing and improving the quality of health care dataKey words: data quality assurance, information quality, data quality control, subjective data metrics, objective data metrics.Electronic documentation and quality patient careKey words: nursing documentation, information system, designing an electronic documentation system... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5450415 Mon, 28 Nov 2011 15:06:36 +0100 5450415 http://www.medworm.com/index.php?rid=5450414&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211009707%2Fabstract%3Frss%3Dyes Almost all health care facilities have placed a high priority on implementing and optimizing the interoperability of computerized systems that support effective, quality patient care. In addition, health care providers should determine whether they are using all the functional elements and capabilities of their electronic systems. Implementing these systems and supporting the care applications are instrumental to providing streamlined care, but health care providers must look outside traditional application use and access digital data and information technology (IT) infrastructures to provide an even greater level of safety support. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5450414 Mon, 28 Nov 2011 15:06:36 +0100 5450414 http://www.medworm.com/index.php?rid=5450413&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211009598%2Fabstract%3Frss%3Dyes What is the effect of using low pressure compared with standard pressure pneumoperitoneum during laparoscopic cholecystectomy? For keyhole removal of the gallbladder, an inert gas, usually carbon dioxide, is injected into the abdomen. Generally, a pressure of 12 mm Hg to 16 mm Hg is used for surgery. During insufflation of the abdomen, several physiological parameters change related to the heart and lung. Lowering the pressure might decrease cardiopulmonary complications and reduce postoperative pain; however, lower pressure may not provide a clear surgical field, which presents safety concerns. Although a clear surgical field is of importance during the surgical procedure, reduced cardiopulmonary complications, as well as reduced postoperative pain, use of analgesics, and shoulder pain w... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5450413 Mon, 28 Nov 2011 15:06:36 +0100 5450413 http://www.medworm.com/index.php?rid=5450412&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211009586%2Fabstract%3Frss%3Dyes Professionally speaking, hair stylists, air conditioning technicians, travel and tour agents, tattoo artists, and real estate agents do not appear to have much in common; however, they do share a critical common denominator: to practice legally in these disciplines in most states, they are required to be licensed or certified. Central sterile supply department (CSSD) professionals, however, have not largely been held to such stringent standards. In fact, New Jersey remains the sole state in the nation to require certification of CSSD technicians. This is troubling given the critical roles and responsibilities of CSSD professionals. If any one of the vital processes that take place in the CSSD is performed hastily or incorrectly or by an inexperienced or inadequately trained technician, a r... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5450412 Mon, 28 Nov 2011 15:06:36 +0100 5450412 http://www.medworm.com/index.php?rid=5450411&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211009732%2Fabstract%3Frss%3Dyes This article addresses perioperative implications for pediatric patients with Down syndrome. Down syndrome is the most commonly occurring genetic disorder, and, because of its association with a high incidence of congenital abnormalities, many children with this disorder will require surgical procedures for correction and repair that will be performed with the patient under general anesthesia. Technological advances in the medical field also will likely result in an increase in the number of surgical interventions for these patients. It is essential that perioperative staff members acquire a comprehensive knowledge base regarding coexisting conditions to properly manage care of this patient population. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5450411 Mon, 28 Nov 2011 15:06:36 +0100 5450411 http://www.medworm.com/index.php?rid=5450410&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211009719%2Fabstract%3Frss%3Dyes Second Life® (SL) is a three-dimensional world created by its users who interact with each other online for activities such as nursing education, business meetings or networking, and entertainment (eg, music, art). Each user is represented by an avatar (ie, a digital representation of oneself that is created, customized, and manipulated by the user). (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5450410 Mon, 28 Nov 2011 15:06:36 +0100 5450410 http://www.medworm.com/index.php?rid=5450409&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211008775%2Fabstract%3Frss%3Dyes Abstract: In the fall of 2008, perioperative leaders at Brigham and Women’s Hospital, Boston, Massachusetts, conducted a two-week trial of the World Health Organization Surgical Safety Checklist in the main OR. The checklist was incorporated by using a Plan-Do-Study-Act cycle. In 2009, we began a 14-week rollout of the surgical safety checklist to all our ORs. Critical factors that led to the success of this implementation included gaining executive leadership endorsement; recruiting volunteers from each discipline to lead the project; using quality methodologies to ensure a thoughtful, organizing implementation; providing frequent feedback and data; and confirming standardized use of the checklist by creating a policy. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5450409 Mon, 28 Nov 2011 15:06:36 +0100 5450409 http://www.medworm.com/index.php?rid=5450408&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211009690%2Fabstract%3Frss%3Dyes Abstract: It is important for educators to know why nursing students choose perioperative nursing so that they can help these students become knowledgeable and perceptive professionals. The purpose of this study was to learn why perioperative nurses chose their specialty and why they chose to leave former positions. We used a Likert-type questionnaire with 26 statements and one open-ended question. Ninety of approximately 180 perioperative nursing students in Norway returned the questionnaire. The three most important reasons for choosing perioperative nursing were interest, being able to help patients, and being useful to others, and the three most important reasons for leaving former jobs were wanting more than working on typical patient care units, insufficient staff to provide high-qua... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5450408 Mon, 28 Nov 2011 15:06:36 +0100 5450408 http://www.medworm.com/index.php?rid=5450407&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS000120921100980X%2Fabstract%3Frss%3Dyes Abstract: Procedural sedation is a cost-effective method of providing sedation and analgesia for patients undergoing diagnostic and therapeutic procedures. Sedation ranges on a continuum from minimal sedation to deep sedation, so procedural sedation can pose many risks for patients (eg, compromised airway, depressed respirations, hypotension). The unique variables inherent in the pediatric population and the associated risks of procedural sedation make it imperative that RNs be knowledgeable and competent in monitoring and managing these patients. Through the use of a learning needs assessment, perioperative resource nurses at a pediatric hospital in a large, southeast metropolitan area identified practice concerns associated with staff RNs' management of pediatric patients undergoing proc... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5450407 Mon, 28 Nov 2011 15:06:36 +0100 5450407 http://www.medworm.com/index.php?rid=5450406&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211009720%2Fabstract%3Frss%3Dyes Abstract: Pressure ulcer formation related to positioning while in the OR increases the length of hospital stay and hospital costs, but there is little evidence documenting how positioning devices used in the OR influence pressure ulcer development when examined with traditional risk factors. The aim of this prospective cohort study was to identify the prevalence of and risk factors associated with pressure ulcer development among patients undergoing surgical procedures lasting longer than three hours. Participants included all adult same-day admission patients scheduled for a three-hour surgical procedure during an eight-month period (N = 258). Data were gathered preoperatively, intraoperatively, and postoperatively on pressure ulcer risk factors. Bivariate analyses indicated that the typ... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5450406 Mon, 28 Nov 2011 15:06:36 +0100 5450406 http://www.medworm.com/index.php?rid=5450405&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211009811%2Fabstract%3Frss%3Dyes Abstract: AORN conducted its ninth annual compensation survey for perioperative nurses in June and July 2011. A multiple regression model was used to examine how a number of variables, including job title, education level, certification, experience, and geographic region, affect nurse compensation. Comparisons between the 2011 data and data from previous years are presented. The effects of other forms of compensation, such as on-call compensation, overtime, bonuses, and shift differentials, on base compensation rates also are examined. Additional analyses explore the effect of the current economic downturn on the perioperative work environment. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5450405 Mon, 28 Nov 2011 15:06:36 +0100 5450405 http://www.medworm.com/index.php?rid=5450404&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211010854%2Fabstract%3Frss%3Dyes AORN is proud to recognize the talented authors who make the AORN Journal a respected source of quality information for perioperative nurses and managers. Holly A. Adams, BSN, RN, CNOR (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5450404 Mon, 28 Nov 2011 15:06:36 +0100 5450404 http://www.medworm.com/index.php?rid=5450403&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211012166%2Fabstract%3Frss%3Dyes Periop 101: A Core Curriculum is a comprehensive, online program for educating new perioperative nurses that provides 40 continuing education contact hours. The curriculum covers 25 pertinent topics and is designed to be integrated with your facility's specific policies and procedures in a clinical practicum and preceptorship. Periop 101 will help you develop confident, better-educated, safety-conscious, entry-level perioperative nurses. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5450403 Mon, 28 Nov 2011 15:06:36 +0100 5450403 http://www.medworm.com/index.php?rid=5450402&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211010908%2Fabstract%3Frss%3Dyes I am pursuing my master of science degree at the Florida Atlantic University, where I am currently enrolled in a course called Influencing Health Policy. I found the editorial by Patricia Seifert, “Patients' trust in nurses' care” (May 2011, Vol 93, No 5), to be particularly interesting because our program's focus is grounded in caring. This course has encouraged me to become more involved in the political side of health care, which gives me the opportunity to be a stronger advocate for the voiceless patient. Advocacy is something I feel I do best; no matter what the situation may be, I never forget about the patient on the table. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5450402 Mon, 28 Nov 2011 15:06:36 +0100 5450402 http://www.medworm.com/index.php?rid=5450401&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211010891%2Fabstract%3Frss%3Dyes After reading the article “Perioperative care of the patient with diastolic heart failure” (Special Needs Populations, June 2011, Vol 93, No 6), I wondered whether AORN realizes how much the publication of the Journal impacts perioperative professionals personally as well as professionally. My dad passed away about a year and a half ago, and I strongly believe that reading this article has helped me with my grief over his loss. He had so many of the symptoms that were cited that I think it has helped me put together things that contributed to his passing that I was looking at separately. He had been diagnosed with diastolic dysfunction and had atrial fibrillation, a left deep vein thrombosis, and a left pleural effusion (in addition to bladder cancer and an area of question in his lung... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5450401 Mon, 28 Nov 2011 15:06:36 +0100 5450401 http://www.medworm.com/index.php?rid=5450400&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS000120921101088X%2Fabstract%3Frss%3Dyes This article is important to me as a leader in surgical services, not only for its evidence-based content but also for the excellent example of the nurse-driven change it depicts. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5450400 Mon, 28 Nov 2011 15:06:36 +0100 5450400 http://www.medworm.com/index.php?rid=5450399&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211010842%2Fabstract%3Frss%3Dyes December is a time to review the year's events, take stock of what has worked and what has not, and make a plan of action. This cycle is a common one, and I realize that many of the articles we publish in the AORN Journal are submitted as a direct result of the author thinking, “I wish someone would write an article about this problem and how it can be solved … . Wait! I could do that!” So allow me reflect on some areas that affect our lives personally and professionally. If one of these topics resonates with you, you may want to consider how your experience could help others work through a similar problem. I encourage you to write a manuscript about your solutions and lessons learned and submit it to the AORN Journal. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5450399 Mon, 28 Nov 2011 15:06:36 +0100 5450399 http://www.medworm.com/index.php?rid=5450398&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211011112%2Fabstract%3Frss%3Dyes Every organization has a vision for its future, usually embodied in its mission. AORN's mission is “to promote safety and optimal outcomes for patients undergoing operative and other invasive procedures by providing practice support and professional development opportunities to perioperative nurses.” We each play a role in demonstrating the mission, and we are responsible for determining whether it is working well and whether it is being adequately communicated. We may believe that we are successfully demonstrating our mission, but do others perceive this as well? (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5450398 Mon, 28 Nov 2011 15:06:36 +0100 5450398 http://www.medworm.com/index.php?rid=5365935&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211010507%2Fabstract%3Frss%3Dyes Orders, claims, online, change of address: Elsevier Health Sciences Division, Subscription Customer Service, 3251 Riverport Lane, Maryland Heights, MO 63043; telephone: (800) 654-2452 (United States and Canada), (314) 447-8871 (outside United States and Canada); fax: (800) 225-4030 (United States and Canada), (314) 447-8029 (outside United States and Canada); e-mail: JournalsCustomerService-usa@elsevier.com (for print support); JournalsOnlineSupport-usa@elsevier.com (for online support). Address changes must be submitted four weeks in advance. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5365935 Tue, 01 Nov 2011 04:00:00 +0100 5365935 http://www.medworm.com/index.php?rid=5365934&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211010490%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5365934 Tue, 01 Nov 2011 04:00:00 +0100 5365934 http://www.medworm.com/index.php?rid=5365933&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211010489%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5365933 Tue, 01 Nov 2011 04:00:00 +0100 5365933 http://www.medworm.com/index.php?rid=5365932&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS000120921100857X%2Fabstract%3Frss%3Dyes A patient was referred to a urologist after several episodes of gross hematuria. The urologist thought the patient might have a renal mass and sent him to have a computed tomography scan. The patient stated that he was not allergic to “x-ray dye,” so the radiologist told the technologist to proceed with contrast material administration. Soon after the injection, the patient went into anaphylactic shock. He was rapidly resuscitated and sustained no permanent harm. On later questioning, the patient stated that he was very allergic to shellfish and extremely allergic to iodine in all forms. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5365932 Tue, 01 Nov 2011 04:00:00 +0100 5365932 http://www.medworm.com/index.php?rid=5365931&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211011045%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5365931 Tue, 01 Nov 2011 04:00:00 +0100 5365931 http://www.medworm.com/index.php?rid=5365930&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211011008%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5365930 Tue, 01 Nov 2011 04:00:00 +0100 5365930 http://www.medworm.com/index.php?rid=5365929&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211011033%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5365929 Tue, 01 Nov 2011 04:00:00 +0100 5365929 http://www.medworm.com/index.php?rid=5365928&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS000120921101101X%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5365928 Tue, 01 Nov 2011 04:00:00 +0100 5365928 http://www.medworm.com/index.php?rid=5365927&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211010970%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5365927 Tue, 01 Nov 2011 04:00:00 +0100 5365927 http://www.medworm.com/index.php?rid=5365926&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211010702%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5365926 Tue, 01 Nov 2011 04:00:00 +0100 5365926 http://www.medworm.com/index.php?rid=5365925&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211010258%2Fabstract%3Frss%3Dyes Abstract: Achieving hemostasis is a crucial focus of clinicians working in surgical and trauma settings. Topical hemostatic agents—including mechanical hemostats, active hemostats, flowable hemostats, and fibrin sealants—are frequently used in efforts to control bleeding, and new options such as hemostatic dressings, initially used in combat situations, are increasingly being used in civilian settings. To achieve successful hemostasis, a number of vital factors must be considered by surgeons and perioperative nurses, such as the size of the wound; bleeding severity; and the efficacy, possible adverse effects, and method of application of potential hemostatic agents. Understanding how and when to use each of the available hemostatic agents can greatly affect clinical outcomes and help t... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5365925 Tue, 01 Nov 2011 04:00:00 +0100 5365925 http://www.medworm.com/index.php?rid=5365924&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS000120921100874X%2Fabstract%3Frss%3Dyes Authors Jeffrey Schwartz, MD, and Rebecca Gladding, MD, are well qualified to write on the subject of this book, of which the subtitle reads The 4-Step Process for Changing Bad Habits, Ending Unhealthy Thinking, and Taking Control of Your Life. Dr Schwartz is a research psychiatrist at the UCLA School of Medicine and is well known in the field of self-directed neuroplasticity. Dr Gladding is a clinical instructor and attending psychiatrist at the Stewart and Lynda Resnick Neuropsychiatric Hospital and the Semel Institute for Neuroscience and Human Behavior at UCLA. The authors discuss how the deceptive brain messages and uncomfortable sensations that everyone experiences prevent individuals from taking control of their lives, and they present a four-step method to help readers overcome old... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5365924 Tue, 01 Nov 2011 04:00:00 +0100 5365924 http://www.medworm.com/index.php?rid=5365923&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211008751%2Fabstract%3Frss%3Dyes A simple picture of an anatomically correct arm is depicted on the cover of the book Shades of Life and reminds me of helping to create arteriovenous fistulas for patients requiring dialysis. This book describes the life of one man from the time he received the diagnosis of kidney disease as a teenager to his eventual kidney transplant procedures as an adult. End-stage renal disease is a difficult diagnosis under any circumstance; however, the patient's family was well educated and able to thoroughly research the disease and treatments, which helped them understand and navigate the treatment options. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5365923 Tue, 01 Nov 2011 04:00:00 +0100 5365923 http://www.medworm.com/index.php?rid=5365922&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211008726%2Fabstract%3Frss%3Dyes As a nurse who flies frequently on business, I am very observant of airline protocols, rules, and safety practices, and I have often observed aviation protocols that would be applicable to health care. For those reasons, this book resonated profoundly with many areas of my life. Nurse Gary Sculli and his coauthor David Sine have produced a book that every nurse who cares about patient safety and quality patient care should read. The authors have the credentials and experience necessary to be authorities on the book's content. Sculli practiced as an RN for approximately 15 years before pursuing a career as an airline pilot. He returned to clinical nursing after the terrorist attacks on September 11, 2001. These two career perspectives have given him a deeper understanding of how health care... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5365922 Tue, 01 Nov 2011 04:00:00 +0100 5365922 http://www.medworm.com/index.php?rid=5365921&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211008763%2Fabstract%3Frss%3Dyes Author Dev Raheja is an international consultant on risk management and quality assurance for the health care, medical devices, aerospace, nuclear, and transportation industries. According to Raheja, 85% of errors are caused by system failure, not human error. He contends that dysfunctional systems create factors or situations that lead to human error, and significant restructuring is necessary to make the health care industry operate in a highly reliable way in which there is no margin for error. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5365921 Tue, 01 Nov 2011 04:00:00 +0100 5365921 http://www.medworm.com/index.php?rid=5365920&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211008738%2Fabstract%3Frss%3Dyes Terry R. Bacon, PhD, has written an excellent book for leaders and managers in any profession, including nursing. The book provides readers with insights into how power and influence affect the behavior of individuals in leadership and management roles. Dr Bacon is a subject matter expert on leadership and influence with more than 30 years of experience as a thought leader, innovator, teacher, coach, and consultant to global businesses in leadership, management, business development, and interpersonal skills. Every bit of this experience and expertise shows in the pages of this magnum opus. The book is well written, easy to read and understand, and very well organized. The layout may remind readers of a textbook designed to enhance learning because it is divided into small units of informa... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5365920 Tue, 01 Nov 2011 04:00:00 +0100 5365920 http://www.medworm.com/index.php?rid=5365919&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211008593%2Fabstract%3Frss%3Dyes Surgical site infection (SSI) continues to be a significant problem after elective and emergency surgical procedures. It is believed that the cause of SSI is multifactorial, with factors related to the overall well-being of the patient, such as nutritional, immunological, and hemodynamic status. Other factors that likely influence SSI include surgical time, core body temperature, blood transfusions in proximity to surgery, postoperative pain, and tissue oxidative tension. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5365919 Tue, 01 Nov 2011 04:00:00 +0100 5365919 http://www.medworm.com/index.php?rid=5365918&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211008696%2Fabstract%3Frss%3Dyes This Month: Footwear and use of shoe covers in the perioperative suiteKey words: protective footwear, shoe covers, hazard risk assessment, foot injuries.Perioperative disinfection and sterilizationKey words: germicide, disinfectant, antiseptic, disinfection, sterilization.Use of alcohol wipes for perioperative cleaning and disinfectionKey words: alcohol wipes, cleaning, disinfection, fire hazard.Healthcare Laundry Accreditation CouncilKey words: health care laundry, laundry facility accreditation, surgical attire. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5365918 Tue, 01 Nov 2011 04:00:00 +0100 5365918 http://www.medworm.com/index.php?rid=5365917&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211008611%2Fabstract%3Frss%3Dyes Are intraperitoneal anti-adhesive agents effective and safe in reducing the incidence and distribution of adhesion-related intestinal obstructions after non-gynecologic surgery? (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5365917 Tue, 01 Nov 2011 04:00:00 +0100 5365917 http://www.medworm.com/index.php?rid=5365916&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211008702%2Fabstract%3Frss%3Dyes In August 2009, Diane Brown, PhD, RN, started working at a government hospital in Indonesia as part of a two-year contract with Australian Volunteers International. She was recruited to help the nursing staff members there update their clinical practices with the goal of improving the quality of patient care throughout the hospital. In 2010, Dr Brown asked Lois Hamlin, DNurs, RN, FRCNA, FCN, Foundation Fellow ACORN, an Australian perioperative nurse and academic, to assist with implementing changes in the OR. The practice changes that were a top priority included initiating a patient identification system and introducing the World Health Organization (WHO) Surgical Safety Checklist. These changes had to be implemented in a culturally acceptable way, and this was achieved by using the pract... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5365916 Tue, 01 Nov 2011 04:00:00 +0100 5365916 http://www.medworm.com/index.php?rid=5365915&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211008222%2Fabstract%3Frss%3Dyes Approximately 20 years ago, the Occupational Safety and Health Administration (OSHA) produced the Bloodborne Pathogen Standard, and, a decade later, it was revised to include the Needlestick Safety and Prevention Act. These regulations were designed to protect employees from bloodborne pathogen exposure and to address concerns regarding the risk of life-threatening illnesses and disease transmission as a result of exposure to the most common bloodborne pathogens, hepatitis B (HBV), hepatitis C (HCV), and HIV. The regulations are clear and are organized in a fashion that addresses and facilitates implementation of the required elements of the standard. Compliance with the standard is mandatory, and it is the responsibility of employers or governing bodies of ambulatory surgery centers and o... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5365915 Tue, 01 Nov 2011 04:00:00 +0100 5365915 http://www.medworm.com/index.php?rid=5365914&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211008787%2Fabstract%3Frss%3Dyes Abstract: Critical thinking and clinical decision making are essential components of the knowledge and skills acquired in the perioperative education process. Although traditional didactic teaching methods remain predominant teaching strategies in perioperative nursing education, programs should include a variety of methods and tools to enhance learning of a considerable amount of complex material. Concept mapping is an active teaching strategy that can be used in nursing education to facilitate the development of critical thinking and decision-making skills. A concept map is a tool consisting of a main idea, subconcepts, and cross-links that organizes knowledge by showing relationships between concepts. Different types of maps can be used to present different types of learning material, d... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5365914 Tue, 01 Nov 2011 04:00:00 +0100 5365914 http://www.medworm.com/index.php?rid=5365913&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS000120921100929X%2Fabstract%3Frss%3Dyes Abstract: Nursing is ranked as one of the occupations with the most incidences of workplace-related injury and illness. The six types of injury risk specific to the perioperative environment are biological, ergonomic, chemical, physical, psychosocial, and cultural in nature. Strategies to improve safety include the use of engineering controls to change the work environment, the equipment used, and how the work is done; administrative controls, such as implementing policies and procedures to develop a culture of safety; and behavioral controls that individuals can exercise to reduce the risk of injury. In addition, every perioperative RN is responsible for following safety policies and has the responsibility to identify safety hazards, take appropriate actions, and report the hazards throug... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5365913 Tue, 01 Nov 2011 04:00:00 +0100 5365913 http://www.medworm.com/index.php?rid=5365912&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211008805%2Fabstract%3Frss%3Dyes PURPOSE: To provide guidance for perioperative RNs when developing a protocol for DVT prevention and administering mechanical and pharmacologic prophylaxis. The protocol should (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5365912 Tue, 01 Nov 2011 04:00:00 +0100 5365912 http://www.medworm.com/index.php?rid=5365911&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211008799%2Fabstract%3Frss%3Dyes Abstract: One to two people per 1,000 are affected by deep vein thrombosis (DVT) or pulmonary embolism in the United States each year. AORN published its new “Recommended practices for prevention of deep vein thrombosis” to guide perioperative RNs in establishing organization-wide protocols for DVT prevention. Strategies for successful implementation of the recommended practices include taking a multidisciplinary approach to protocol development, providing education and guidance for performing preoperative patient assessments and administering DVT prophylaxis, and having appropriate resources and the facility's policy and procedure for DVT prevention readily available in the practice setting. Hospital and ambulatory patient scenarios have been included as examples of appropriate execut... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5365911 Tue, 01 Nov 2011 04:00:00 +0100 5365911 http://www.medworm.com/index.php?rid=5365910&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211010672%2Fabstract%3Frss%3Dyes Periop 101: A Core Curriculum is a comprehensive, online program for educating new perioperative nurses that provides 40 continuing education contact hours. The curriculum covers 25 pertinent topics and is designed to be integrated with your facility's specific policies and procedures in a clinical practicum and preceptorship. Periop 101 will help you develop confident, better-educated, safety-conscious, entry-level perioperative nurses. New pricing for Periop 101: seat prices range from $295 to $795. For specific pricing information and a demonstration of the course, visit http://www.aorn.org/Periop101. Periop 101 modules also can be purchased individually. More information is available at http://www.aorn.org/periopmodules. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5365910 Tue, 01 Nov 2011 04:00:00 +0100 5365910 http://www.medworm.com/index.php?rid=5365909&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS000120921100860X%2Fabstract%3Frss%3Dyes In this issue of the AORN Journal, we begin a new series of articles based on AORN's recommended practices (RPs). The RP Summaries and RP Implementation Guides complement the RP documents in AORN's Perioperative Standards and Recommended Practices. The first summary and guide, written by Sharon Van Wicklin, MSN, RN, CNOR, CRNFA, CPSN, PLNC, summarize and provide guidance for implementing AORN's “Recommended practices for prevention of deep vein thrombosis.” In an accompanying Guest Editorial, Van Wicklin describes the process of developing these articles and the goal of the series. Each RP Summary provides key points from the RP document, and each Implementation Guide exemplifies how an RP can be “translated” into daily practice. Readers are encouraged to adapt the information to t... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5365909 Tue, 01 Nov 2011 04:00:00 +0100 5365909 http://www.medworm.com/index.php?rid=5365908&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211008714%2Fabstract%3Frss%3Dyes In response to numerous requests from members for assistance with implementing the AORN recommended practices (RPs), AORN is proud to present the newly created RP Summaries and RP Implementation Guides. The RP Summary is an innovative document that provides the key points of an RP document at a glance and is intended to be used as an adjunct to the complete RP document. The RP Implementation Guide is designed to assist perioperative nurses with implementing AORN RPs in hospital, ambulatory, and other perioperative practice settings. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5365908 Tue, 01 Nov 2011 04:00:00 +0100 5365908 http://www.medworm.com/index.php?rid=5365907&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211010453%2Fabstract%3Frss%3Dyes In 1859, Florence Nightingale wrote, “The very elements of nursing are all but unknown.”(p6) In 2011, this statement is still accurate, in certain aspects. A layperson who has not encountered any major health care issues may identify nursing as tasks concerned with keeping a patient environmentally safe, physically comfortable, and emotionally supported. Others may perceive nursing as tasks associated with medical treatment as directed by a physician. Although these are elements of nursing practice, the notion that nursing is these elements alone ignores the wider, robust contribution of the nursing profession to health care. Patients must be able to identify the relevance that nurses had to their recovery or stereotypes will persist. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5365907 Tue, 01 Nov 2011 04:00:00 +0100 5365907 http://www.medworm.com/index.php?rid=5287750&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211009343%2Fabstract%3Frss%3Dyes Orders, claims, online, change of address: Elsevier Health Sciences Division, Subscription Customer Service, 3251 Riverport Lane, Maryland Heights, MO 63043; telephone: (800) 654-2452 (United States and Canada), (314) 447-8871 (outside United States and Canada); fax: (800) 225-4030 (United States and Canada), (314) 447-8029 (outside United States and Canada); e-mail: JournalsCustomerService-usa@elsevier.com (for print support); JournalsOnlineSupport-usa@elsevier.com (for online support). Address changes must be submitted four weeks in advance. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5287750 Sat, 01 Oct 2011 04:00:00 +0100 5287750 http://www.medworm.com/index.php?rid=5287749&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211009331%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5287749 Sat, 01 Oct 2011 04:00:00 +0100 5287749 http://www.medworm.com/index.php?rid=5287748&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS000120921100932X%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5287748 Sat, 01 Oct 2011 04:00:00 +0100 5287748 http://www.medworm.com/index.php?rid=5287747&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211007629%2Fabstract%3Frss%3Dyes An 85-year-old woman with dementia took a mechanical fall at her skilled nursing facility and suffered a fractured femur. The patient was admitted to a surgical unit where providers contacted the patient's health care proxy, her niece, to discuss decision making. The providers confirmed the patient's wishes, including her desire not to be resuscitated, a preference that was articulated in her advance directive, which accompanied her to the hospital. The niece agreed that the patient's status would be “full code” during surgery (in other words, the do-not-resuscitate order would be suspended), but then the do-not-resuscitate order would be reinstated and apply for the remainder of the hospitalization. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5287747 Sat, 01 Oct 2011 04:00:00 +0100 5287747 http://www.medworm.com/index.php?rid=5287746&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211009677%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5287746 Sat, 01 Oct 2011 04:00:00 +0100 5287746 http://www.medworm.com/index.php?rid=5287745&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211009641%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5287745 Sat, 01 Oct 2011 04:00:00 +0100 5287745 http://www.medworm.com/index.php?rid=5287744&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS000120921100963X%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5287744 Sat, 01 Oct 2011 04:00:00 +0100 5287744 http://www.medworm.com/index.php?rid=5287743&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211009616%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5287743 Sat, 01 Oct 2011 04:00:00 +0100 5287743 http://www.medworm.com/index.php?rid=5287742&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211009537%2Fabstract%3Frss%3Dyes (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5287742 Sat, 01 Oct 2011 04:00:00 +0100 5287742 http://www.medworm.com/index.php?rid=5287741&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211008817%2Fabstract%3Frss%3Dyes AUGUST 2011, VOL 94, NO 2, page 213. The review of Aseptic Technique: Principles and Practices [CD-ROM] contained incorrect pricing. The price as of August 22, 2011, was $140 for members and $280 for nonmembers. For up-to-date pricing on all AORN Video Library items, please visit the Ciné-Med web site at http://cine-med.com. The Journal staff regrets the error. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5287741 Sat, 01 Oct 2011 04:00:00 +0100 5287741 http://www.medworm.com/index.php?rid=5287740&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211007897%2Fabstract%3Frss%3Dyes Surgical nursing requires knowledge of very specialized equipment and instrumentation (eg, Balfour retractor, Olsen clamp, Lambert-Kay aortic clamp, Scott-McCracken elevator). Novice perioperative nurses may wonder what these instruments look like, how they are used, and how they are processed. Shirley Tighe answers those questions and more in the 8th edition of her photographic manual. In this book, surgical instruments are displayed individually as well as in common instrument sets. The book is divided into 11 units, beginning with an overview of instrument care and handling and progressing to basic instrumentation and tray composition and to more specialized surgical product lines. A brief outline of the surgical procedure or specialty in which the instrument is used accompanies the ins... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5287740 Sat, 01 Oct 2011 04:00:00 +0100 5287740 http://www.medworm.com/index.php?rid=5287739&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211007307%2Fabstract%3Frss%3Dyes This is an easy-to-read book about understanding and resolving conflicts in the workplace. The author has extensive experience teaching conflict resolution in many well-known companies and government agencies, and uses many of these personal experiences as examples. She defines conflict as competitive or opposing incompatibilities that occur when what the manager wants, needs, or expects interferes with what the worker wants, needs, or expects. Conflict is inevitable and impossible to avoid, and managers must learn how to deal with it effectively. This book would be helpful for nurses who have been hired for their nursing skills and then promoted into management positions, which forces them out of familiar clinical nursing responsibilities and requires a new set of skills. (Source: AORN Jo... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5287739 Sat, 01 Oct 2011 04:00:00 +0100 5287739 http://www.medworm.com/index.php?rid=5287738&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211007873%2Fabstract%3Frss%3Dyes Kathleen D. Pagana has written more than 75 articles and 25 books and has a background as a nurse, manager, consultant, and leader. These experiences give her insight into the importance of effective communication for nurses. In a previous book, The Nurse's Etiquette Advantage: How Professional Etiquette Can Advance Your Nursing Career, Pagana outlined the importance of clear communication and professional nursing decorum. In this book, she takes communication to a new level of importance. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5287738 Sat, 01 Oct 2011 04:00:00 +0100 5287738 http://www.medworm.com/index.php?rid=5287737&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211007903%2Fabstract%3Frss%3Dyes Nurses who are in leadership roles or are instructors of leadership or management courses will find that this book provides the information needed to perform in those roles, as well as many updated instructor resources. The book focuses on current nursing leadership and management issues and other issues the authors believe are likely to be important in the future. The content merges theory, research, and the practical application of nursing leadership and management skills. The authors provide real-world examples from today's health care settings to illustrate theory and concepts. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5287737 Sat, 01 Oct 2011 04:00:00 +0100 5287737 http://www.medworm.com/index.php?rid=5287736&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211007885%2Fabstract%3Frss%3Dyes The video is an excellent tool for teaching the importance of skin preparation to new perioperative nurses and could also be used as a continuing education review for experienced nurses. The 30-minute AORN Perioperative Nursing Video Library DVD discusses the frequency of surgical site infections (SSIs) and the dedication to aseptic technique that perioperative team members must have to prevent SSIs. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5287736 Sat, 01 Oct 2011 04:00:00 +0100 5287736 http://www.medworm.com/index.php?rid=5287735&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211007617%2Fabstract%3Frss%3Dyes Postoperative delirium is a common complication in older adult surgical patients. This acute confusional state is caused by physiological irregularities and has a rapid onset and a fluctuating course. Cognitive characteristics of delirium include inattention, disorganized thinking, and an altered level of consciousness. Behaviors that can result from postoperative delirium include sleep disruption, hypoactivity or hyperactivity, aggression, agitation or lethargy, and hallucinations. Postoperative delirium is associated with delayed recuperation, longer hospital stays that increase financial cost, delayed return to preoperative levels of cognitive function or permanent cognitive impairment, and increased morbidity and mortality. Early detection and intervention are key to minimizing the adv... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5287735 Sat, 01 Oct 2011 04:00:00 +0100 5287735 http://www.medworm.com/index.php?rid=5287734&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211007915%2Fabstract%3Frss%3Dyes This Month: Correct terminology for personnel involved in laser proceduresKey words: clinical laser operator, laser user, laser safety officer, laser safety specialist, laser assistant.Safe use of carbon dioxide lasersKey words: CO2 laser, nominal hazard zone, laser beam transmission, protective barrier.Limiting traffic and personnel during invasive proceduresKey words: teaching facility, student, resident, intern, traffic control, surgical attire, telesurgery.Differences between OSHA and NIOSHKey words: Occupational Safety and Health Administration, National Institute for Occupational Safety and Health. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5287734 Sat, 01 Oct 2011 04:00:00 +0100 5287734 http://www.medworm.com/index.php?rid=5287733&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211007290%2Fabstract%3Frss%3Dyes Australian culture is well known for its egalitarianism and directness, and nursing in Australia provides many examples of these cultural traits. Within hospitals, for example, nurses strive to be seen as integral and equal members of the health care team, and nearly 70% report that they are able to practice autonomously, have control over their practice, and experience good nursing leadership. Within the perioperative setting, Australian nurses both lead and participate in activities aimed at improving patient care and clinical practices. For example, in New South Wales, the Agency for Clinical Innovation has established a series of specialist networks, including the Anaesthesia Perioperative Care Network, which was established in response to requests from frontline clinicians who saw the... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5287733 Sat, 01 Oct 2011 04:00:00 +0100 5287733 http://www.medworm.com/index.php?rid=5287732&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211007812%2Fabstract%3Frss%3Dyes Benchmarking is an important function of virtually any quality-focused business and that should include health care facility central sterile supply and materials management departments. Unfortunately, personnel in many central sterile supply departments (CSSDs) have yet to fully embrace the task of comparing core business processes with those of other facilities or departments with similar characteristics. This is a shortcoming that may largely be attributed to confusion about what benchmarking entails and how best to engage in the process, as well as an assumption by some health care professionals that their departments are truly unique and, therefore, cannot be compared with others. (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5287732 Sat, 01 Oct 2011 04:00:00 +0100 5287732 http://www.medworm.com/index.php?rid=5287731&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211008234%2Fabstract%3Frss%3Dyes This article highlights key elements of the Bloodborne Pathogen Standard and explains the purpose and benefit of its implementation in ambulatory surgery centers (ASCs). (Source: AORN Journal) AORN Journal journals http://www.medworm.com/rss/comments.php?id=5287731 Sat, 01 Oct 2011 04:00:00 +0100 5287731 http://www.medworm.com/index.php?rid=5287730&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211007861%2Fabstract%3Frss%3Dyes Abstract: The role of the perioperative nurse liaison at Hadassah-Hebrew University Medical Center, Ein Kerem in Jerusalem, Israel, is to provide information and help patients' family members and others accompanying surgical patients cope with feelings of uncertainty, emotional stress, and fear. The nurse liaison is responsible for ongoing communication with patient accompaniers awaiting the conclusion of surgery and, in particular, for updating them on the surgery's progress. As part of a quality assurance project, the OR academic assistant, the OR nursing supervisor, and the coordinator of clinical quality and assurance in nursing conducted a quantitative descriptive survey to evaluate patient accompaniers' satisfaction with the updates provided by the nurse liaison throughout surgery an... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5287730 Sat, 01 Oct 2011 04:00:00 +0100 5287730 http://www.medworm.com/index.php?rid=5287729&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211007368%2Fabstract%3Frss%3Dyes Abstract: The staffing challenges faced by perioperative nurse managers today are not easily met by waiting for experienced perioperative nurses to apply for positions. As Baby Boomer nurses retire, managers must consider hiring and orienting new graduates and nurses experienced in other subspecialties who are interested in working in the OR. An effective didactic and clinical education program can produce nurses with a basic perioperative knowledge from which they can build a solid clinical practice. Using Periop 101: A Core Curriculum™, the director of perioperative services at a level II trauma center implemented a successful program to solve a staffing need and help students gain the knowledge and skills necessary to become effective perioperative nurses. Strong interest from capable... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5287729 Sat, 01 Oct 2011 04:00:00 +0100 5287729 http://www.medworm.com/index.php?rid=5287728&cid=s_34392_27_f&fid=34392&url=http%3A%2F%2Fwww.aornjournal.org%2Farticle%2FPIIS0001209211007800%2Fabstract%3Frss%3Dyes Abstract: Perioperative nurses must use critical thinking and sound clinical judgment to meet their patients' needs safely and effectively. This requires the integration and continual updating of large amounts of detailed clinical information. Innovative education strategies are designed to make teaching and learning more interesting and interactive, especially for the presentation of complex subject material. One interactive educational strategy is the use of games. Educational games can foster collaboration and critical thinking among peers and associates. An example of this was the Perioperative QuizBowl: Evidence-Based Practice presented at the annual AORN Congress from 2003 to 2010, which was used to teach and reinforce evidence-based practice in a fun, competitive way. Although AORN ... AORN Journal journals http://www.medworm.com/rss/comments.php?id=5287728 Sat, 01 Oct 2011 04:00:00 +0100 5287728