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 'Journal of Perianesthesia Nursing' source. Sat, 20 Mar 2010 14:47:26 +0100 http://www.medworm.com/index.php?rid=3280768&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20159525%26dopt%3DAbstract Authors: Hooper VD PMID: 20159525 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3280768 Mon, 01 Feb 2010 00:00:00 +0100 3280768 http://www.medworm.com/index.php?rid=3280767&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20159526%26dopt%3DAbstract Authors: Burns SM PMID: 20159526 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3280767 Mon, 01 Feb 2010 00:00:00 +0100 3280767 http://www.medworm.com/index.php?rid=3280766&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20159527%26dopt%3DAbstract Authors: Feckie M PMID: 20159527 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3280766 Mon, 01 Feb 2010 00:00:00 +0100 3280766 http://www.medworm.com/index.php?rid=3280765&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20159528%26dopt%3DAbstract Authors: Pasero C PMID: 20159528 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3280765 Mon, 01 Feb 2010 00:00:00 +0100 3280765 http://www.medworm.com/index.php?rid=3280764&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20159529%26dopt%3DAbstract Authors: Bahar MM, Jangjoo A, Soltani E, Armand M, Mozaffari S The preoperative administration of nonsteroidal anti-inflammatory drugs (NSAIDs) has been shown to have a positive impact on postoperative pain, but there is little research regarding the use of rectal NSAIDs given before surgery. The purpose of this study was to evaluate the effects of rectally administered indomethacin on postoperative pain in patients undergoing open cholecystectomy. A randomized controlled design was used to compare rectally administered indomethacin with placebo. Pain intensity, total opioid dose, and postoperative time to first request for analgesic were evaluated. The indomethacin group experienced significantly less postoperative pain and required less total opioid dose compared with the placebo gro... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3280764 Mon, 01 Feb 2010 00:00:00 +0100 3280764 http://www.medworm.com/index.php?rid=3280763&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20159530%26dopt%3DAbstract This article introduces a systematic review of these studies to identify the most effective methods of rewarming surgical patients postoperatively. PMID: 20159530 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3280763 Mon, 01 Feb 2010 00:00:00 +0100 3280763 http://www.medworm.com/index.php?rid=3280762&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20159531%26dopt%3DAbstract Authors: Burns J, Magee KT, Cooley H, Hensler A, Montana J, Shumaker D, Snyder J, Polk AR Patients' feedback about their perianesthesia experience at an acute care 609-bed teaching hospital in Washington, DC, indicated that pain management was an area in need of improvement. A nonexperimental descriptive study related to pain management was conducted in the perianesthesia areas to assess the knowledge and attitudes of health care providers. McCaffrey and Ferrell's 38-item self-report questionnaire was given to anesthesia providers, preoperative nurses, Phase I nurses, and Phase II nurses (N=138). Seventy-two participants responded, yielding a 52% response rate. Results showed a statistically significant difference between the scores of the anesthesia care providers and the preoperative... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3280762 Mon, 01 Feb 2010 00:00:00 +0100 3280762 http://www.medworm.com/index.php?rid=3280761&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20159532%26dopt%3DAbstract Authors: Dickemper RL, Griffin AT Postoperative vision loss not associated with ophthalmic surgery is a topic that has emerged in recent literature. Although presentation of this complication is rare, perianesthesia nurses should update their knowledge base to include knowledge of these devastating events. A review of common ocular events associated with postoperative vision loss, and the symptoms, assessment, management, and treatment of these events are indicated. The aim of this article is to explore the process of postoperative vision loss and present useful strategies to nurses for optimization of perianesthesia care. PMID: 20159532 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3280761 Mon, 01 Feb 2010 00:00:00 +0100 3280761 http://www.medworm.com/index.php?rid=3280760&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20159533%26dopt%3DAbstract Authors: Pasero C PMID: 20159533 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3280760 Mon, 01 Feb 2010 00:00:00 +0100 3280760 http://www.medworm.com/index.php?rid=3280759&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20159534%26dopt%3DAbstract Authors: Windle PE PMID: 20159534 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3280759 Mon, 01 Feb 2010 00:00:00 +0100 3280759 http://www.medworm.com/index.php?rid=3280758&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20159535%26dopt%3DAbstract Authors: Stewart MW PMID: 20159535 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3280758 Mon, 01 Feb 2010 00:00:00 +0100 3280758 http://www.medworm.com/index.php?rid=3280757&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20159536%26dopt%3DAbstract Authors: Moos DD PMID: 20159536 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3280757 Mon, 01 Feb 2010 00:00:00 +0100 3280757 http://www.medworm.com/index.php?rid=3280755&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D20159537%26dopt%3DAbstract Authors: Odom-Forren J PMID: 20159537 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3280755 Mon, 01 Feb 2010 00:00:00 +0100 3280755 http://www.medworm.com/index.php?rid=3264866&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947210000122%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3264866 Mon, 01 Feb 2010 00:00:00 +0100 3264866 http://www.medworm.com/index.php?rid=3264865&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947210000110%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3264865 Mon, 01 Feb 2010 00:00:00 +0100 3264865 http://www.medworm.com/index.php?rid=3264864&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947210000109%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3264864 Mon, 01 Feb 2010 00:00:00 +0100 3264864 http://www.medworm.com/index.php?rid=3264863&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947210000092%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3264863 Mon, 01 Feb 2010 00:00:00 +0100 3264863 http://www.medworm.com/index.php?rid=3264862&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947210000043%2Fabstract%3Frss%3Dyes As I think back over the past year, it is unfortunate that the negative aspects of the year are what first come to mind. I think of the financial crisis of the past year, the wars that continue to press and lives that are impacted by those wars, greed and avarice of some in the financial world, a celebrity fall from grace, and more attempted terrorism. Even with the positive strides we have made, such as progress toward health care reform, I think about voices raised in anger with shouting, rage, and no real conversation. But then I consider the positive aspects of the year: human ingenuity that can move us past financial woes, thoughtful discussions about the numbers of service men and women involved in Iraq and other countries, the new face of the presidency, an airplane landing intact a... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3264862 Mon, 01 Feb 2010 00:00:00 +0100 3264862 http://www.medworm.com/index.php?rid=3264861&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209004675%2Fabstract%3Frss%3Dyes THE PURPOSE of the current series “Writing for Publication” is several-fold. First, it is an opportunity to inform the readership about the publication process; understanding the process removes some of the mystery and preconceived ideas surrounding it. Second, the series will provide informative articles related to writing for publication. The third and ultimate purpose is to encourage the readership to write for publication. Continued growth of nursing scholarship is dependent on you. It is a vital component of the profession and you can play a role in the continued evolution of nursing. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3264861 Mon, 01 Feb 2010 00:00:00 +0100 3264861 http://www.medworm.com/index.php?rid=3264860&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209004699%2Fabstract%3Frss%3Dyes HEALTH CARE REFORM: Is this a relevant topic for nurses in perianesthesia care? In a recent conversation with that audience, health care reform was the number one issue on their minds. In fact, it provided the substance for many of the discussions at work. Seemingly, the subject is inescapable. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3264860 Mon, 01 Feb 2010 00:00:00 +0100 3264860 http://www.medworm.com/index.php?rid=3264859&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209004687%2Fabstract%3Frss%3Dyes OVER THE YEARS, perianesthesia nursing has evolved from the care of postoperative surgical patients to the care of a wide variation of nonsurgical patients who have received anesthetic agents during procedures performed in other specialized departments such as endoscopy, interventional radiology, cardiac catherization laboratory, radiation therapy, and nuclear medicine, etc. In addition, once-simple outpatient procedures have evolved into more complex, advanced, and complicated procedures requiring a higher level of nursing care across the perianesthesia continuum. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3264859 Mon, 01 Feb 2010 00:00:00 +0100 3264859 http://www.medworm.com/index.php?rid=3264858&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209004705%2Fabstract%3Frss%3Dyes TWO BASIC PRINCIPLES of providing effective pain management are preventing pain and maintaining a pain rating that allows the patient to accomplish functional or quality-of-life goals with relative ease. These may require that the mainstay analgesic be administered on a scheduled around-the-clock (ATC) basis, rather than “as needed” (PRN) to maintain stable analgesic blood levels. ATC dosing regimens are designed to control baseline pain, defined as the pain the patient reports as being the average pain intensity experienced for 12hours or more during a 24-hour period. In other words, ATC dosing should be used when pain itself is ATC (continuous) or present for 12 or more hours each day. Many types of persistent (chronic) cancer and noncancer pain are continuous, and most postoperative... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3264858 Mon, 01 Feb 2010 00:00:00 +0100 3264858 http://www.medworm.com/index.php?rid=3264857&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209004663%2Fabstract%3Frss%3Dyes Postoperative vision loss not associated with ophthalmic surgery is a topic that has emerged in recent literature. Although presentation of this complication is rare, perianesthesia nurses should update their knowledge base to include knowledge of these devastating events. A review of common ocular events associated with postoperative vision loss, and the symptoms, assessment, management, and treatment of these events are indicated. The aim of this article is to explore the process of postoperative vision loss and present useful strategies to nurses for optimization of perianesthesia care. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3264857 Mon, 01 Feb 2010 00:00:00 +0100 3264857 http://www.medworm.com/index.php?rid=3264856&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS108994720900464X%2Fabstract%3Frss%3Dyes Patients' feedback about their perianesthesia experience at an acute care 609-bed teaching hospital in Washington, DC, indicated that pain management was an area in need of improvement. A nonexperimental descriptive study related to pain management was conducted in the perianesthesia areas to assess the knowledge and attitudes of health care providers. McCaffrey and Ferrell's 38-item self-report questionnaire was given to anesthesia providers, preoperative nurses, Phase I nurses, and Phase II nurses (N=138). Seventy-two participants responded, yielding a 52% response rate. Results showed a statistically significant difference between the scores of the anesthesia care providers and the preoperative area nurses and between the Phase I nurses and the preoperative nurses. No statistically sign... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3264856 Mon, 01 Feb 2010 00:00:00 +0100 3264856 http://www.medworm.com/index.php?rid=3264855&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209004729%2Fabstract%3Frss%3Dyes This article introduces a systematic review of these studies to identify the most effective methods of rewarming surgical patients postoperatively. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3264855 Mon, 01 Feb 2010 00:00:00 +0100 3264855 http://www.medworm.com/index.php?rid=3264854&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209004651%2Fabstract%3Frss%3Dyes The preoperative administration of nonsteroidal anti-inflammatory drugs (NSAIDs) has been shown to have a positive impact on postoperative pain, but there is little research regarding the use of rectal NSAIDs given before surgery. The purpose of this study was to evaluate the effects of rectally administered indomethacin on postoperative pain in patients undergoing open cholecystectomy. A randomized controlled design was used to compare rectally administered indomethacin with placebo. Pain intensity, total opioid dose, and postoperative time to first request for analgesic were evaluated. The indomethacin group experienced significantly less postoperative pain and required less total opioid dose compared with the placebo group. Preoperative rectal administration of indomethacin reduces post... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3264854 Mon, 01 Feb 2010 00:00:00 +0100 3264854 http://www.medworm.com/index.php?rid=3264853&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947210000067%2Fabstract%3Frss%3Dyes THE NONOPIOID ANALGESIC group is comprised of acetaminophen and the nonsteroidal anti-inflammatory drugs (NSAIDs). These drugs are appropriate as first-line analgesics for postoperative pain of mild to moderate intensity. Numerous studies have shown that they also produce dose-sparing effects and provide effective pain relief for a wide variety of major surgical procedures as part of a multimodal pain management regimen that combines drugs with different underlying mechanisms of action. Guidelines recommend the use of multimodal analgesia as a means of reducing postoperative opioid doses and preventing clinically significant opioid-induced adverse effects. However, the current availability of only two IV nonopioid analgesic formulations in the United States (ketorolac and ibuprofen; IV ind... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3264853 Mon, 01 Feb 2010 00:00:00 +0100 3264853 http://www.medworm.com/index.php?rid=3264852&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947210000031%2Fabstract%3Frss%3Dyes Thank you for sharing your perspective and information regarding hypothermia in Australia. Your suggestions and assertions are well-taken. Education and awareness by all members of the PeriAnesthesia team remain pivotal to lowering the incidence of postoperative hypothermia in surgical patients. Currently, recording patient temperatures before, during, and after surgery offer data that guide nursing interventions to optimize body temperature. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3264852 Mon, 01 Feb 2010 00:00:00 +0100 3264852 http://www.medworm.com/index.php?rid=3264851&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209004055%2Fabstract%3Frss%3Dyes To the Editors: I read with interest the article “Unintentional Hypothermia: Implications for Perianesthesia Nurses.” (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3264851 Mon, 01 Feb 2010 00:00:00 +0100 3264851 http://www.medworm.com/index.php?rid=3264850&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947210000055%2Fabstract%3Frss%3Dyes THIS EDITORIAL PRESENTS the sixth in a continuing series of editorials examining the challenges and goals established by the National Priorities Partnership (NPP), which is charged with developing a vision for world-class, affordable health care. The NPP has established six priority areas which they believe, if addressed, will significantly improve health care on the national level. The fourth of these priorities is focused on care coordination within and across all health care organizations, settings, and levels of care. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3264850 Mon, 01 Feb 2010 00:00:00 +0100 3264850 http://www.medworm.com/index.php?rid=3071646&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19962099%26dopt%3DAbstract Authors: Odom-Forren J PMID: 19962099 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3071646 Tue, 01 Dec 2009 00:00:00 +0100 3071646 http://www.medworm.com/index.php?rid=3071645&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19962100%26dopt%3DAbstract Authors: Williams AS Surgery can be a confusing and traumatizing experience for the patient with Alzheimer's Disease (AD). The perianesthesia nurse can better care for the AD patient by acquiring knowledge of the symptoms and stages of the disease, communication skills specific to AD patients, and techniques useful in dealing with AD behaviors. An understanding of AD factors related to anesthesia administration, pain and pain management, as well as general post-operative care, is necessary to create a plan of care that focuses on the AD patient's unique needs. It is important that there be thorough communication along the continuum of care. The health care professional, using well-established nursing skills, paired with Alzheimer's Disease educational resources, can make the challenge ... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3071645 Tue, 01 Dec 2009 00:00:00 +0100 3071645 http://www.medworm.com/index.php?rid=3071644&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19962101%26dopt%3DAbstract Authors: Braden R, Reichow S, Halm MA Preoperative anxiety is prevalent in surgical patients who may require anxiety medications, thus impacting preoperative teaching and patient satisfaction. No studies were found in a comprehensive search on the effect of essential oils on anxiety in the preoperative setting. The purpose of this experimental study was to investigate whether the essential oil lavandin is more effective than standard care in reducing preoperative anxiety. A convenience sample of 150 adult patients were randomly assigned to either control (standard care), experimental (standard care plus essential oil lavandin), or sham (standard care plus jojoba oil) groups. Visual analog scales were used to assess anxiety on admission and OR transfer. Controlling for baseline anxiety ... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3071644 Tue, 01 Dec 2009 00:00:00 +0100 3071644 http://www.medworm.com/index.php?rid=3071643&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19962102%26dopt%3DAbstract This article provides details of a model of care that includes licensed practical nurses in the nurse staff mix. Suitability qualities, orientation program, and scope of practice of licensed practical nurses will be discussed. Improved patient experience and efficiency can be successfully achieved with mixed registered and licensed practical nurse PACU staffing. PMID: 19962102 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3071643 Tue, 01 Dec 2009 00:00:00 +0100 3071643 http://www.medworm.com/index.php?rid=3071642&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19962103%26dopt%3DAbstract Authors: Smith DK, Bowen J, Bucher L, Hawkins T, Jurkovitz C, Reed J, Volk S Patients with diabetes often have impaired wound healing and an increased rate of postoperative complications with surgery. Most research has focused on the effect of hyperglycemia in the postoperative period, but there is limited evidence to guide blood glucose (bG) control throughout the perioperative period. This retrospective study explored the effect of hyperglycemia in the PACU on postoperative complications, length of stay (LOS), and in-hospital mortality in patients with diabetes undergoing spine, colon, or joint surgery. Findings revealed that the total LOS for patients with a PACU bG >200 mg/dL was significantly longer than for patients with a maximum bG of 140 to 200 mg/dL. Further, the rate of t... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3071642 Tue, 01 Dec 2009 00:00:00 +0100 3071642 http://www.medworm.com/index.php?rid=3071641&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19962104%26dopt%3DAbstract Authors: Engwall M, Duppils GS The purpose of this systematic review was to examine the effect of music on postoperative pain. A search for scientific articles was conducted using online databases. Included were quantitative studies published from 1998 through 2007 that considered the effect of music interventions on postoperative pain in adult patients. After the search and appraisal of quality, 18 studies were included in the review. The results in 15 of the studies included indicated a significant positive effect of music on postoperative pain. Four studies found that the use of analgesics was lower for the intervention groups. The patients in the studies were scheduled for different kinds of surgery and assessments and the interventions were performed at different times. Various ty... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3071641 Tue, 01 Dec 2009 00:00:00 +0100 3071641 http://www.medworm.com/index.php?rid=3071640&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19962105%26dopt%3DAbstract Authors: Ead H Diabetes mellitus (DM) has reached epidemic proportions globally, and its incidence continues to rise. Considering the increasing number of patients diagnosed with diabetes and the associated complications, such as cardiovascular and renal disease, the complexity of care for this population can be very challenging. In addition, specific postoperative complications, such as delayed wound healing, infections, and cardiac dysrhythmias, are more likely to occur in the presence of perioperative hyperglycemia. Recognition of the presence of diabetes and implementation of a diabetic management protocol will optimize patient outcomes by providing guidelines for avoiding such complications. Although comparative studies of the current published protocols are limited, there is agre... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3071640 Tue, 01 Dec 2009 00:00:00 +0100 3071640 http://www.medworm.com/index.php?rid=3071639&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19962106%26dopt%3DAbstract Authors: Gillen SM, Catchings K, Edney L, Prescott R, Andrews SM PMID: 19962106 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3071639 Tue, 01 Dec 2009 00:00:00 +0100 3071639 http://www.medworm.com/index.php?rid=3071638&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19962107%26dopt%3DAbstract Authors: Sullivan EE PMID: 19962107 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3071638 Tue, 01 Dec 2009 00:00:00 +0100 3071638 http://www.medworm.com/index.php?rid=3071637&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19962108%26dopt%3DAbstract Authors: Noble KA PMID: 19962108 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3071637 Tue, 01 Dec 2009 00:00:00 +0100 3071637 http://www.medworm.com/index.php?rid=3071636&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19962109%26dopt%3DAbstract Authors: Golembiewski J PMID: 19962109 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3071636 Tue, 01 Dec 2009 00:00:00 +0100 3071636 http://www.medworm.com/index.php?rid=3071635&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19962110%26dopt%3DAbstract Authors: Clifford T PMID: 19962110 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3071635 Tue, 01 Dec 2009 00:00:00 +0100 3071635 http://www.medworm.com/index.php?rid=3071634&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19962111%26dopt%3DAbstract Authors: Sandlin-Leming D PMID: 19962111 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3071634 Tue, 01 Dec 2009 00:00:00 +0100 3071634 http://www.medworm.com/index.php?rid=3071633&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19962112%26dopt%3DAbstract Authors: Hooper VD PMID: 19962112 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3071633 Tue, 01 Dec 2009 00:00:00 +0100 3071633 http://www.medworm.com/index.php?rid=3054636&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209004122%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3054636 Tue, 01 Dec 2009 00:00:00 +0100 3054636 http://www.medworm.com/index.php?rid=3054635&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209004110%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3054635 Tue, 01 Dec 2009 00:00:00 +0100 3054635 http://www.medworm.com/index.php?rid=3054634&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209004109%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3054634 Tue, 01 Dec 2009 00:00:00 +0100 3054634 http://www.medworm.com/index.php?rid=3054633&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209004092%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3054633 Tue, 01 Dec 2009 00:00:00 +0100 3054633 http://www.medworm.com/index.php?rid=3054632&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209004407%2Fabstract%3Frss%3Dyes THIS EDITORIAL PRESENTS a return to the fifth in a continuing series of editorials examining the challenges and goals established by the National Priorities Partnership (NPP), which is charged with developing a vision for world-class, affordable health care. The NPP has identified six priorities that they believe, if addressed, will have a significant impact on improving health care at the national level. The third of these priorities is focused on improving the safety and reliability of the nation's health care system. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3054632 Tue, 01 Dec 2009 00:00:00 +0100 3054632 http://www.medworm.com/index.php?rid=3054631&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209003979%2Fabstract%3Frss%3Dyes MOST MODERN health care facilities now use disposable plastic bedpans, urinals, wash basins, and other products. Although these items are for one patient only, they are usually used by the patient many times during the hospital stay and disposed of when the patient is discharged. For those of us who remember scrubbing and disinfecting the old stainless steel versions of these products, the plastic disposable version was a welcome change. Plastic bedpans are usually rinsed off with a spray wand located on the back of a toilet or hopper. Splatter from the spray can contaminate not only the toilet and surrounding walls, but often the scrub clothes and skin of the caregiver. It is not unusual to see a bedpan sitting on the floor in the bathroom or in the patient's room. Eventually, bedpans go ... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3054631 Tue, 01 Dec 2009 00:00:00 +0100 3054631 http://www.medworm.com/index.php?rid=3054630&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209003980%2Fabstract%3Frss%3Dyes IN THIS EDITION of the Practice Corner, the clinical practice questions were chosen due to their direct relationship to the ASPAN 2008-2010 Standards of Perianesthesia Nursing Practice. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3054630 Tue, 01 Dec 2009 00:00:00 +0100 3054630 http://www.medworm.com/index.php?rid=3054629&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209003992%2Fabstract%3Frss%3Dyes THE CENTERS FOR Medicare and Medicaid Services (CMS) and the Centers for Disease Control and Prevention (CDC) implemented the Surgical Infection Prevention (SIP) project in August 2002. A panel of experts developed three measures for national surveillance and quality improvement: (1) prophylactic antibiotic received within one hour before surgical incision, (2) prophylactic antibiotic is consistent with currently published guidelines, and (3) prophylactic antibiotic is discontinued within 24hours after the end of surgery. The goal of the SIP project was to reduce morbidity and mortality from postoperative surgical site infections (SSIs), which account for 14 to 16% of all hospital-acquired infections. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3054629 Tue, 01 Dec 2009 00:00:00 +0100 3054629 http://www.medworm.com/index.php?rid=3054628&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209003372%2Fabstract%3Frss%3Dyes THE RAPID ANALYSIS, interpretation, and treatment of abnormal lab values is imperative for all perioperative patients, and this is especially true for the critically ill patient in the Phase I PACU. Because arterial blood gas (ABG) analysis is the most frequently performed laboratory testing in critically ill patients, the ability to accurately interpret and report abnormal results is required by the PACU nurse. This column begins with a case study of a fictitious patient with abnormal ABG results, followed by a description of normal acid base balance, forms of compensation, and common abnormalities associated with blood gas derangement. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3054628 Tue, 01 Dec 2009 00:00:00 +0100 3054628 http://www.medworm.com/index.php?rid=3054627&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209004018%2Fabstract%3Frss%3Dyes PRE-PRINTED ORDERS are often used in the PACU setting to allow for timely intervention in treating postoperative pain. These orders are intended to provide safe and efficient care in a specialty unit by providing specific orders from physicians to the nursing staff who are appropriately assessing patients' needs for management and treatment of pain. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3054627 Tue, 01 Dec 2009 00:00:00 +0100 3054627 http://www.medworm.com/index.php?rid=3054626&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209004006%2Fabstract%3Frss%3Dyes “REIMBURSEMENT” and “wasted time” are buzzwords floating through the OR suites. Beyond the words lie complex issues, where the real impact of change in public health policy is felt as increased demands with decreased reimbursement threaten the functionality of surgical services. As health industries in general struggle to fulfill mandates for change within health care delivery systems, specialty areas with high costs are deeply impacted by the shortage of funding from all sectors. As perianesthesia nurses, our role in identifying issues preoperatively that may impact the rate of day-of-surgery cancellations is tantamount. As the first-line care providers, we have a unique opportunity to identify, triage, and communicate patient issues and promote continuous throughput. (Source: Jou... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3054626 Tue, 01 Dec 2009 00:00:00 +0100 3054626 http://www.medworm.com/index.php?rid=3054625&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209003955%2Fabstract%3Frss%3Dyes Diabetes mellitus (DM) has reached epidemic proportions globally, and its incidence continues to rise. Considering the increasing number of patients diagnosed with diabetes and the associated complications, such as cardiovascular and renal disease, the complexity of care for this population can be very challenging. In addition, specific postoperative complications, such as delayed wound healing, infections, and cardiac dysrhythmias, are more likely to occur in the presence of perioperative hyperglycemia. Recognition of the presence of diabetes and implementation of a diabetic management protocol will optimize patient outcomes by providing guidelines for avoiding such complications. Although comparative studies of the current published protocols are limited, there is agreement that health c... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3054625 Tue, 01 Dec 2009 00:00:00 +0100 3054625 http://www.medworm.com/index.php?rid=3054624&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209004067%2Fabstract%3Frss%3Dyes The purpose of this systematic review was to examine the effect of music on postoperative pain. A search for scientific articles was conducted using online databases. Included were quantitative studies published from 1998 through 2007 that considered the effect of music interventions on postoperative pain in adult patients. After the search and appraisal of quality, 18 studies were included in the review. The results in 15 of the studies included indicated a significant positive effect of music on postoperative pain. Four studies found that the use of analgesics was lower for the intervention groups. The patients in the studies were scheduled for different kinds of surgery and assessments and the interventions were performed at different times. Various types of music were used, mostly chos... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3054624 Tue, 01 Dec 2009 00:00:00 +0100 3054624 http://www.medworm.com/index.php?rid=3054623&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209004043%2Fabstract%3Frss%3Dyes Patients with diabetes often have impaired wound healing and an increased rate of postoperative complications with surgery. Most research has focused on the effect of hyperglycemia in the postoperative period, but there is limited evidence to guide blood glucose (bG) control throughout the perioperative period. This retrospective study explored the effect of hyperglycemia in the PACU on postoperative complications, length of stay (LOS), and in-hospital mortality in patients with diabetes undergoing spine, colon, or joint surgery. Findings revealed that the total LOS for patients with a PACU bG >200 mg/dL was significantly longer than for patients with a maximum bG of 140 to 200 mg/dL. Further, the rate of total complications increased significantly as bG levels increased. More prospective,... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3054623 Tue, 01 Dec 2009 00:00:00 +0100 3054623 http://www.medworm.com/index.php?rid=3054622&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209003967%2Fabstract%3Frss%3Dyes This article provides details of a model of care that includes licensed practical nurses in the nurse staff mix. Suitability qualities, orientation program, and scope of practice of licensed practical nurses will be discussed. Improved patient experience and efficiency can be successfully achieved with mixed registered and licensed practical nurse PACU staffing. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3054622 Tue, 01 Dec 2009 00:00:00 +0100 3054622 http://www.medworm.com/index.php?rid=3054621&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS108994720900392X%2Fabstract%3Frss%3Dyes Preoperative anxiety is prevalent in surgical patients who may require anxiety medications, thus impacting preoperative teaching and patient satisfaction. No studies were found in a comprehensive search on the effect of essential oils on anxiety in the preoperative setting. The purpose of this experimental study was to investigate whether the essential oil lavandin is more effective than standard care in reducing preoperative anxiety. A convenience sample of 150 adult patients were randomly assigned to either control (standard care), experimental (standard care plus essential oil lavandin), or sham (standard care plus jojoba oil) groups. Visual analog scales were used to assess anxiety on admission and OR transfer. Controlling for baseline anxiety and pain, the lavandin group had significa... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3054621 Tue, 01 Dec 2009 00:00:00 +0100 3054621 http://www.medworm.com/index.php?rid=3054620&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209003918%2Fabstract%3Frss%3Dyes Surgery can be a confusing and traumatizing experience for the patient with Alzheimer's Disease (AD). The perianesthesia nurse can better care for the AD patient by acquiring knowledge of the symptoms and stages of the disease, communication skills specific to AD patients, and techniques useful in dealing with AD behaviors. An understanding of AD factors related to anesthesia administration, pain and pain management, as well as general post-operative care, is necessary to create a plan of care that focuses on the AD patient's unique needs. It is important that there be thorough communication along the continuum of care. The health care professional, using well-established nursing skills, paired with Alzheimer's Disease educational resources, can make the challenge of caring for the AD surg... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3054620 Tue, 01 Dec 2009 00:00:00 +0100 3054620 http://www.medworm.com/index.php?rid=3054619&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209004419%2Fabstract%3Frss%3Dyes I JUST RETURNED FROM a speaking engagement in Nelson, New Zealand, where I spoke to nurses attending the Perioperative Nurses College of New Zealand Nursing Organisation's annual meeting. The theme of the conference was “Life in Balance in Life.” You can actually see the balance of the words in the phrase. I have been thinking quite a bit about balance in life lately. When I was in school and working on my doctorate, I was initially able to keep balance in my life juggling classes, children, husband, home, church, work, exercise, and relaxation. But at some point during the process, the juggling became an erratic and hectic process. I suppose it could have been when I agreed to co-author a book while I was writing my dissertation! (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=3054619 Tue, 01 Dec 2009 00:00:00 +0100 3054619 http://www.medworm.com/index.php?rid=2931761&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19853809%26dopt%3DAbstract Authors: Hooper VD PMID: 19853809 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2931761 Thu, 01 Oct 2009 00:00:00 +0100 2931761 http://www.medworm.com/index.php?rid=2931760&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19853810%26dopt%3DAbstract Authors: Hooper VD, Chard R, Clifford T, Fetzer S, Fossum S, Godden B, Martinez EA, Noble KA, O'Brien D, Odom-Forren J, Peterson C, Ross J PMID: 19853810 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2931760 Thu, 01 Oct 2009 00:00:00 +0100 2931760 http://www.medworm.com/index.php?rid=2931759&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19853811%26dopt%3DAbstract Authors: Schick L PMID: 19853811 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2931759 Thu, 01 Oct 2009 00:00:00 +0100 2931759 http://www.medworm.com/index.php?rid=2931758&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19853812%26dopt%3DAbstract Authors: Houle K, Tveit C, Belew J A new imaging center was established within a children's specialty hospital that provides services for children and adults with childhood-onset disabilities. New services in this advanced imaging center include computed tomography, magnetic resonance imaging, fluoroscopy, and ultrasound. Individuals with disabilities are particularly at risk for complications during procedures requiring sedation and anesthesia. The perianesthesia nurses' role was developed to support the sedation needs of this population during imaging services. Perianesthesia nurses developed an advanced imaging screening process to prepare patients for sedation during imaging services. With these processes, the new Advanced Imaging Center is providing timelier and better coordinated... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2931758 Thu, 01 Oct 2009 00:00:00 +0100 2931758 http://www.medworm.com/index.php?rid=2931757&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19853813%26dopt%3DAbstract This article will discuss several potential and known risks associated with interventional procedures, how to monitor for these risks, and evidence-based measures to prevent or minimize their occurrence. PMID: 19853813 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2931757 Thu, 01 Oct 2009 00:00:00 +0100 2931757 http://www.medworm.com/index.php?rid=2931756&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19853814%26dopt%3DAbstract Authors: Lightdale JR, Mahoney LB, Fredette ME, Valim C, Wong S, Dinardo JA The purpose of our study was to examine the reliability of nurse reports of adverse events related to procedural sedation in children. A descriptive, correlational design was used to analyze for inter-rater agreement between prospective adverse event reporting and that identified on independent review of the medical record. All sedation documentation at a pediatric hospital over one calendar year was reviewed, and inter-rater reliability of reporting was analyzed using K statistics. Five thousand forty-five sedation documentation records were reviewed. An adverse event rate of 6.52% was identified: 1.92% of adverse events were serious, and 4.60% were minor. Although overall agreement between nurse reports and i... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2931756 Thu, 01 Oct 2009 00:00:00 +0100 2931756 http://www.medworm.com/index.php?rid=2931755&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19853815%26dopt%3DAbstract Authors: Nord D, Belew J This randomized, controlled, blinded study examined the effectiveness of an aromatherapy intervention on the reduction of children's distress in a perianesthesia setting. The sample included children with and without developmental disabilities (n = 94). Subjects in the intervention group received an aromatherapy intervention of lavender and ginger essential oils. The control group received a placebo intervention of jojoba oil. Distress was measured at two times: before induction and in the PACU, using the Faces, Legs, Arms, Cry and Consolability (FLACC) scale. The mean distress level was lower for the children in the essential oil group, but the effect was not statistically significant (P = .055). Parents' responses to survey questions about satisfaction with a... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2931755 Thu, 01 Oct 2009 00:00:00 +0100 2931755 http://www.medworm.com/index.php?rid=2931754&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19853816%26dopt%3DAbstract Authors: Pop RS The purpose of this study was to evaluate the safety of pediatric extubation performed by nurses in the PACU after the implementation of an extubation policy. A total of 673 patients were extubated over 12 months. Five-hundred twenty-four (77.9%) of these patients met the criteria for nurse extubation; however, only 304 (58%) were extubated by nurses. One-hundred seventy-nine (34%) patients were not extubated by nurses because of a lack of physician order; a physician was present for 49 (9.3%) patients, and four (0.8%) patients had complications, resulting in a physician extubation. Only 8 (3%) patients extubated by nurses developed complications. These results suggest that nurses can safely perform endotracheal extubation of the pediatric population. PMID: 19853816... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2931754 Thu, 01 Oct 2009 00:00:00 +0100 2931754 http://www.medworm.com/index.php?rid=2931753&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19853817%26dopt%3DAbstract Authors: Wilson ML PMID: 19853817 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2931753 Thu, 01 Oct 2009 00:00:00 +0100 2931753 http://www.medworm.com/index.php?rid=2931752&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19853818%26dopt%3DAbstract Authors: Brady JM PMID: 19853818 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2931752 Thu, 01 Oct 2009 00:00:00 +0100 2931752 http://www.medworm.com/index.php?rid=2931751&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19853819%26dopt%3DAbstract Authors: Iacono MV PMID: 19853819 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2931751 Thu, 01 Oct 2009 00:00:00 +0100 2931751 http://www.medworm.com/index.php?rid=2931750&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19853820%26dopt%3DAbstract Authors: Ross J PMID: 19853820 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2931750 Thu, 01 Oct 2009 00:00:00 +0100 2931750 http://www.medworm.com/index.php?rid=2931749&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19853821%26dopt%3DAbstract Authors: Easter B PMID: 19853821 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2931749 Thu, 01 Oct 2009 00:00:00 +0100 2931749 http://www.medworm.com/index.php?rid=2931748&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19853822%26dopt%3DAbstract Authors: Stewart MW PMID: 19853822 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2931748 Thu, 01 Oct 2009 00:00:00 +0100 2931748 http://www.medworm.com/index.php?rid=2931747&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19853823%26dopt%3DAbstract Authors: Hooper VD PMID: 19853823 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2931747 Thu, 01 Oct 2009 00:00:00 +0100 2931747 http://www.medworm.com/index.php?rid=2925903&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209003475%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2925903 Thu, 01 Oct 2009 00:00:00 +0100 2925903 http://www.medworm.com/index.php?rid=2925902&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209003463%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2925902 Thu, 01 Oct 2009 00:00:00 +0100 2925902 http://www.medworm.com/index.php?rid=2925901&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209003451%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2925901 Thu, 01 Oct 2009 00:00:00 +0100 2925901 http://www.medworm.com/index.php?rid=2925900&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS108994720900344X%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2925900 Thu, 01 Oct 2009 00:00:00 +0100 2925900 http://www.medworm.com/index.php?rid=2925899&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209003402%2Fabstract%3Frss%3Dyes IF YOU GLANCED at the Editorial Board page this month, you may have noticed something a bit different in your editors' titles: the addition of a PhD! After five long and sometimes painful years, Jan and I completed our PhDs in late August and early September. To say we are both thrilled would be an understatement! To say that we owe much of our motivation to you, the readers of JoPAN, however, would also be very true! Neither of us ever really dreamed of getting our PhDs when we started as your editors nine years ago, but as we began to gain experience and network in the world of editors, it was obvious that we were doing ourselves, and our readers, a disservice if we did not take the challenge and go back to school to advance our education. It wasn't planned, and though we were in differe... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2925899 Thu, 01 Oct 2009 00:00:00 +0100 2925899 http://www.medworm.com/index.php?rid=2925898&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209003220%2Fabstract%3Frss%3Dyes FROM Oprah to CNN to the television reality show The Biggest Loser, obesity is drawing unprecedented attention. Much of the discussion involves the health risks associated with obesity—hypertension, type 2 diabetes, coronary artery disease, obstructive sleep apnea, stroke, gastric reflux, back pain, cancer, etc. The list continues to grow. Beyond the physiological effects, focus is also on the psychological risks and ramifications associated with obesity . No one can argue that the stigma associated with obesity is real and damaging. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2925898 Thu, 01 Oct 2009 00:00:00 +0100 2925898 http://www.medworm.com/index.php?rid=2925897&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209003323%2Fabstract%3Frss%3Dyes In the Continuing Education post test, “Unintentional Hypothermia: Implications for Perianesthesia Nurses” (Volume 24, Issue 3, Page 176, June 2009), the due date for the test answers is incorrect. Test answers must instead be submitted before June 30, 2011, in order to receive contact hours. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2925897 Thu, 01 Oct 2009 00:00:00 +0100 2925897 http://www.medworm.com/index.php?rid=2925896&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209003219%2Fabstract%3Frss%3Dyes AS PERIANESTHESIA NURSES, we use critical thinking skills daily in assessing and providing appropriate care to our patients. “Thinking outside the box” becomes a norm in our environment as we assess, develop, and implement a plan of care in an efficient, timely manner. During my 41 years of nursing practice, I have routinely used nonpharmacological interventions such as repositioning, warm blankets, dimmed lights, soft voice, light touch, and imagery to improve patient comfort. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2925896 Thu, 01 Oct 2009 00:00:00 +0100 2925896 http://www.medworm.com/index.php?rid=2925895&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209003347%2Fabstract%3Frss%3Dyes MUCH HAS BEEN SAID about the importance of the electronic medical record (EMR) and patient safety. EMRs offer the ability for health care providers and organizations to share and store patient health information without the reliance on paper records. The information contained in the EMR can include progress notes from multiple providers, vital signs, previous tests, health problems, and other vital information. One of the other goals is to simplify the health care provider's work through the integration of evidence-based decision making programs and quality management programs. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2925895 Thu, 01 Oct 2009 00:00:00 +0100 2925895 http://www.medworm.com/index.php?rid=2925894&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209003335%2Fabstract%3Frss%3Dyes THERE IS NO PAUCITY of information related to the problems that arise when communication between health care workers is poor, minimized, ignored, or absent. The literature abounds with scenarios, true stories, and real incidents where incomplete communication played a significant part in an untoward patient outcome. Multiple medical and nursing reports, journal articles, and media portrayals tell the story. In fact, nurse managers can simply review incident reports and listen to concerns related to poor handoff of care to find unit-specific evidence that there are numerous opportunities for improvement. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2925894 Thu, 01 Oct 2009 00:00:00 +0100 2925894 http://www.medworm.com/index.php?rid=2925893&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209003359%2Fabstract%3Frss%3Dyes “Action springs not from thought, but from a readiness for responsibility.”—Dietrich Bonhoeffer MORE THAN 230 MILLION surgeries are performed throughout the world each year, yet much remains to be discovered about perianesthesia nursing care standards and the overall delivery of perianesthesia care across continents. Consider the highly regulated and controlled health care environment in which American nurses work. Then, imagine an operating room (OR) where nurses work barefoot and eat lunch during a surgical procedure while sitting on the OR floor, or a surgical facility without a postanesthesia care unit (PACU). Experiences in foreign countries, frequently shared by colleagues who have traveled abroad on volunteer surgical mission teams offer a greater understanding into emergent... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2925893 Thu, 01 Oct 2009 00:00:00 +0100 2925893 http://www.medworm.com/index.php?rid=2925892&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209003360%2Fabstract%3Frss%3Dyes BY NOW, ALL NURSES should realize that living through the implementation of a computerized documentation system of one type or another is inevitable. The health care facility in which you work may be implementing an order entry system, point of care documentation, bar code medication administration, or a physiological monitoring data capture system (or all of the above), and the nurse at the point of care is deeply affected. The workflow of the nurse at the point of care is fundamentally transformed by the infusion of technology in the workplace. This transformational change as a result of the infusion of technology, however, is a double-edged sword, bringing with it both desirable and undesirable intended and unintended consequences. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2925892 Thu, 01 Oct 2009 00:00:00 +0100 2925892 http://www.medworm.com/index.php?rid=2925891&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209003232%2Fabstract%3Frss%3Dyes The purpose of this study was to evaluate the safety of pediatric extubation performed by nurses in the PACU after the implementation of an extubation policy. A total of 673 patients were extubated over 12 months. Five-hundred twenty-four (77.9%) of these patients met the criteria for nurse extubation; however, only 304 (58%) were extubated by nurses. One-hundred seventy-nine (34%) patients were not extubated by nurses because of a lack of physician order; a physician was present for 49 (9.3%) patients, and four (0.8%) patients had complications, resulting in a physician extubation. Only 8 (3%) patients extubated by nurses developed complications. These results suggest that nurses can safely perform endotracheal extubation of the pediatric population. (Source: Journal of PeriAnesthesia Nur... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2925891 Thu, 01 Oct 2009 00:00:00 +0100 2925891 http://www.medworm.com/index.php?rid=2925890&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209003207%2Fabstract%3Frss%3Dyes This randomized, controlled, blinded study examined the effectiveness of an aromatherapy intervention on the reduction of children's distress in a perianesthesia setting. The sample included children with and without developmental disabilities (n = 94). Subjects in the intervention group received an aromatherapy intervention of lavender and ginger essential oils. The control group received a placebo intervention of jojoba oil. Distress was measured at two times: before induction and in the PACU, using the Faces, Legs, Arms, Cry and Consolability (FLACC) scale. The mean distress level was lower for the children in the essential oil group, but the effect was not statistically significant (P = .055). Parents' responses to survey questions about satisfaction with aromatherapy did not differ be... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2925890 Thu, 01 Oct 2009 00:00:00 +0100 2925890 http://www.medworm.com/index.php?rid=2925889&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209003177%2Fabstract%3Frss%3Dyes The purpose of our study was to examine the reliability of nurse reports of adverse events related to procedural sedation in children. A descriptive, correlational design was used to analyze for inter-rater agreement between prospective adverse event reporting and that identified on independent review of the medical record. All sedation documentation at a pediatric hospital over one calendar year was reviewed, and inter-rater reliability of reporting was analyzed using K statistics. Five thousand forty-five sedation documentation records were reviewed. An adverse event rate of 6.52% was identified: 1.92% of adverse events were serious, and 4.60% were minor. Although overall agreement between nurse reports and independent review was greater than 99%, subanalysis suggested greater agreement ... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2925889 Thu, 01 Oct 2009 00:00:00 +0100 2925889 http://www.medworm.com/index.php?rid=2925888&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209003190%2Fabstract%3Frss%3Dyes This article will discuss several potential and known risks associated with interventional procedures, how to monitor for these risks, and evidence-based measures to prevent or minimize their occurrence. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2925888 Thu, 01 Oct 2009 00:00:00 +0100 2925888 http://www.medworm.com/index.php?rid=2925887&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209003189%2Fabstract%3Frss%3Dyes A new imaging center was established within a children's specialty hospital that provides services for children and adults with childhood-onset disabilities. New services in this advanced imaging center include computed tomography, magnetic resonance imaging, fluoroscopy, and ultrasound. Individuals with disabilities are particularly at risk for complications during procedures requiring sedation and anesthesia. The perianesthesia nurses' role was developed to support the sedation needs of this population during imaging services. Perianesthesia nurses developed an advanced imaging screening process to prepare patients for sedation during imaging services. With these processes, the new Advanced Imaging Center is providing timelier and better coordinated imaging services. (Source: Journal of ... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2925887 Thu, 01 Oct 2009 00:00:00 +0100 2925887 http://www.medworm.com/index.php?rid=2925886&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209003384%2Fabstract%3Frss%3Dyes PRACTICING PERIANESTHESIA nurses have seen the scope of nursing practice change significantly over the years. The “Scope of Perianesthesia Nursing Practice,” as defined in the 2008-2010 ASPAN Standards, “involves the assessment for, the diagnosis of, intervention for, and evaluation of physical or psychosocial problems or risks for problems that may result from the administration of sedation/analgesia or anesthetic agents and techniques.” (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2925886 Thu, 01 Oct 2009 00:00:00 +0100 2925886 http://www.medworm.com/index.php?rid=2925885&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209003396%2Fabstract%3Frss%3Dyes CLINICAL PRACTICE GUIDELINES are systematically developed guidelines or statements designed to assist the practitioner and/or patient in making appropriate health care decisions in specific clinical circumstances. Guideline development involves a deliberate process of problem identification and validation; exploration and retrieval of literature; rigorous review, critique, and synthesis of the evidence; and design and recommendation of a practice change. Guideline recommendations are based on a body of evidence that can arise from multiple sources including meta-analysis, systematic reviews, randomized controlled trials (RCTs), and expert opinion. Characteristics common to quality clinical practice guidelines include development by, or in conjunction with, a professional organization; use ... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2925885 Thu, 01 Oct 2009 00:00:00 +0100 2925885 http://www.medworm.com/index.php?rid=2925884&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209003414%2Fabstract%3Frss%3Dyes EIGHT YEARS AGO, ASPAN published its first clinical practice guideline, designed to guide perianesthesia, perioperative, and anesthesia health care providers in the prevention and/or management of perioperative hypothermia. In the eight years since that first publication, ASPAN's approach to evidence-based practice and clinical practice guideline development has undergone a considerable evolution, resulting in a structured, systematic guideline development process designed to provide the practitioner with the highest strength and quality of evidence available to guide their practice. Although our approach to guideline development has undergone extensive restructuring and improvement, the need for continued development and/or revision of guidelines continues unabated resultant to the unrele... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2925884 Thu, 01 Oct 2009 00:00:00 +0100 2925884 http://www.medworm.com/index.php?rid=2672208&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19647656%26dopt%3DAbstract Authors: Odom-Forren J PMID: 19647656 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2672208 Fri, 31 Jul 2009 23:00:00 +0100 2672208 http://www.medworm.com/index.php?rid=2672207&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19647657%26dopt%3DAbstract Authors: Burke CN, Voepel-Lewis T, Hadden S, Degrandis M, Skotcher S, D'Agostino R, Walton S, Malviya S This prospective, randomized study compared the incidence and duration of postanesthetic agitation in children whose parents were present or absent during emergence from anesthesia. Findings demonstrated that there was no difference in agitation between groups; however, more parents who were present believed they were present at "the right time," in contrast to those reunited later, who more often said they arrived "too late." Furthermore, these parents were comfortable in the setting and reported a high degree of helpfulness in comforting their child. Findings from this study suggest that although parental presence at emergence did not decrease agitation in young children, there was... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2672207 Fri, 31 Jul 2009 23:00:00 +0100 2672207 http://www.medworm.com/index.php?rid=2672206&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19647658%26dopt%3DAbstract Authors: Miaskowski C Opioid analgesics are commonly used to manage moderate to severe postoperative pain. Classic mu-opioid receptor agonists, such as morphine, meperidine, and fentanyl, provide excellent analgesia. However, their use in the postoperative setting is often limited by adverse effects such as nausea, vomiting, and reduced gastrointestinal motility. Clinicians who care for postoperative patients need to be aware of the incidences, causes, risk factors, consequences, and management of these adverse effects. If these effects are not managed effectively, opioid-related complications may significantly increase patient morbidity, have a negative impact on patient outcomes, and increase the burden on the nursing staff. Strategies are available to minimize and treat opioid-relat... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2672206 Fri, 31 Jul 2009 23:00:00 +0100 2672206 http://www.medworm.com/index.php?rid=2672205&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19647659%26dopt%3DAbstract Authors: Walls M A quality improvement project was created to examine staff attitudes and beliefs regarding visitation after implementation of a formal visitation policy in the PACU. A 10-item questionnaire was distributed and collected from each staff member in the PACU after implementation of the formal policy. Results showed that although 83.7% of staff would want the option to visit their family member in the PACU, only 47% of staff believe that families should have the option to visit in their own PACU. The perceived barriers reported by staff were staffing issues, the possibility of exposure to infection, privacy issues, staff anxiety, the possibility of visitors witnessing resuscitation, and lack of education of families. The survey results show that more existing education is n... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2672205 Fri, 31 Jul 2009 23:00:00 +0100 2672205 http://www.medworm.com/index.php?rid=2672204&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19647660%26dopt%3DAbstract Authors: Wilding JR, Manias E, McCoy DG The aim of this exploratory study was to determine the effectiveness of pain relief for surgical patients (N = 52) in transition from the PACU to the postoperative unit. The study also explored whether there was an association between a verbal numeric pain score (0 to 10) on discharge from the PACU and the duration of time until analgesia was administered in the postoperative unit. Information was obtained about pain management, time of discharge, and patient pain scores on discharge from the PACU, as well as pain scores and the time of first analgesic administered in the postoperative unit. Most patients were discharged from the PACU with a pain score in the mild range (0 to 4), indicating reasonable pain relief. An association existed between t... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2672204 Fri, 31 Jul 2009 23:00:00 +0100 2672204 http://www.medworm.com/index.php?rid=2672203&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19647661%26dopt%3DAbstract Authors: Candiotti K, Rodriguez Y, Koyyalamudi P, Curia L, Arheart KL, Birnbach DJ It is a common practice for medical practitioners to use subcutaneous infiltration of lidocaine to alleviate the pain of intravenous cannulation or line insertion. Although previous studies have assessed several factors affecting the pain associated with local anesthetic infiltration, there is a paucity of data on the effects of needle bevel position. In this prospective, randomized, controlled trial, we compared the effect of two different needle bevel positions (bevel up versus bevel down) and the pain associated with the subcutaneous injection of 1% lidocaine in 50 adult volunteers. Significantly higher pain scores were observed when the needle was placed bevel down compared with bevel up (P = .02). N... Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2672203 Fri, 31 Jul 2009 23:00:00 +0100 2672203 http://www.medworm.com/index.php?rid=2672202&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19647662%26dopt%3DAbstract Authors: Andrews SM PMID: 19647662 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2672202 Fri, 31 Jul 2009 23:00:00 +0100 2672202 http://www.medworm.com/index.php?rid=2672201&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19647663%26dopt%3DAbstract Authors: Sullivan EE PMID: 19647663 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2672201 Fri, 31 Jul 2009 23:00:00 +0100 2672201 http://www.medworm.com/index.php?rid=2672200&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19647664%26dopt%3DAbstract Authors: Petty WC Hand washing is one of the oldest methods of reducing infections. Recent evidence based research has re-confirmed the efficacy of proper hand hygiene and recommendations for hand hygiene by the CDC and WHO are outlined. The PACU is a unique environment; patients are in a "cross-road of infection;" many patients are exposed to infections coming from various wards brought to the PACU through the OR. The PACU nurse is not only responsible for observing and monitoring the patient's vital signs but is also responsible for making sure patients are not exposed to an additional risk, e.g. a hand-transmitted infection. PMID: 19647664 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2672200 Fri, 31 Jul 2009 23:00:00 +0100 2672200 http://www.medworm.com/index.php?rid=2672199&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19647665%26dopt%3DAbstract Authors: Rakic AM, Golembiewski J PMID: 19647665 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2672199 Fri, 31 Jul 2009 23:00:00 +0100 2672199 http://www.medworm.com/index.php?rid=2672198&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19647666%26dopt%3DAbstract Authors: Clifford T PMID: 19647666 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2672198 Fri, 31 Jul 2009 23:00:00 +0100 2672198 http://www.medworm.com/index.php?rid=2672197&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19647667%26dopt%3DAbstract Authors: Sandlin-Leming D PMID: 19647667 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2672197 Fri, 31 Jul 2009 23:00:00 +0100 2672197 http://www.medworm.com/index.php?rid=2672196&cid=s_37063_27_f&fid=37063&url=http%3A%2F%2Fwww.ncbi.nlm.nih.gov%2Fentrez%2Fquery.fcgi%3Ftmpl%3DNoSidebarfile%26db%3DPubMed%26cmd%3DRetrieve%26list_uids%3D19647668%26dopt%3DAbstract Authors: Hooper VD PMID: 19647668 [PubMed - in process] (Source: Journal of Perianesthesia Nursing) Journal of Perianesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2672196 Fri, 31 Jul 2009 23:00:00 +0100 2672196 http://www.medworm.com/index.php?rid=2665725&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002846%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2665725 Fri, 31 Jul 2009 23:00:00 +0100 2665725 http://www.medworm.com/index.php?rid=2665724&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002834%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2665724 Fri, 31 Jul 2009 23:00:00 +0100 2665724 http://www.medworm.com/index.php?rid=2665723&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002822%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2665723 Fri, 31 Jul 2009 23:00:00 +0100 2665723 http://www.medworm.com/index.php?rid=2665722&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002810%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2665722 Fri, 31 Jul 2009 23:00:00 +0100 2665722 http://www.medworm.com/index.php?rid=2665721&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002779%2Fabstract%3Frss%3Dyes THIS EDITORIAL presents the fourth in a series of editorials examining the challenges and goals established by the National Priorities Partnership (NPP), which is charged with developing a vision for world-class, affordable health care. The NPP has identified six priorities that they believe, if addressed, will have a significant impact on improving health care at the national level. The second priority is to improve the health of the population. Because this is a community/public health focused goal, I had originally intended to omit this priority in my editorial series, but given this summer's national debate on the future of health care in the United States, I felt it important to initiate a discussion regarding these initiatives. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2665721 Fri, 31 Jul 2009 23:00:00 +0100 2665721 http://www.medworm.com/index.php?rid=2665720&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002500%2Fabstract%3Frss%3Dyes MARK TWAIN (Samuel L. Clemens) is well remembered for quotes such as “Giving up smoking is easy…I've done it hundreds of times” or “Giving up smoking is the easiest thing in the world. I know because I've done it thousands of times.” Whether Mark Twain was ever able to give up smoking entirely is unknown to this author, but he did often express his opinion regarding his enjoyment of smoking and the difficulty of quitting. During a speech on his 70th birthday, he is quoted as saying, “As an example to others, and not that I care for moderation myself, it has always been my rule never to smoke when asleep and never to refrain when awake.” He appeared to truly enjoy smoking and was often photographed using tobacco products. Today, almost 100 years after his death, smoking cessat... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2665720 Fri, 31 Jul 2009 23:00:00 +0100 2665720 http://www.medworm.com/index.php?rid=2665719&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002470%2Fabstract%3Frss%3Dyes SINCE THE FIRST Standards of Perianesthesia Nursing Practice were published, health care and technological changes have required ongoing attention to the monitoring and updating of the core framework for perianesthesia nursing practice. The original publication for perianesthesia standards has expanded to include evidence-based guidelines, bedside resources, and association position statements intended to provide information to support, advance, and advocate for practice. The purpose of the ASPAN standards is to help define and address the broad roles and scope of practice for the perianesthesia nurse. However, there are times in the health care environment when the ideal exists in the written word, but reality follows an independent script. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2665719 Fri, 31 Jul 2009 23:00:00 +0100 2665719 http://www.medworm.com/index.php?rid=2665718&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002482%2Fabstract%3Frss%3Dyes THE MANAGEMENT OF postoperative pain continues to be a challenge of perianesthesia care. Opioids remain the mainstay of pharmacologic therapy. Although they are effective, their use is fraught with problems. Many patients present for surgery already receiving high-dose opioid therapy or with a history of intravenous (IV) drug abuse. In these patients, even large doses of opioids are often inadequate to control pain and, in some cases, may even worsen the problem. Issues of surgical site location and the use of anticoagulation limit the use of regional techniques (ie, epidural infusions) for all patients. Evidence exists to support the claim that poor pain control is associated with a range of comorbidities including deep venous thrombosis, infection, ischemic events, pneumonia, and skin ul... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2665718 Fri, 31 Jul 2009 23:00:00 +0100 2665718 http://www.medworm.com/index.php?rid=2665717&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002548%2Fabstract%3Frss%3Dyes Hand washing is one of the oldest methods of reducing infections. Recent evidence based research has re-confirmed the efficacy of proper hand hygiene and recommendations for hand hygiene by the CDC and WHO are outlined. The PACU is a unique environment; patients are in a “cross-road of infection;” many patients are exposed to infections coming from various wards brought to the PACU through the OR. The PACU nurse is not only responsible for observing and monitoring the patient's vital signs but is also responsible for making sure patients are not exposed to an additional risk, e.g. a hand-transmitted infection. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2665717 Fri, 31 Jul 2009 23:00:00 +0100 2665717 http://www.medworm.com/index.php?rid=2665716&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002494%2Fabstract%3Frss%3Dyes KEEPING TRACK OF 41 operating rooms (ORs) and more than 130 cases per day is a daunting task without the support of computerized systems. It can be quite challenging not to lose track of patients, miss a phone call, forget to write something down, or just run out of available space to place a patient. For a number of years now, we have benefited from an Operating Room Dynamic Schedule: a computerized program designed to track a patient's progress throughout the procedure through the use of color coding. Different colors indicate various stages of surgery: patient in the room, incision, closing, surgery ended, room cleaned, and room ready. We then began to build off that program and developed a PACU Tracking System to track the progress of the postanesthesia patient in both the in-patient P... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2665716 Fri, 31 Jul 2009 23:00:00 +0100 2665716 http://www.medworm.com/index.php?rid=2665715&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002512%2Fabstract%3Frss%3Dyes THE PATIENT FAMILY–Centered Care model in health care delivery encourages the active participation of patients and their families. This model has been shown to decrease medical errors and increase the patient's and family's level of satisfaction. We have always provided health care using this model in the ambulatory surgery setting, although we may not have called it by that name. We encourage the family to be active in care decisions and participate in the patient's care during the preoperative experience, while the patient is in Phase I, and especially during Phase II recovery, so that they are comfortable caring for their loved one once the patient is discharged. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2665715 Fri, 31 Jul 2009 23:00:00 +0100 2665715 http://www.medworm.com/index.php?rid=2665714&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002780%2Fabstract%3Frss%3Dyes It is a common practice for medical practitioners to use subcutaneous infiltration of lidocaine to alleviate the pain of intravenous cannulation or line insertion. Although previous studies have assessed several factors affecting the pain associated with local anesthetic infiltration, there is a paucity of data on the effects of needle bevel position. In this prospective, randomized, controlled trial, we compared the effect of two different needle bevel positions (bevel up versus bevel down) and the pain associated with the subcutaneous injection of 1% lidocaine in 50 adult volunteers. Significantly higher pain scores were observed when the needle was placed bevel down compared with bevel up (P = .02). No significant differences in pain scores were noted between the groups for age and gend... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2665714 Fri, 31 Jul 2009 23:00:00 +0100 2665714 http://www.medworm.com/index.php?rid=2665713&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002457%2Fabstract%3Frss%3Dyes The aim of this exploratory study was to determine the effectiveness of pain relief for surgical patients (N = 52) in transition from the PACU to the postoperative unit. The study also explored whether there was an association between a verbal numeric pain score (0 to 10) on discharge from the PACU and the duration of time until analgesia was administered in the postoperative unit. Information was obtained about pain management, time of discharge, and patient pain scores on discharge from the PACU, as well as pain scores and the time of first analgesic administered in the postoperative unit. Most patients were discharged from the PACU with a pain score in the mild range (0 to 4), indicating reasonable pain relief. An association existed between the pain score on discharge from the PACU and... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2665713 Fri, 31 Jul 2009 23:00:00 +0100 2665713 http://www.medworm.com/index.php?rid=2665712&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002524%2Fabstract%3Frss%3Dyes A quality improvement project was created to examine staff attitudes and beliefs regarding visitation after implementation of a formal visitation policy in the PACU. A 10-item questionnaire was distributed and collected from each staff member in the PACU after implementation of the formal policy. Results showed that although 83.7% of staff would want the option to visit their family member in the PACU, only 47% of staff believe that families should have the option to visit in their own PACU. The perceived barriers reported by staff were staffing issues, the possibility of exposure to infection, privacy issues, staff anxiety, the possibility of visitors witnessing resuscitation, and lack of education of families. The survey results show that more existing education is needed. Consequently, ... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2665712 Fri, 31 Jul 2009 23:00:00 +0100 2665712 http://www.medworm.com/index.php?rid=2665711&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002469%2Fabstract%3Frss%3Dyes Opioid analgesics are commonly used to manage moderate to severe postoperative pain. Classic mu-opioid receptor agonists, such as morphine, meperidine, and fentanyl, provide excellent analgesia. However, their use in the postoperative setting is often limited by adverse effects such as nausea, vomiting, and reduced gastrointestinal motility. Clinicians who care for postoperative patients need to be aware of the incidences, causes, risk factors, consequences, and management of these adverse effects. If these effects are not managed effectively, opioid-related complications may significantly increase patient morbidity, have a negative impact on patient outcomes, and increase the burden on the nursing staff. Strategies are available to minimize and treat opioid-related adverse effects. Implem... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2665711 Fri, 31 Jul 2009 23:00:00 +0100 2665711 http://www.medworm.com/index.php?rid=2665710&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002536%2Fabstract%3Frss%3Dyes This prospective, randomized study compared the incidence and duration of postanesthetic agitation in children whose parents were present or absent during emergence from anesthesia. Findings demonstrated that there was no difference in agitation between groups; however, more parents who were present believed they were present at “the right time,” in contrast to those reunited later, who more often said they arrived “too late.” Furthermore, these parents were comfortable in the setting and reported a high degree of helpfulness in comforting their child. Findings from this study suggest that although parental presence at emergence did not decrease agitation in young children, there was significant psychosocial benefit to the parents. Perioperative and perianesthesia nurses should con... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2665710 Fri, 31 Jul 2009 23:00:00 +0100 2665710 http://www.medworm.com/index.php?rid=2665709&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002767%2Fabstract%3Frss%3Dyes I PULLED AN OLD BREATHLINE, the ASPAN newsletter, out of my personal library last night. I was ASPAN President at the time, and my President's Message was focused on Health Care Reform. I stated at the time that 36 million Americans were uninsured, that health spending in 1992 would soar to $817 billion and 14% of the gross national income. Many at the time had high hopes that some type of health care reform would occur to allow all Americans access to basic care. In the ensuing years, we have pulled more children into access through the State Children's Health Insurance Program (SCHIP), a program designed to cover uninsured children in families who do not qualify for Medicaid. This has been the only positive movement toward health care that is accessible to all. Last February, President O... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2665709 Fri, 31 Jul 2009 23:00:00 +0100 2665709 http://www.medworm.com/index.php?rid=2461034&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209001105%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2461034 Mon, 01 Jun 2009 04:00:00 +0100 2461034 http://www.medworm.com/index.php?rid=2461033&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209001099%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2461033 Mon, 01 Jun 2009 04:00:00 +0100 2461033 http://www.medworm.com/index.php?rid=2461032&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209001087%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2461032 Mon, 01 Jun 2009 04:00:00 +0100 2461032 http://www.medworm.com/index.php?rid=2461031&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209001075%2Fabstract%3Frss%3Dyes (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2461031 Mon, 01 Jun 2009 04:00:00 +0100 2461031 http://www.medworm.com/index.php?rid=2461030&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002445%2Fabstract%3Frss%3Dyes Background: Patient satisfaction scores for Ambulatory Surgery Patients at Methodist Willowbrook Hospital (MWH) are in the 40-50% range compared to similar hospitals. The purpose of this project is to integrate advanced practice, nursing knowledge, and skills to develop a nurse training course aimed at understanding the survey thereby increasing Ambulatory Surgery Patient Satisfaction scores. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2461030 Mon, 01 Jun 2009 04:00:00 +0100 2461030 http://www.medworm.com/index.php?rid=2461029&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002433%2Fabstract%3Frss%3Dyes The objective of this program is to expose and attract student nurses to perianesthesia nursing. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2461029 Mon, 01 Jun 2009 04:00:00 +0100 2461029 http://www.medworm.com/index.php?rid=2461028&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002421%2Fabstract%3Frss%3Dyes The objectives were to assess: scope of the problem, contributing factors, delineate competing demands, and develop potential interventions. It started with problem identification, assessment of department/unit needs, and collaborative development of communication protocol. The approved protocol was successfully implemented with the guidance from the core group of nurses and providers engaged in the team work process. Communication process was improved which included group briefings and debriefings throughout the day. The implementation of “unstaffed beds” was used when there were no available staffed beds. The anesthesia providers managed the patients in the unstaffed beds until a PACU nurse became available. This additional capacity has reduced backup in the OR. The implication among... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2461028 Mon, 01 Jun 2009 04:00:00 +0100 2461028 http://www.medworm.com/index.php?rid=2461027&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS108994720900241X%2Fabstract%3Frss%3Dyes The objective was to assess the use and cleaning of BP cuff practices within the hospital. A Hospital BP Cuff Task Force was created; reviewed articles, met with experts, conducted surveys; analyzed cost; piloted recommended practice; and recommended change in protocol. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2461027 Mon, 01 Jun 2009 04:00:00 +0100 2461027 http://www.medworm.com/index.php?rid=2461026&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002408%2Fabstract%3Frss%3Dyes The objective is to provide a safety resource and support for perianesthesia nurses. A survey was conducted among the ASPAN Safety Committee members and solicited information from other members and some leaders. Information was collated and served as a starting point for the safety resource. An outline was developed to meet objectives and main categories served as framework. Through this project, some “up and comers” were invited to write articles for professional development. Opportunities to contribute to the resource were provided to members who were doing it for the first time. There was a collaborative engagement between mentors and mentees in developing the safety resource. Topics were related to practice, education, research, leadership, regulatory information. Through teamwork,... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2461026 Mon, 01 Jun 2009 04:00:00 +0100 2461026 http://www.medworm.com/index.php?rid=2461025&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002391%2Fabstract%3Frss%3Dyes The objectives were to assess baseline hand washing compliance, implement strategies, monitor, report findings and recognize staff. The process included: baseline data, staff education, training of observers, Purell bottles at each bedside and around the unit, weekly random audit, feedback, and recognition. It was a successful practice because staff positively accepted the challenge and influenced providers to follow. Pride was seen among recognized staff while others continue to improve. Change in safety culture evolved and data showed positive outcome. Baseline compliance rate increased from 28% to 90-100% post two months of interventions and has been maintained at high level. In October 2008, the PACU received a hospital recognition certificate for the “Most Improved Unit” in hand w... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2461025 Mon, 01 Jun 2009 04:00:00 +0100 2461025 http://www.medworm.com/index.php?rid=2461024&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS108994720900238X%2Fabstract%3Frss%3Dyes Background: As of October 2008, CMS has cut reimbursements for hospital acquired pressure ulcers. Since the PACU is a transient unit, the staff did not consider skin assessment as a major concern. However, current trends, such as bed shortage in the hospital, increasing numbers of obese and diabetic patients, complex surgery and anesthesia procedures, has multiplied the risk factors for patients to develop pressure ulcers. Since the PACU is entry port for most elective surgeries, it is essential for staff to be aware of the problems associated with pressure ulcers (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2461024 Mon, 01 Jun 2009 04:00:00 +0100 2461024 http://www.medworm.com/index.php?rid=2461023&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002378%2Fabstract%3Frss%3Dyes Background: For the last several years, the Air Force's commitment to the Global War on Terror and humanitarian needs throughout the world have caused active duty PACU nurses to serve a dual role taking care of patients at home and deployed abroad. These needs are partially responsible for frequent staffing changes and high staff turnover rates, which, over time, resulted in PACU hand-off and documentation processes that were redundant and inefficient. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2461023 Mon, 01 Jun 2009 04:00:00 +0100 2461023 http://www.medworm.com/index.php?rid=2461022&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002366%2Fabstract%3Frss%3Dyes The perianesthesia area in our hospital incorporates four geographically separate areas, including Preadmitting Test Center, Preoperative Holding, Post Anesthesia Care Unit and the Day Surgery Unit. The hospital intranet provides a formal means of communication; however no informal means of communication existed throughout the perianesthesia area. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2461022 Mon, 01 Jun 2009 04:00:00 +0100 2461022 http://www.medworm.com/index.php?rid=2461021&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002354%2Fabstract%3Frss%3Dyes To facilitate safe and effective perioperative management of patients with CRMDs clear guidelines are necessary to ensure patient safety. Objectives: (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2461021 Mon, 01 Jun 2009 04:00:00 +0100 2461021 http://www.medworm.com/index.php?rid=2461020&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002342%2Fabstract%3Frss%3Dyes Background Information: The author identified the benefit and need to have family speak with patients over the phone when appropriate, for PACU RNs to improve their communication style and get in the habit of calling the family. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2461020 Mon, 01 Jun 2009 04:00:00 +0100 2461020 http://www.medworm.com/index.php?rid=2461019&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002330%2Fabstract%3Frss%3Dyes In September 2008 our new Perioperative Suite opened. This area consists of a 27 bed Phase I PACU and 23 bed Phase II Admitting/Discharge area. The challenge facing our department was merging two separate staffs and work environments into one cohesive workforce. Our Magnet organization shared government structure empowered the staff to be actively involved in identifying and resolving the issues that would impact this merge. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2461019 Mon, 01 Jun 2009 04:00:00 +0100 2461019 http://www.medworm.com/index.php?rid=2461018&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002329%2Fabstract%3Frss%3Dyes The management of post operative pain and PONV in the total joint patient was a clinical challenge for our PACU nurses. High post operative pain levels affected patient satisfaction, length of stay, and rehabilitation in the total joint replacement patient. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2461018 Mon, 01 Jun 2009 04:00:00 +0100 2461018 http://www.medworm.com/index.php?rid=2461017&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002317%2Fabstract%3Frss%3Dyes Background: VHSO performs an average of 547 cases per month with an average of 18 admissions for post operative care. During chart reviews, variations in post operative physician orders were noted. Further review also revealed that no definitive policy existed regarding post operative inpatient assessments including vital signs and post operative assessments were inconsistent. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2461017 Mon, 01 Jun 2009 04:00:00 +0100 2461017 http://www.medworm.com/index.php?rid=2461016&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002305%2Fabstract%3Frss%3Dyes A group of perianesthesia frontline care nurses and ancillary staff came together as a strategic work team to examine the efficiency and effectiveness of the pre-operative process. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2461016 Mon, 01 Jun 2009 04:00:00 +0100 2461016 http://www.medworm.com/index.php?rid=2461015&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002299%2Fabstract%3Frss%3Dyes In the United States approximately 2.5 million patients per year are treated in hospital settings for pressure ulcers. Beginning October 1, 2008, The Center for Medicare and Medicaid Services will no longer reimburse for “preventable conditions” acquired during hospitalization. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2461015 Mon, 01 Jun 2009 04:00:00 +0100 2461015 http://www.medworm.com/index.php?rid=2461014&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002287%2Fabstract%3Frss%3Dyes Patients undergoing surgery are typically not screened for alteration in skin integrity until they are in the operating room. These patients have a lengthy perioperative phase which puts them at an increased risk for altered skin integrity. CMS and other Third Party payors will no longer be reimbursing for care for hospital-acquired pressure ulcers. The Institute for Healthcare Improvement and the National Quality Forum recommend performing an admission skin assessment. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2461014 Mon, 01 Jun 2009 04:00:00 +0100 2461014 http://www.medworm.com/index.php?rid=2461013&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002275%2Fabstract%3Frss%3Dyes The purpose of this project is to identify adult outpatient surgical patients with a history of post-operative nausea and vomiting (PONV). A quality improvement initiative was undertaken as part of the Pre/Post unit practice committee 2008 performance improvement plan to include assessment of the patient's surgical experience. (Source: Journal of PeriAnesthesia Nursing) Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2461013 Mon, 01 Jun 2009 04:00:00 +0100 2461013 http://www.medworm.com/index.php?rid=2461012&cid=s_37063_27_f&fid=38527&url=http%3A%2F%2Fwww.jopan.org%2Farticle%2FPIIS1089947209002263%2Fabstract%3Frss%3Dyes Postoperative nausea and vomiting (PONV) are complications that occur with surgery. The development of PONV may impact the recovery process resulting in delay of discharge, decrease of mobility, or decrease in patient satisfaction. The purpose of this quality improvement project was to investigate the use of a formalized assessment tool (Apfel 2003) and to implement risk stratified interventions for patients who may develop PONV. A convenience sample of 49 patients undergoing orthopedic same day surgery and 45 pre-admitted orthopedic knee and hip replacements were evaluated. The data demonstrated that there was no difference in the appropriateness of anti-emetic use and the identified risk score. Females were found to be three times more likely to develop PONV than males (p=.005). However,... Journal of PeriAnesthesia Nursing journals http://www.medworm.com/rss/comments.php?id=2461012 Mon, 01 Jun 2009 04:00:00 +0100 2461012