Effects of Discharge Education and Telephone Follow-up on Cataract Patients' Activities According to the Model of Living
Assess the impact of planned discharge education and telephone follow-up of patients who underwent cataract surgery on daily living activities. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - September 12, 2019 Category: Nursing Authors: Muaz G ülşen, Neriman Akansel Tags: Original Article Source Type: research

Effectiveness of a Collaborative Nursing Care Model for the Treatment of Patients with Diabetic Foot Disease by Transverse Tibial Bone Transport Technique: A Pilot Study
Medical staff shortages remain a serious challenge, particularly to medical administrators. We aimed to analyze the effectiveness of a collaborative nursing care model in treatment of diabetic foot. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - September 12, 2019 Category: Nursing Authors: Liping Jiang, Regis Ernest Mendame Ehya Tags: Original Article Source Type: research

Using Telemedicine for Pediatric Preanesthesia Evaluation: A Pilot Project.
CONCLUSIONS: This project provides evidence in support of using telemedicine in the setting of pediatric preanesthesia evaluation. Using telemedicine has the potential to improve patient outcomes by improving the patient-provider relationship and increasing access to care. PMID: 31521494 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - September 11, 2019 Category: Nursing Authors: Rogers G Tags: J Perianesth Nurs Source Type: research

Determining the Use of Nonpharmacologic Methods by Surgical Nurses for Postoperative Pain Management and the Influencing Professional Factors: A Multicenter Study.
Abstract PURPOSE: The purpose of this study was to determine the use of nonpharmacologic methods by surgical nurses for postoperative pain management and to identify the influencing professional factors. DESIGN: A regional survey model. METHODS: The sample of the study consisted of 443 surgical nurses working in regions of Turkey. The data were collected using a personal information form and questionnaire. FINDINGS: Hot-cold application (53.3%), exercise (50.8%), positioning (68.8%), movement restriction (35.7%), resting (55.5%), and distraction (42.2%) were among the methods usually used by nurses....
Source: Journal of Perianesthesia Nursing - September 11, 2019 Category: Nursing Authors: Gumus K, Musuroglu S, Karaman Ozlu Z, Tasci O Tags: J Perianesth Nurs Source Type: research

Determining the Use of Nonpharmacologic Methods by Surgical Nurses for Postoperative Pain Management and the Influencing Professional Factors: A Multicenter Study
The purpose of this study was to determine the use of nonpharmacologic methods by surgical nurses for postoperative pain management and to identify the influencing professional factors. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - September 11, 2019 Category: Nursing Authors: Kenan Gumus, Seval Musuroglu, Zeynep Karaman Ozlu, Omer Tasci Tags: Original Article Source Type: research

Using Telemedicine for Pediatric Preanesthesia Evaluation: A Pilot Project
The purpose of the study was to implement using telemedicine for pediatric preanesthesia evaluation and to evaluate patient and provider satisfaction. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - September 11, 2019 Category: Nursing Authors: Gretchen Rogers Tags: Original Article Source Type: research

Factors Influencing Early Postoperative Recovery After Laparoscopic Cholecystectomy.
CONCLUSIONS: Nurses in postanesthesia care units should work to preventively identify and address patients' medical and emotional needs so that optimal conditions for postoperative recovery can be provided. PMID: 31501015 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - September 6, 2019 Category: Nursing Authors: Gustafsson S, Strömqvist M, Ekelund J, Engström Å Tags: J Perianesth Nurs Source Type: research

Factors Influencing Early Postoperative Recovery After Laparoscopic Cholecystectomy
To study the factors influencing early postoperative recovery after laparoscopic cholecystectomy. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - September 6, 2019 Category: Nursing Authors: Silje Gustafsson, Magnus Str ömqvist, Johanna Ekelund, Åsa Engström Tags: Original Article Source Type: research

Implementation Science: Incorporating Obstructive Sleep Apnea Screening and Capnography Into Everyday Practice.
CONCLUSIONS: Perianesthesia nurses found OSA screening and capnography easy to incorporate into nursing practice. This process can reduce respiratory complications in the surgical patient with OSA. An Evidence-Based Practice Fellowship Program facilitated this practice change. PMID: 31495557 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - September 5, 2019 Category: Nursing Authors: Scully KR, Rickerby J, Dunn J Tags: J Perianesth Nurs Source Type: research

Using a Virtual Reality Headset to Decrease Pain Felt During a Venipuncture Procedure in Children.
This study collected data using the information form regarding introductory characteristics of children and the venipuncture procedure, the Visual Analogue Scale, and the Wong-Baker Faces Pain Scale. FINDINGS: This study found that the levels of pain that experimental group children felt during the venipuncture procedure were lower than the levels of pain indicated by control group children (P
Source: Journal of Perianesthesia Nursing - September 5, 2019 Category: Nursing Authors: Aydın Aİ, Özyazıcıoğlu N Tags: J Perianesth Nurs Source Type: research

Using a Virtual Reality Headset to Decrease Pain Felt During a Venipuncture Procedure in Children
This experimental study was conducted to determine the effect of using a virtual reality headset on decreasing the pain felt during a venipuncture procedure in children. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - September 5, 2019 Category: Nursing Authors: Ayla İrem Aydın, Nurcan Özyazıcıoğlu Tags: Original Article Source Type: research

Implementation Science: Incorporating Obstructive Sleep Apnea Screening and Capnography Into Everyday Practice
This article describes the implementation and maintenance of obstructive sleep apnea (OSA) screening and capnography monitoring. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - September 5, 2019 Category: Nursing Authors: Kathryn R. Scully, Jennifer Rickerby, Jessica Dunn Tags: Original Article Source Type: research

Effects of Intraoperative Gelatin on Blood Viscosity and Oxygenation Balance.
CONCLUSIONS: Gelatin better maintains blood viscosity and stabilizes the body's oxygenation balance. PMID: 31492603 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - September 3, 2019 Category: Nursing Authors: Zhou Z, Chen X, Zhou X, Yang X, Lu D, Kang W, Feng X Tags: J Perianesth Nurs Source Type: research

Burnout and Resiliency in Perianesthesia Nurses: Findings and Recommendations From a National Study of Members of the American Society of PeriAnesthesia Nurses.
Abstract PURPOSE: Describe prevalence of burnout in perianesthesia nurses, explore risks, mitigating factors. DESIGN: Cross-sectional descriptive. METHODS: Survey containing Maslach Burnout Inventory, Short Form-12, and Social Support and Personal Coping was emailed to American Society of PeriAnesthesia Nurses. Regression analysis examined relationships between burnout and health, social support, personal coping, substance use, and demographics. FINDINGS: Of 2,837 respondents, 18% were currently and 35% were formerly burned out, with lower incidence in those>40 years. Currently burned out nu...
Source: Journal of Perianesthesia Nursing - September 3, 2019 Category: Nursing Authors: Card EB, Hyman SA, Wells N, Shi Y, Shotwell MS, Weinger MB Tags: J Perianesth Nurs Source Type: research

Burnout and Resiliency in Perianesthesia Nurses: Findings and Recommendations From a National Study of Members of the American Society of PeriAnesthesia Nurses
Describe prevalence of  burnout in perianesthesia nurses, explore risks, mitigating factors. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - September 3, 2019 Category: Nursing Authors: Elizabeth Borg Card, Steve Alan Hyman, Nancy Wells, Yaping Shi, Matthew S. Shotwell, Matthew B. Weinger Tags: Original Article Source Type: research

Effects of Intraoperative Gelatin on Blood Viscosity and Oxygenation Balance
We aim to investigate whether hemortheology and oxygenation balance are affected by intraoperative gelatin infusion, whether it poses a threat to the perioperative well-being of the patients, and thus creates difficult conditions for postanesthesia care. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - September 3, 2019 Category: Nursing Authors: Zhibin Zhou, Xi Chen, Xue Zhou, Xiaoyu Yang, Dihan Lu, Wenbin Kang, Xia Feng Tags: Original Article Source Type: research

Parameters that Affect the Comfort Level of Pregnant Women Before Cesarean Section: Fasting and Anxiety.
CONCLUSIONS: The preoperative process negatively affects comfort levels of pregnant women. Interventions that reduce the fasting time and anxiety level of pregnant women will increase comfort. PMID: 31474518 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 29, 2019 Category: Nursing Authors: Kizilkaya T, Gul A Tags: J Perianesth Nurs Source Type: research

Parameters that Affect the Comfort Level of Pregnant Women Before Cesarean Section: Fasting and Anxiety
This study aimed to investigate whether fasting time and anxiety parameters affect pregnant women's preoperative comfort levels. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 29, 2019 Category: Nursing Authors: Tuba Kizilkaya, Asiye Gul Tags: Original Article Source Type: research

Delphi Study: ASPAN Adult Patient Pain and Comfort Practices.
CONCLUSIONS: The results found a consensus on topics required for education and competency among perianesthesia nurses including transfer and discharge criteria related to pain and comfort, resources for perianesthesia nurses, policy guidelines, and the management of the special needs of perianesthesia patients. PMID: 31447091 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 22, 2019 Category: Nursing Authors: Krenzischek DA, Card E, Crosson J, Clifford T, Russell S, MacDonald R, Wilson L Tags: J Perianesth Nurs Source Type: research

Rapid System Review Score-A Tool to Measure Predictive Interventions in Patients Admitted to the Postanesthesia Care Unit.
Abstract PURPOSE: The Rapid System Review (RSR) score was developed to predict the number of postanesthesia care unit (PACU) interventions. We hypothesized that if RSR score was
Source: Journal of Perianesthesia Nursing - August 22, 2019 Category: Nursing Authors: Ramarapu S, Cook R Tags: J Perianesth Nurs Source Type: research

Delphi Study: ASPAN Adult Patient Pain and Comfort Practices
The American Society of PeriAnesthesia Nurses (ASPAN) is responsible for establishing evidence-based standards to guide perianesthesia nursing practice. The ASPAN model for evidence-based practice acknowledges the potential for the Delphi technique to identify priorities for perianesthesia research. The purpose of this Delphi study was to generate a consensus on pain and comfort among a panel of experts. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 22, 2019 Category: Nursing Authors: Dina A. Krenzischek, Elizabeth Card, Jacque Crosson, Theresa Clifford, Susan Russell, Ryan MacDonald, Linda Wilson Tags: Original Article Source Type: research

Rapid System Review Score —A Tool to Measure Predictive Interventions in Patients Admitted to the Postanesthesia Care Unit
The Rapid System Review (RSR) score was developed to predict the number of postanesthesia care unit (PACU) interventions. We hypothesized that if RSR score was (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 22, 2019 Category: Nursing Authors: Srikiran Ramarapu, Robin Cook Tags: Original Article Source Type: research

Preoperative Carbohydrate Loading in Patients Undergoing Thoracic Surgery: A Quality-Improvement Project.
CONCLUSIONS: Carbohydrate loading can decrease postoperative nausea and pain in patients undergoing thoracic surgery. PMID: 31445819 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 21, 2019 Category: Nursing Authors: Pachella LA, Mehran RJ, Curtin K, Schneider SM Tags: J Perianesth Nurs Source Type: research

Preoperative Carbohydrate Loading in Patients Undergoing Thoracic Surgery: A Quality-Improvement Project
The purpose of this project was to implement carbohydrate loading in patients undergoing thoracic surgery in an effort to decrease postoperative pain, nausea, and length of stay as a part of an enhanced recovery after surgery protocol. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 21, 2019 Category: Nursing Authors: Laura A. Pachella, Reza J. Mehran, Kimberly Curtin, Susan M. Schneider Tags: Original Article Source Type: research

Comparison of Spinal Anesthesia Quality Between Patients Addicted and Not Addicted to Opium.
CONCLUSIONS: Substance abuse affects the duration of spinal anesthesia, so it is recommended to use intravenous medications or higher doses of spinal marcaine for these patients. PMID: 31444041 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 20, 2019 Category: Nursing Authors: Razavi M, Bameshki A, Jarahi L, Saghari M Tags: J Perianesth Nurs Source Type: research

Comparison of Spinal Anesthesia Quality Between Patients Addicted and Not Addicted to Opium
This study aimed to compare the quality of spinal anesthesia between opium-dependent and opium-naive patients. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 20, 2019 Category: Nursing Authors: Majid Razavi, Alireza Bameshki, Lida Jarahi, Mahdieh Saghari Tags: Original Article Source Type: research

Health Disparities Do Exist.
PMID: 31376844 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 1, 2019 Category: Nursing Authors: Odom-Forren J Tags: J Perianesth Nurs Source Type: research

Response to "The Effect of Neiguan Point (P6) Acupressure With Wristband on Postoperative Nausea, Vomiting, and Comfort Level: A Randomized Controlled Study" from Lu et al.
Response to "The Effect of Neiguan Point (P6) Acupressure With Wristband on Postoperative Nausea, Vomiting, and Comfort Level: A Randomized Controlled Study" from Lu et al. J Perianesth Nurs. 2019 Aug;34(4):676-677 Authors: Lu H, Han L, Hu J, Guo Y, Zhang C PMID: 31376845 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 1, 2019 Category: Nursing Authors: Lu H, Han L, Hu J, Guo Y, Zhang C Tags: J Perianesth Nurs Source Type: research

Reply to Lu et  al.
Reply to Lu et al. J Perianesth Nurs. 2019 Aug;34(4):677-678 Authors: Ünülü M, Kaya N PMID: 31376846 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 1, 2019 Category: Nursing Authors: Ünülü M, Kaya N Tags: J Perianesth Nurs Source Type: research

Response to "The Effect of Neiguan Point (P6) Acupressure With Wristband on Postoperative Nausea, Vomiting, and Comfort Level: A Randomized Controlled Study" from Moran et al.
Response to "The Effect of Neiguan Point (P6) Acupressure With Wristband on Postoperative Nausea, Vomiting, and Comfort Level: A Randomized Controlled Study" from Moran et al. J Perianesth Nurs. 2019 Aug;34(4):678 Authors: Moran JM, Chimento-Díaz S, Cobos-Moreno P, Salamanca-Bautista MD, Morán-Cortés JF PMID: 31376847 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 1, 2019 Category: Nursing Authors: Moran JM, Chimento-Díaz S, Cobos-Moreno P, Salamanca-Bautista MD, Morán-Cortés JF Tags: J Perianesth Nurs Source Type: research

Reply to Moran et  al.
Reply to Moran et al. J Perianesth Nurs. 2019 Aug;34(4):679 Authors: Ünülü M, Kaya N PMID: 31376848 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 1, 2019 Category: Nursing Authors: Ünülü M, Kaya N Tags: J Perianesth Nurs Source Type: research

Considering the Problem.
PMID: 31376849 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 1, 2019 Category: Nursing Authors: Fetzer SJ Tags: J Perianesth Nurs Source Type: research

What is Most Important for You Now? Person-Centered Postoperative Care in the PACU.
PMID: 31376850 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 1, 2019 Category: Nursing Authors: Nilsson U Tags: J Perianesth Nurs Source Type: research

Response to “The Effect of Neiguan Point (P6) Acupressure With Wristband on Postoperative Nausea, Vomiting, and Comfort Level: A Randomized Controlled Study” from Lu et al
In the captioned article, the authors concluded that the wristband P6 (Neiguan) acupoint is effective in preventing nausea and vomiting in the postoperative period and recommended its usage as an alternative to pharmacologic methods in the gynecologic surgery population.1 We have read the article in detail and have the following concerns and suggestions from a practitioner's point of view: (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Hai Lu, Lisha Han, Jiahui Hu, Yunping Guo, Chunhong Zhang Tags: Letter to the Editor Source Type: research

Response to “The Effect of Neiguan Point (P6) Acupressure With Wristband on Postoperative Nausea, Vomiting, and Comfort Level: A Randomized Controlled Study” from Moran et al
We have read with interest the randomized controlled study from Ünülü and Kaya1 about the effect of Neiguan point (P6) acupressure with wristband on postoperative nausea, vomiting, and comfort level. Authors conclude that because of its effectiveness and feasibility, wristband P6 acupuncture point acupressure application is a great alternative to pharmacologi c methods in the gynecologic surgery population. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Jose M. Moran, Sara Chimento-D íaz, Paula Cobos-Moreno, María D. Salamanca-Bautista, Juan F. Morán-Cortés Tags: Letter to the Editor Source Type: research

Reply to Lu et  al
Thank you for your contributions and suggestions for our article. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Meryem Ünülü, Nurten Kaya Tags: Letter to the Editor Source Type: research

Reply to Moran et  al
We read the statistical interpretation with interest. In the research in which we evaluate the effects of applying acupressure on the pericardium 6 point with a wristband on the level of nausea-vomiting and comfort after an operation, the experiment and control groups have similar characteristics to each other. Groups were evaluated at 0-2, 2-6, 6-12, 12-24, and 24-48  hours after the operation. After statistical analysis, there was a significant difference between the groups in favor of the experimental group. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Meryem Ünülü, Nurten Kaya Tags: Letter to the Editor Source Type: research

What is Most Important for You Now? Person-Centered Postoperative Care in the PACU
THE CONCEPT OF person-centered care (PCC) has an extensive long history in health care and can be traced back to Florence Nightingale, who differentiated between nursing and medicine through nursing's focus on the patient rather than the disease. In 1950, Hildegard E. Peplau, the first published nursing theorist since Nightingale, stated that the interpersonal relationship between the nurse and patient lay at the crux of nursing and that interpersonal relationships have shifted the focus from the clinician to the person receiving care, thus giving control to that individual. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Ulrica Nilsson Tags: The Back Page Source Type: research

Considering the Problem
THE FIRST AND MOST important step in a clinical project, quality improvement initiative or research study is the identification of the problem, a problem requiring a solution. By clearly defining a problem, the researcher creates a direction for the research study. Later, the purpose of the study will also align with the problem, as the researcher attempts to solve the problem with research. Finally, the problem directs the methodology of the study so that a possible resolution to the problem can be tested. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Susan J. Fetzer Tags: Research for Practice Source Type: research

Early Interventions: Suicide Assessment Education in the Post-Operative Environment
Suicide has reached epidemic proportions, ranking among the top ten leading causes of death in the United States. The Joint Commission has called on hospitals to conduct risk assessments for patients deemed at risk of suicide. Perianesthesia nurses practice on the front lines with a great number of opportunities to identify and intervene in suicidal patients using a standard Suicide Risk Assessment Tool. A recent event in the Post Anesthesia Care Unit (PACU) identified a knowledge deficit in nursing interventions and care for a patient who expressed suicidal ideation in the PACU phase of care. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Lauren Mills, Brittany Bruhns, Dwayne Brown, Staci Eguia, Mark Templonuevo Tags: ASPAN National Conference Abstract Source Type: research

Special Needs Assessment and Plan (SNAP) for Perioperative Patients on the Autism Spectrum and Other Developmental Disabilities
Limitations in social interaction and communication difficulties in patients with developmental disabilities, including autism, impact the level of stress experienced during hospitalization. The CDC and HRSA have identified that one in six U.S. children have developmental disabilities, with 1 in 59 diagnosed with autism. Autistic patients require preoperative services, but the stress that they experience may be greater than patients who do not have developmental disabilities. Evidence supports using a Special Needs Assessment and Plan (SNAP) to screen for potential special needs and to create a plan of care for patients wi...
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Geraldine delos Santos, Jo-Lynn McDaniel, Heather Brandon, Angela Clanahan, Giovaana Trainor, Sheri Ermis, Melissa Webber, Lisa Regalado Tags: ASPAN National Conference Abstract Source Type: research

A Risk-based Perioperative Bladder Management Guideline Based on Post-Operative Urinary Retention (POUR) Risk Factors
A chart audit in April 2018 determined compliance of our perioperative bladder management guideline was low (27%). The current guideline instructed operating room nurses to bladder scan surgical patients at the end of the case if the total amount of IV fluids given were ≥ 750mls and/or the surgery length was ≥ 90 minutes. If the bladder scan resulted ≥ 500ml, the RN would perform straight catherization. If these criteria were not met, the patient would be re-scanned in PACU every 1-2 hours based on the bladder scan result and the patient’s ability to void. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Karin Conklin, Karen Bauer, Kevin Colwin, Kira DeBels, Tricia Ejzak, Michael Ford, Michael Garren, Gabrielle Hatas, M. Hiram Moretta, Penny Marsch, Kelly Quade Tags: ASPAN National Conference Abstract Source Type: research

Riding the (end) Tidal Wave to CO2 Monitoring: Using Capnography for Obstructive Sleep Apnea Following Anesthesia
Almost 25% of adult patients entering the hospital for elective surgery have obstructive sleep apnea (OSA), with the majority of these patients (>80%) undiagnosed at the time of surgery (Chest, 2010). At our institution, approximately 150 surgeries occur each day. This large surgical population has hidden, undiagnosed OSA patients that are at increased risk for respiratory complications. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Kathryn Scully, Sally Schermer, Erin Sever, Adrian Jones, Parul Shah, Catherine Hodgkins, Elspeth Stanley, Jessica Dunn, Jennifer Rickerby Tags: ASPAN National Conference Abstract Source Type: research

Improving Nursing Documentation of Surgical Site Wounds: A Collaborative Effort to Promote Safe Patient Care Between OR and PACU
When patients transition from the Operating Room (OR) to the Post Anesthesia Care Unit (PACU), the absence of complete documentation in the electronic medical record (EMR) can result in significant adverse events leading to poor patient outcomes (bleeding, infection, delay of care). Lack of proper documentation of surgical site/wounds creates gaps in the handoff communication between the phases of care, from OR to PACU, and to the inpatient units. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Maria Claveria, Lilibeth Agustin, Maricris Molina, Rusela DeSilva, Tesha Seabra Tags: ASPAN National Conference Abstract Source Type: research

The Impact of Implementing an Epic ERAS Pathway to Improve Nursing Documentation Compliance
(Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Rose LaPlante, Josette Renda Tags: ASPAN National Conference Abstract Source Type: research

Assessing Available Pressure Injury Predictor Tools in the Peri-Operative Setting
Pressure injuries (PI) have been observed in patients across the peri-operative setting, particularly among patients undergoing prolonged surgical procedures. Yet the majority of instrumentation developed to assess risk for pressure injury has been developed in the acute, intensive, or long-term care settings. As part of a quality improvement initiative at a comprehensive cancer center, validated PI prediction tools were applied retrospectively to patients who experienced a PI post-operatively. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Cori Kopecky, Harjeet Kaur, Kevin Lim, Cindy Segal, Ismail Abushaikha, Lauren Gamble, Jaya Mathew, Sara John Tags: ASPAN National Conference Abstract Source Type: research

Collaborative Care of Patients During PACU Holds
High quality, safe patient care is our priority at the Cleveland Clinic. Communication between all members of the care team is vital to provide safe, high quality care. Occasionally, there is a delay in the transfer of patients from the OR to PACU. This event is referred to as a PACU Hold. Once surgery is complete and all notes and orders are entered, the surgeon is not required to remain in the OR. Usually, an in-person report from the surgeon offers a chance, not only for the surgeon to discuss individualized findings and care of the patient, but allows the PACU nurse to ask questions regarding the plan of care. (Source:...
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Colleen M. Cummins, Jackie Bates, Erica Stefanik Tags: ASPAN National Conference Abstract Source Type: research

Standardizing Handoff from OR to PACU
According to the Joint Commission, two-thirds of sentinel events occur from communication errors during patient handoff. Studies show that handoffs in the Post Anesthesia Care Unit (PACU) are prone to communication errors that correlate to suboptimal patient care. A pre-survey completed on PACU Registered Nurses (RNs) perceptions on the Operating Room (OR)-PACU handoff revealed multiple distractions during the process. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Christine Zoet Cajigal, Rowena Cabunoc, Lini Thomas, Joanna Pasion Tags: ASPAN National Conference Abstract Source Type: research

Bedside Handoff Report to Improve Communication: PACU and Receiving Medical/Surgical Unit
In 2016, when a surgical patient met PACU discharge criteria and was ready for transport to the medical/surgical nursing unit, the PACU nurses provided handoff report via phone call to the receiving nurse. The PACU nurses spent time away from the bedside to wait for the receiving nurses to answer calls while the medical/surgical nursing staff experienced repeated interruptions. This resulted in delays in transport, conflicts among caregivers, and risks to patient safety. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Michele Popik, Patricia Fritzsche, Michele Hurless Tags: ASPAN National Conference Abstract Source Type: research

Post-Operative Phone Calls: Does it Make a Difference to Patients?
In PACU the following criteria reported by HCAHPS were monitored: 1. Patient Advocacy (Likelihood to recommend) 2. Staff doing everything to help with pain 3. Clear Communication by patient care staff. HCAHPS rating showed a decline in the above criteria in spite of other improvement initiatives. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Juanita Baroya, Tonya Hoffman, Connie Mackowiak, Kristine O ’Neill Tags: ASPAN National Conference Abstract Source Type: research