Effect of Preoperative Visitation by Operating Room Staff on Preoperative Anxiety in Patients Receiving Elective Hernia Surgery
The purpose of this study was to evaluate the effect of preoperative visitation on preoperative anxiety in patients receiving elective hernia surgery. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 22, 2018 Category: Nursing Authors: Hossein Bagheri, Hossein Ebrahimi, Ali Abbasi, Giti Atashsokhan, Zahra Salmani, Masoumeh Zamani Tags: Original Article Source Type: research

Translating EBP Into the Reality of Daily Practice: Leadership Solutions for Creating a Path Forward.
PMID: 30107980 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 11, 2018 Category: Nursing Authors: Cullen L Tags: J Perianesth Nurs Source Type: research

Cochrane Review Summary: Epidural Pain Relief Versus Systemic Opioid-Based Pain Relief for Abdominal Aortic Surgery.
PMID: 30107981 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 11, 2018 Category: Nursing Authors: Jang H Tags: J Perianesth Nurs Source Type: research

Translating EBP Into the Reality of Daily Practice: Leadership Solutions for Creating a Path Forward
NURSING'S AGENDA CALLS on us to lead evidence-based practice (EBP) for quality care.1-3 The Institute of Medicine set a goal for 90% of health care to be evidence-based by 2020, yet clinicians and organizations are struggling to achieve this goal.2 Growing and sustaining programs to promote evidence-based health care remain elusive. Commitment to building programs and infrastructures that promote EBP and continuous learning in health care are essential, yet few exemplars and little research is available as a guide. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 11, 2018 Category: Nursing Authors: Laura Cullen Tags: EBP: Evidence to Practice Source Type: research

Cochrane Review Summary: Epidural Pain Relief Versus Systemic Opioid-Based Pain Relief for Abdominal Aortic Surgery
WHAT ARE THE BENEFITS AND HARMS of postoperative epidural analgesia in comparison with postoperative systemic opioid-based analgesia for adults undergoing elective abdominal aortic surgery? (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 11, 2018 Category: Nursing Authors: Hannah Jang Tags: Cochrane Nursing Care Review Source Type: research

Acute Postobstructive Pulmonary Edema Following Laryngospasm in Elderly Patients: A Case Report.
Abstract Only a few cases regarding postobstructive pulmonary edema following laryngospasm in older patients aged more than 60 years have been reported; however, acute pulmonary edema or pulmonary hemorrhage would be more deadly to elderly patients who have cerebrovascular disease than young healthy adults. After review of the literature, we report an unusual case of a 67-year-old man with ischemic cerebrovascular disease, who underwent carotid angioplasty and stenting and experienced severe pulmonary edema and hemorrhage secondary to laryngospasm after general anesthesia with laryngeal mask airway. The patie...
Source: Journal of Perianesthesia Nursing - August 9, 2018 Category: Nursing Authors: Chen Y, Zhang X Tags: J Perianesth Nurs Source Type: research

Acute Postobstructive Pulmonary Edema Following Laryngospasm in Elderly Patients: A Case Report
Only a few cases regarding postobstructive pulmonary edema following laryngospasm in older patients aged more than 60  years have been reported; however, acute pulmonary edema or pulmonary hemorrhage would be more deadly to elderly patients who have cerebrovascular disease than young healthy adults. After review of the literature, we report an unusual case of a 67-year-old man with ischemic cerebrovascular disease , who underwent carotid angioplasty and stenting and experienced severe pulmonary edema and hemorrhage secondary to laryngospasm after general anesthesia with laryngeal mask airway. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 9, 2018 Category: Nursing Authors: Yan Chen, Xu Zhang Tags: Continuing Education Source Type: research

Suicide and Nurses.
PMID: 30077277 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 1, 2018 Category: Nursing Authors: Odom-Forren J Tags: J Perianesth Nurs Source Type: research

Enhanced Recovery After Surgery-The Importance of the Perianesthesia Nurse on Program Success.
Abstract Continued advancements in perioperative care and anesthesia technology have improved surgical outcomes and accelerated the patient's ability to resume preoperative activities. With the current emphasis on decreased utilization of expensive hospital resources, a shorter length of stay while maintaining patient satisfaction is encouraged for maximum reimbursement. Through the implementation of evidence-based protocols that standardize care and promote patient medical optimization, the surgical stress response, complications, and time spent in the hospital can be reduced. Enhanced recovery after surgery uses...
Source: Journal of Perianesthesia Nursing - August 1, 2018 Category: Nursing Authors: Crosson JA Tags: J Perianesth Nurs Source Type: research

Understanding Normal and Abnormal Swallowing: Patient Safety Considerations for the Perianesthetic Nurse.
Abstract Dysphagia is the disruption of the normal swallowing process; its epidemiology is a national health care concern. Dysphagia affects as many as nine million Americans. Understanding normal swallowing mechanics and how they may be disrupted is a vital patient safety goal in rendering care during the perianesthetic period. The diversity of patients and perianesthetic conditions that may cause or exacerbate existing dysphagia requires that a heightened index of suspicion be maintained. In this continuing education article for perianesthetic nurses, we review normal swallowing, pathophysiologic perturbations i...
Source: Journal of Perianesthesia Nursing - August 1, 2018 Category: Nursing Authors: Lucci N, McConnell C, Biddle C Tags: J Perianesth Nurs Source Type: research

Low-Dose Ketamine for Postoperative Pain Management.
Abstract Ketamine, an anesthetic agent, is gaining attention as an analgesic for the management of acute and chronic pain conditions. Perianesthesia nurses may expect to see ketamine's use increase as more anecdotal and evidence-based experience is gained with its use for pain management. Unlike opioids, ketamine supports respirations while supporting hemodynamic function; moreover, the agent has potential for decreasing opioid-induced hyperalgesia. Ongoing clinical evidence continues to support ketamine's use for analgesia, thus it may be argued that the current Food and Drug Administration classification for ket...
Source: Journal of Perianesthesia Nursing - August 1, 2018 Category: Nursing Authors: Allen CA, Ivester JR Tags: J Perianesth Nurs Source Type: research

Feasibility of an iPad to Facilitate Communication in Postoperative Patients With Head and Neck Cancer.
CONCLUSIONS: Patients were satisfied with the customized iPad, and the study found that using technology such as this was feasible in the immediate postoperative period. PMID: 30077281 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 1, 2018 Category: Nursing Authors: Brunner TH, DiFortuna K, LeTang M, Murphy J, Stemplewicz K, Kovacs M, DeRosa AP, Gibson DS, Ginex PK Tags: J Perianesth Nurs Source Type: research

Redesigning Care in the PACU With an Adult-Gerontology Acute Care Nurse Practitioner (A-GACNP).
This article provides the rationale for incorporating the A-GACNP into the PACU. A systematic review of the literature will examine the benefits of the nurse practitioner in the acute care setting, the A-GACNP competencies, and propose a transformation of care in the PACU where the A-GACNP has an exclusive role. PMID: 30077282 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 1, 2018 Category: Nursing Authors: Joyce E, Johnson L Tags: J Perianesth Nurs Source Type: research

Inter-Rater Reliability and Reception of the Michigan Opioid Safety Score.
CONCLUSIONS: Participants interpreted case scenarios with excellent inter-rater reliability and had a generally positive opinion. These study findings suggest the MOSS is a reliable safety instrument. PMID: 30077283 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 1, 2018 Category: Nursing Authors: Yaldou B, Cooper M, Soto R Tags: J Perianesth Nurs Source Type: research

Use of Simulation Software in Optimizing PACU Operations and Promoting Evidence-Based Practice Guidelines.
CONCLUSIONS: Simulation established a safe and cost-effective environment for exploring tests of change and optimizing the physical design and operations of an expansion hospital site. PMID: 30077284 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 1, 2018 Category: Nursing Authors: Criddle J, Holt J Tags: J Perianesth Nurs Source Type: research

Education, Practice, and Competency Gaps of Anesthetists in Ethiopia: Task Analysis.
CONCLUSIONS: Anesthetists rated themselves as being adequately prepared to perform a majority of the tasks in their scope of practice. PMID: 30077285 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 1, 2018 Category: Nursing Authors: Kibwana S, Teshome M, Molla Y, Carr C, Akalu L, van Roosmalen J, Stekelenburg J Tags: J Perianesth Nurs Source Type: research

Compliance Is Contagious: Using Informatics Methods to Measure the Spread of a Documentation Standard From a Preoperative Clinic.
CONCLUSIONS: Adoption of a preoperative documentation standard in a clinic had a positive impact on standardization practices in a perioperative system. PMID: 30077286 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 1, 2018 Category: Nursing Authors: Hagaman DH, Ehrenfeld JM, Terekhov M, Kla KM, Hamm J, Brumley M, Wanderer JP Tags: J Perianesth Nurs Source Type: research

Eliminating Medical Device-Related Pressure Injury From Blood Pressure Cuffs During Continuous Monitoring in the Perioperative Setting: A Novel Approach.
Abstract Hospital-acquired pressure injuries have a significant impact on quality of life. Health care organizations continually strive to improve care and patient satisfaction, for the well-being of the patient and the fiscal health of the organization. A commitment to protecting skin and reducing risk for pressure injury in the perioperative setting is gaining momentum. PMID: 30077287 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 1, 2018 Category: Nursing Authors: Owens L, Stamps H Tags: J Perianesth Nurs Source Type: research

Impact of Dexmedetomidine on Intraoperative Wake-Up Tests in Patients Undergoing Spinal Surgery.
Abstract PURPOSE: To evaluate the impact of dexmedetomidine (DEX) on intraoperative wake-up tests. DESIGN: American Society of Anesthesiologists category I or II patients were divided into two groups: a propofol-remifentanil group (group R, n = 20) and a DEX-propofol-remifentanil group (group D, n = 20). METHODS: The patients in group D received DEX, whereas the patients in group R received the same volume of saline. The other anesthetic methods and drugs (propofol and remifentanil) were the same in both groups. During the wake-up test, patients were repeatedly asked to move their fingers. FINDINGS:...
Source: Journal of Perianesthesia Nursing - August 1, 2018 Category: Nursing Authors: Chen Z, Dai N, Lin S, Zhou G Tags: J Perianesth Nurs Source Type: research

The Impact of Scripted Pain Education on Patient Satisfaction in Outpatient Abdominal Surgery Patients.
CONCLUSIONS: Use of scripted dialog, along with specific written patient education, has a positive impact on postoperative patient satisfaction with pain management. PMID: 30077289 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 1, 2018 Category: Nursing Authors: Best JT, Musgrave B, Pratt K, Hill R, Evans C, Corbitt D Tags: J Perianesth Nurs Source Type: research

Factors Affecting Postoperative Nausea and Vomiting in Surgical Patients.
This study was to identify factors affecting postoperative nausea and vomiting (PONV) and to investigate the incidence of PONV for the first 24 hours after operation. DESIGN: The prospective research was performed in an 1,100-bed university hospital, from April to December, 2011. The sample consisted of 609 patients with elective surgery. METHODS: Factors affecting PONV were identified by multiple logistic regression. FINDINGS: Incidence of PONV was 27.1% for the first postoperative 24 hours. Insertion of nasogastric tube (OR, 4.54, P = .002), history of PONV (OR, 3.24, P
Source: Journal of Perianesthesia Nursing - August 1, 2018 Category: Nursing Authors: Son J, Yoon H Tags: J Perianesth Nurs Source Type: research

Knowledge and Practices of Nurses Regarding Wound Healing.
ürük GN Abstract PURPOSE: The purpose of this study was to determine the knowledge and practices of nurses who work at surgical clinics regarding incisional wound healing. DESIGN: This research was a descriptive study. METHODS: The sample consisted of 393 nurses who worked at the surgical clinics of public and private hospitals. The questionnaire used to collect data was prepared by use of expert opinion based on the relevant literature review. FINDINGS: The mean score of knowledge regarding wound healing was found to be 62.0 ± 8.4. It was determined that as the educational level of...
Source: Journal of Perianesthesia Nursing - August 1, 2018 Category: Nursing Authors: Sürme Y, Kartın PT, Çürük GN Tags: J Perianesth Nurs Source Type: research

Informational Privacy in the Recovery Room-Patients' Perspective.
CONCLUSIONS: Informational privacy in relation to other patients could be improved in the recovery room, for example, by developing patient health information transmission and architectural solutions. PMID: 30077292 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 1, 2018 Category: Nursing Authors: Koivula-Tynnilä H, Axelin A, Leino-Kilpi H Tags: J Perianesth Nurs Source Type: research

Analysis of Environmental Conditions in the Operating Room for Latex-Allergic Patients'  Safety.
CONCLUSIONS: ORs that complied with the requirements of our study before performing surgery on latex-allergic patients obtained the same environmental conditions as first thing in the morning after thorough cleaning of the OR and a 32-minute activity-free interval and staff traffic restriction. PMID: 30077293 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 1, 2018 Category: Nursing Authors: Méndez C, Martínez E, Lopez E, Garçon I, Carrión C, Prats N, Baldellou B Tags: J Perianesth Nurs Source Type: research

Psychometric Validation of the Perceived Perioperative Competence Scale-Revised in the Swedish Context.
CONCLUSIONS: Psychometric testing of the Swedish translation of the PPCS-R suggests a good construct validity, and the construct and its six factors are conceptually relevant among the Swedish OR nurses and RNAs. PMID: 30077294 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 1, 2018 Category: Nursing Authors: Jaensson M, Falk-Brynhildsen K, Gillespie BM, Wallentin FY, Nilsson U Tags: J Perianesth Nurs Source Type: research

Appropriate Classification and Filtering of Electromagnetic Interference by the S-ICD Sensing Algorithm During Surgery.
We present two cases where electromagnetic interference was appropriately detected by the S-ICD and filtered. These cases present an important clinical finding that could lead to less deactivation of devices during surgery. Further research will be required to define which surgical procedures require magnet, reprogramming, or no changes. PMID: 30077295 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 1, 2018 Category: Nursing Authors: Larimer K, Saleem M, Burke M Tags: J Perianesth Nurs Source Type: research

Ensuring the Future of Perianesthesia Staffing: A Perianesthesia Nurse Residency Program.
This article details the development and implementation of a perianesthesia nurse residency program. PMID: 30077296 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 1, 2018 Category: Nursing Authors: Pfander VA, Breznau A Tags: J Perianesth Nurs Source Type: research

Inter-rater Reliability Testing of the Safety Protocol for Thirst Management.
CONCLUSIONS: The protocol is presented as a viable and useful tool to evaluate safety criteria that allow administration of strategies to mitigate thirst of patients in the postoperative period. PMID: 30077297 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 1, 2018 Category: Nursing Authors: do Nascimento LA, Fonseca LF, Dos Santos CB Tags: J Perianesth Nurs Source Type: research

Human Factors Results for Fentanyl Iontophoretic Transdermal System (ITS) With Enhanced Controller for Postoperative Pain Management.
CONCLUSIONS: Patients, nurses, and pharmacists were able to use fentanyl ITS with ease. PMID: 30077298 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 1, 2018 Category: Nursing Authors: Santangelo D, Page CR, Danesi H, Jones JB, Joshi N, Wilcox SB, Sneeringer P, Phipps JB Tags: J Perianesth Nurs Source Type: research

In-Hospital Cardiac Arrest: Intubate or Not?
PMID: 30077299 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 1, 2018 Category: Nursing Authors: Makic MBF Tags: J Perianesth Nurs Source Type: research

Pregnancy Loss, Bereavement, and Conscientious Objection in Perioperative Services.
PMID: 30077300 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 1, 2018 Category: Nursing Authors: Catlin A Tags: J Perianesth Nurs Source Type: research

'Cyberloafing' in Health Care: A Real Risk to Patient Safety.
PMID: 30077301 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 1, 2018 Category: Nursing Authors: Ross J Tags: J Perianesth Nurs Source Type: research

Multimodal Analgesia in the Perioperative Setting.
PMID: 30077302 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 1, 2018 Category: Nursing Authors: Wolfe RC Tags: J Perianesth Nurs Source Type: research

Staffing Ratios.
PMID: 30077303 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 1, 2018 Category: Nursing Authors: Clifford T Tags: J Perianesth Nurs Source Type: research

Considering Reliability.
PMID: 30077304 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 1, 2018 Category: Nursing Authors: Fetzer SJ Tags: J Perianesth Nurs Source Type: research

Workaround, Improvement, or Innovation.
PMID: 30077305 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - August 1, 2018 Category: Nursing Authors: Litwack K Tags: J Perianesth Nurs Source Type: research

Considering Reliability
A NURSE IS CONDUCTING A RESEARCH STUDY to evaluate the change in body temperature in the postanesthesia care unit (PACU), with each patient having four temperature measurements during their PACU stay. On admission to the PACU, the nursing assistant obtains the patient's tympanic temperature as 36.2 °C. The nurse repeats the measurement and obtains a temperature of 37.3°C. What value should the nurse researcher record for the study? (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Susan J. Fetzer Tags: Research for Practice Source Type: research

Staffing Ratios
QUESTION: WHAT ARE THE CURRENT recommended staffing ratios for a preoperative unit, phase I postanesthesia care unit (PACU), and phase II PACU? What is the recommendation for staffing on call? Should there always be at least two nurses in phase I PACU? (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Theresa Clifford Tags: Practice Corner Source Type: research

‘Cyberloafing’ in Health Care: A Real Risk to Patient Safety
TODAY'S KNOWLEDGE WORKER has an attention span of 3  minutes, and distractions account for 28% of an average American's workday.1 Electronic distraction at work is increasing, and the health care environment is not immune to this. Today's health care environment is equipped with electronic health records, smart pumps, and robotic instruments, and he alth care team members can interact in real time. Telemedicine is more prominent than ever, and patients can be monitored remotely. We likely do not even remember the work environment of a decade ago, when we relied more on snail mail, pagers, and telephones to relay commu...
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Jacqueline Ross Tags: Patient Safety Source Type: research

Multimodal Analgesia in the Perioperative Setting
ACUTE POSTOPERATIVE PAIN is experienced by more than 85% of surgical patients.1 Opioids, as extremely effective analgesics, are commonly prescribed to treat postsurgical pain. As a result, surgery has become a risk factor for developing chronic opioid use.2-4 Analysis of opioid-naive surgical patients and opioid-naive nonsurgical patients found that those undergoing surgery had an increased risk of chronic opioid use during the first year after surgery.4 Retrospective studies imply that between 3% and 7% of opioid-naive patients undergoing surgery continue to consume opioids 1  year later. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Rachel C. Wolfe Tags: Pharmacology Facts Source Type: research

Pregnancy Loss, Bereavement, and Conscientious Objection in Perioperative Services
CASE STUDY: “I CANNOT GET anyone to assist with this surgery.” (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Anita Catlin Tags: Ethics for PeriAnesthesia Nursing Source Type: research

Workaround, Improvement, or Innovation
THINK ABOUT YOUR LAST WEEK at work dealing with something that frustrated you because it did not work the way you needed it to work, or because it did not work at all, or because if someone had only asked you, you could have told them the way it was designed was never going to work and made no sense. This could be a reference to your electronic health record, a piece of equipment, a policy or a procedure, or a managerial directive. In that situation, you had a choice, make it work, find a workaround, find something else that works, make something, or give up altogether. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Kim Litwack Tags: The Back Page Source Type: research

In-Hospital Cardiac Arrest: Intubate or Not?
AS CRITICAL CARE NURSES, we understand the urgency of implementing effective cardiopulmonary resuscitation (CPR) interventions to patients who experience cardiac arrest. We train and retrain our skills and affirm our knowledge of basic life support and advanced cardiovascular life support (ACLS). We strive to assess the critically ill patient for subtle changes in vital signs that might suggest impending physiological problems communicating our assessments with providers and develop treatment plans to avert cardiopulmonary arrest. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Mary Beth Flynn Makic Tags: Critical Care Connection Source Type: research

A PDSA Project to Improve Patient Perception in Same Day Surgery Patients
Innovative technology employed in surgery today, facilitates early discharge of patients to home after recovering from anesthesia. The reduced time spent in the hospital after surgery and being discharged to home is a big patient and family dissatisfier. This dissatisfaction was reflected in the Press Ganey scores. The SPU shared governance team undertook this project to improve patient and family satisfaction scores. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Precy DSouza, Colleen St. John, Darlene Berghaier Tags: ASPAN National Conference Abstract Source Type: research

Closing the Loop
The patient satisfaction survey does not include a section dedicated to the PACU. PACU nurses wanted to collect feedback from patients and their families to identify the level of satisfaction related to their postoperative care and experience. Since 2015, this was accomplished through a survey administered by PACU nurses verbally with results recorded on paper. The Close the Loop Committee made practice changes based on the results, but the number of patients being interviewed was less than twenty per month and the data was cumbersome to analyze. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Lisa Morrow, Kelly Sadlik, Kendi Comer, Chelsea Wallace, Keith Borowski, Michelle Hastings, Marie Crump Tags: ASPAN National Conference Abstract Source Type: research

Perioperative Team to Parent Communication Done Better
A busy pediatric perioperative department uses an innovative communication tool to increase communication between perioperative team members and families which leads to improved family satisfaction. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Frances Garza, Joyce Enochs, Allen Orr, Janet Winebar, Rebecca Hanson, Beth Jones, Donald Wilkins, Erick Talamantes, Lindsay Meade, Larry Hollier, Ronald Loosle Tags: ASPAN National Conference Abstract Source Type: research

Sustained Visitation in a Blended PACU
Evidence suggests that visitation in Post Anesthesia Care Unit (PACU) increases nurses ’ communication with family, decreases patients’ reported pain, decreases family member anxiety, increases patient, family and nurse satisfaction and provides an opportunity for patient and family education. Families of our patients expressed concerns about not being allowed to see their loved o nes while in the PACU. Nurses in our blended PACU implemented a practice change in 2013 that increased visitation from 0% to over 85% of patients by early 2014. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: C.J. Marshak, Terry Bertignoli, Karrie Camacho, Viviene Malilay, Ellen Reyes, Sadeeka Al-Majid Tags: ASPAN National Conference Abstract Source Type: research

Meds to Beds: Improving Patient Care
Patients expressed concerns about difficulty getting prescriptions filled after leaving the hospital; patients had to wait in cars, in line, or at home alone after surgery. This caused an impact on patients receiving timely relief of pain or post-operative nausea as well as patient satisfaction and overall rating of the facility. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Tiffany LaCoste, Bethany Wheeler, Sandra Huff, Adam Perkins, Tom Greene, Marsha Artis-Smith, Rory Phillips, Linda Debo, Amber Cook, Jonna Curtis Tags: ASPAN National Conference Abstract Source Type: research

Initiative to Improve Communication to the Surgical Services Waiting Area
Patient satisfaction levels according to Press Ganey scores had decreased for the PACU. Several incidents in which service recovery was necessary occurred due to lack of communication or miscommunication to family members waiting in the surgical services waiting area. In addition, after 2:30pm the waiting area desk was often unattended which made it difficult for family members to get updates on their loved ones. This led to dissatisfaction among patients and their family members. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Deborah LaRosa, Priscilla Kane, Colleen Chiodo Tags: ASPAN National Conference Abstract Source Type: research

Operation: Shhh! Reducing Noise in the PACU
Referenced from ASPAN Standard II Environment of Care, “perianesthesia nursing practice promotes and maintains a safe, comfortable and therapeutic environment.” At New York-Presbyterian/Weill Cornell, bed requests from the Ambulatory Surgery Operating Room (OR) to the Post Anesthesia Care Unit (PACU) were made through phone calls. These phone calls from the OR resulted in a high volume of noise in the PACU. In July 2017, an electronic notification of bed requests called the Electronic Call Back (ECB) from the OR to the PACU was created. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - August 1, 2018 Category: Nursing Authors: Kellianne Morgan, Christina Stiglianese Tags: ASPAN National Conference Abstract Source Type: research