The Art Is to Extubate, Not to Intubate-Swedish Registered Nurse Anesthetists' Experiences of the Process of Extubation After General Anesthesia.
CONCLUSIONS: The RNAs make decisions when to extubate by combining theoretical knowledge, clinical experience, and intuition with the uniqueness of each patient. PMID: 30745264 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - February 8, 2019 Category: Nursing Authors: Rönnberg L, Nilsson U, Hellzén O, Melin-Johansson C Tags: J Perianesth Nurs Source Type: research

Acute Postoperative Pain Management After Major Limb Amputation in a Pediatric Patient: A Case Report
Although total prevention of phantom pain is difficult, pediatric patients requiring amputation benefit from an individualized combination of analgesic techniques for phantom pain reduction using a multimodal and interprofessional approach. This is especially useful in the event a single therapy is ineffective for total pain reduction, and may ultimately lead to a reduction in chronic pain development. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - February 8, 2019 Category: Nursing Authors: Shannon M. Grap, Edward Fox, Michelle Freeman, George F. Blackall, Priti G. Dalal Tags: Original Article Source Type: research

The Art Is to Extubate, Not to Intubate —Swedish Registered Nurse Anesthetists' Experiences of the Process of Extubation After General Anesthesia
To describe Registered Nurse Anesthetists' (RNA's) experiences of the process of extubation of the endotracheal tube in patients undergoing general anesthesia. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - February 8, 2019 Category: Nursing Authors: Linda R önnberg, Ulrica Nilsson, Ove Hellzén, Christina Melin-Johansson Tags: Original Article Source Type: research

Low-Dose Ketamine Infusion to Decrease Postoperative Delirium for Spinal Fusion Patients
The primary aim of this project was to decrease the incidence of postoperative delirium after spine surgery. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - February 8, 2019 Category: Nursing Authors: Sarah S. Plyler, Virginia C. Muckler, J. Frank Titch, Dhanesh K. Gupta, Andi N. Rice Tags: Original Article Source Type: research

Use of Abdominal Binders for Postoperative Pain After Gastrointestinal Surgery: An Integrative Review.
CONCLUSIONS: The use of abdominal binders postoperatively does not increase risk or harm to the patient. Researchers suggest that this intervention may not only offer analgesic benefits but also may increase patient satisfaction and decrease psychological distress. However, because of the limited evidence, additional high-level randomized controlled trials regarding abdominal binder use to address postoperative pain are needed. PMID: 30745077 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - February 7, 2019 Category: Nursing Authors: Stoker KC Tags: J Perianesth Nurs Source Type: research

Onset Time of Local Anesthesia After Single Injection in Toe Nerve Blocks: A Randomized Double-Blind Trial.
CONCLUSIONS: The use of anesthetics with epinephrine can be an effective form of local anesthetic for digital blocks when a rapid onset of action, prolonged duration of anesthesia, and vasoconstrictive action are required. PMID: 30745078 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - February 7, 2019 Category: Nursing Authors: Córdoba-Fernández A, González-Benítez J, Lobo-Martín A Tags: J Perianesth Nurs Source Type: research

How Anesthesiologists and Nurse Anesthetists Assess and Handle Patients' Perioperative Worries Without a Validated Instrument.
CONCLUSIONS: When not using a validated instrument, assessing perioperative anxiety is commonly based on the anesthesiologist's and nurse anesthetist's experience, knowledge, views, and attitudes. The evaluator's capability of using different strategies in the assessment and handling of perioperative anxiety is important. PMID: 30745079 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - February 7, 2019 Category: Nursing Authors: Arakelian E, Nyholm L, Öster C Tags: J Perianesth Nurs Source Type: research

Use of a Checklist for the Postanesthesia Care Unit Patient Handoff.
CONCLUSIONS: The project was successful in implementing a standardized checklist and echoed the success of the articles reviewed. The use of a PACU handoff checklist can improve transfer of care by ensuring the provider receives more pertinent medical information during these transfers. PMID: 30745080 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - February 7, 2019 Category: Nursing Authors: Halterman RS, Gaber M, Janjua MST, Hogan GT, Cartwright SMI Tags: J Perianesth Nurs Source Type: research

Onset Time of Local Anesthesia After Single Injection in Toe Nerve Blocks: A Randomized Double-Blind Trial
The study was conducted to investigate the onset time and safety profile of four different local anesthetic solutions. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - February 7, 2019 Category: Nursing Authors: Antonio C órdoba-Fernández, Jesús González-Benítez, Adrián Lobo-Martín Tags: Original Article Source Type: research

How Anesthesiologists and Nurse Anesthetists Assess and Handle Patients' Perioperative Worries Without a Validated Instrument
To study how nurse anesthetists and anesthesiologists assess and handle patients' perioperative anxiety without using a validated instrument. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - February 7, 2019 Category: Nursing Authors: Erebouni Arakelian, Lena Nyholm, Caisa Öster Tags: Original Article Source Type: research

Use of a Checklist for the Postanesthesia Care Unit Patient Handoff
This quality improvement project aimed to evaluate the benefits of implementing a checklist in the postanesthesia care unit (PACU) setting to decrease the omission of health information during the handoff from anesthesia to PACU nurses. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - February 7, 2019 Category: Nursing Authors: Reed S. Halterman, Mohamed Gaber, Muhammad S.T. Janjua, Gerard T. Hogan, Sarah M.I. Cartwright Tags: Original Article Source Type: research

Use of Abdominal Binders for Postoperative Pain After Gastrointestinal Surgery: An Integrative Review
No national policies or clinical practice guidelines have been identified regarding best practices in addressing postoperative pain after abdominal surgery with adjunctive nonpharmacologic therapies, such as abdominal binders. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - February 7, 2019 Category: Nursing Authors: Kelsey Carter Stoker Tags: Original Article Source Type: research

Swedish Operating Room Nurses and Nurse Anesthetists' Perceptions of Competence and Self-Efficacy.
CONCLUSIONS: These results suggest that there are differences in perceived competence and SE between OR nurses and RNAs. Gender may be an independent factor affecting SE. PMID: 30738727 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - February 6, 2019 Category: Nursing Authors: Falk-Brynhildsen K, Jaensson M, Gillespie BM, Nilsson U Tags: J Perianesth Nurs Source Type: research

Swedish Operating Room Nurses and Nurse Anesthetists' Perceptions of Competence and Self-Efficacy
To compare perceived competence and self-efficacy (SE) among Swedish operating room (OR) nurses and registered nurse anesthetists (RNAs), and to evaluate the relationship between SE and competence, gender, age, and years of experience. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - February 6, 2019 Category: Nursing Authors: Karin Falk-Brynhildsen, Maria Jaensson, Brigid M. Gillespie, Ulrica Nilsson Tags: Original Article Source Type: research

Performance-Improvement Project: Increasing Nursing Knowledge of the Impact of Sugammadex in Female Patients Taking Steroidal Contraceptives.
CONCLUSIONS: Interactive evidence-based educational interventions can effectively create sustained increases in knowledge and confidence among health care professionals which translates into improved postoperative patient education. PMID: 30718164 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - February 1, 2019 Category: Nursing Authors: O'Driscoll L, Parrott J Tags: J Perianesth Nurs Source Type: research

Implementation of Postoperative Nausea and Vomiting Guidelines for Female Adult Patients Undergoing Anesthesia During Gynecologic and Breast Surgery in an Ambulatory Setting.
CONCLUSIONS: A PONV guideline for gynecologic and breast surgery can reduce the PONV incidence and improve anesthesia providers' compliance with PONV risk assessment and its documentation. PMID: 30718165 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - February 1, 2019 Category: Nursing Authors: Tabrizi S, Malhotra V, Turnbull ZA, Goode V Tags: J Perianesth Nurs Source Type: research

Performance-Improvement Project: Increasing Nursing Knowledge of the Impact of Sugammadex in Female Patients Taking Steroidal Contraceptives
This process-improvement project improved postoperative education for female patients by facilitating the development of a topic-specific education program to improve knowledge and confidence among perianesthesia nurses in a military treatment facility. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - February 1, 2019 Category: Nursing Authors: Lisa O'Driscoll, Justice Parrott Tags: Original article Source Type: research

Implementation of Postoperative Nausea and Vomiting Guidelines for Female Adult Patients Undergoing Anesthesia During Gynecologic and Breast Surgery in an Ambulatory Setting
Postoperative nausea and vomiting (PONV) is one of the most common complications after anesthesia. This evidence-based quality improvement (QI) project describes the implementation of a PONV guideline and the impact on providers' compliance with PONV risk assessment using the Apfel PONV score. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - February 1, 2019 Category: Nursing Authors: Samira Tabrizi, Vinod Malhotra, Zachary A. Turnbull, Victoria Goode Tags: Original Article Source Type: research

What Are You?
PMID: 30686374 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - January 30, 2019 Category: Nursing Authors: Hooper VD Tags: J Perianesth Nurs Source Type: research

Nurses Reduce Epidural-Related Urinary Retention and Postpartum Hemorrhages.
PMID: 30686375 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - January 30, 2019 Category: Nursing Authors: Downey J, Kruse D, Plonczynski DJ Tags: J Perianesth Nurs Source Type: research

Expanding Perianesthesia Practice With Connected Care.
PMID: 30686376 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - January 30, 2019 Category: Nursing Authors: Byrne MD Tags: J Perianesth Nurs Source Type: research

Postoperative Warming of Children With Hypothermia.
PMID: 30686377 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - January 30, 2019 Category: Nursing Authors: Stewart MW Tags: J Perianesth Nurs Source Type: research

Nursing Integrity: A Moral Imperative.
PMID: 30686378 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - January 30, 2019 Category: Nursing Authors: Iacono MV Tags: J Perianesth Nurs Source Type: research

Nurses Reduce Epidural-Related Urinary Retention and Postpartum Hemorrhages
NEARLY THREE WOMEN die every day in the United States because of birth complications.1 National statistics suggest 17.3 maternal deaths occur per 100,000 live births each year with 11.4% of these caused by postpartum hemorrhage (PPH). PPHs occur 200,000 times in the United States each year, and this rate has been increasing during the past decade.2 A California statewide assessment revealed a range of vaginal PPH rates from 1.6% to 4.9%.3 At Advocate Sherman Hospital, a chart review demonstrated a 5.8% hemorrhage rate for 1,839 women with vaginal deliveries in 2016, which exceeded the national rate of 2.9% and exceeded the...
Source: Journal of PeriAnesthesia Nursing - January 25, 2019 Category: Nursing Authors: Jill Downey, Donna Kruse, Donna J. Plonczynski Tags: EBP: Evidence to Practice Source Type: research

Postoperative Warming of Children With Hypothermia
Patients rarely remember much of the happenings surrounding surgery and anesthesia. If they do, it usually has something to do with those warm blankets. Keeping patients warm in the postanesthesia care unit will likely remain at the top of the nurse's priority list for several reasons. Although we appreciate being remembered for bringing comfort to our patients, hypothermia effects can range from increased blood loss to dysrhythmias. These Chinese researchers sought to expand our knowledge about best practices to treat postoperative hypothermia in very young children. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - January 25, 2019 Category: Nursing Authors: Mary W. Stewart Tags: Research News Source Type: research

Expanding Perianesthesia Practice With Connected Care
A FITNESS ENTHUSIAST IS TRACKING her heart rate using a sophisticated monitoring and Global Positioning System device during a fast-paced cycling race. She periodically glances at her watch and is surprised to see periods of sustained heart rates of more than 200 beats per minute. She pulls off to a medical tent in an abundance of caution despite feeling fine. Within 24  hours, she has received perianesthesia services after emergent cardiac intervention. Without the incredibly compact and sophisticated device on her wrist, arguably a type of medical device, her condition might have gone undiagnosed and untreated. (Sou...
Source: Journal of PeriAnesthesia Nursing - January 25, 2019 Category: Nursing Authors: Matthew D. Byrne Tags: Informatics and Health Information Technology Source Type: research

Nursing Integrity: A Moral Imperative
CITIZENS IN GENERAL are not morally required to help another in need, or to keep in confidence information they hear about another. Nor are they required to be nonjudgmental about another's character. But nurses are held to that requirement.1 Building trust in the nurse-patient relationship is based on character traits, the nurse's moral compass, intelligence and competency, advocacy, and the faith patients and their families have in nurses and nursing as a profession. The trust placed in nurses is unique and considered to be a sacred entity. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - January 25, 2019 Category: Nursing Authors: Maureen V. Iacono Tags: The Back Page Source Type: research

What Are You?
I had the honor to be asked to present the keynote address at the December nursing convocation at our regional university, Western Carolina University. It was truly a privilege to be asked to address this esteemed group of nursing graduates. The opportunity caused me to pause in the middle of a very busy holiday season to think about my profession and what it means to me both personally and professionally. I thought that I would share some of my reflections in this editorial. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - January 25, 2019 Category: Nursing Authors: Vallire D. Hooper Tags: Editorial Opinion Source Type: research

Information for Readers
(Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - January 25, 2019 Category: Nursing Source Type: research

Editorial Board
(Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - January 25, 2019 Category: Nursing Source Type: research

Table of Contents
(Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - January 25, 2019 Category: Nursing Source Type: research

Acknowledgment of Reviewers
The Journal of PeriAnesthesia Nursing thanks its reviewers for helping make the Journal a success. The following individuals are gratefully acknowledged for their time and effort in reviewing manuscripts in 2018. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - January 25, 2019 Category: Nursing Source Type: research

The Personnel's Sevoflurane Exposure in the Postanesthesia Care Unit Measured by Photoacoustic Gas Monitoring and Hexafluoroisopropanol Biomonitoring.
Abstract PURPOSE: Room ventilation in the postanesthesia care unit (PACU) is often poor, although patients exhale anesthetic gases. We investigated the PACU personnel's environmental and biological sevoflurane (SEVO) burden during patient care. DESIGN: Prospective, observational study. METHODS: Air pollution was measured by photoacoustic gas monitoring in the middle of the PACU, above the patient's face, and on the PACU corridor. Urinary SEVO and hexafluoroisopropanol concentrations were determined. FINDINGS: Mean air pollution was 0.34 ± 0.07 ppm in the middle of the ...
Source: Journal of Perianesthesia Nursing - January 18, 2019 Category: Nursing Authors: Herzog-Niescery J, Vogelsang H, Bellgardt M, Seipp HM, Weber TP, Gude P Tags: J Perianesth Nurs Source Type: research

Multidisciplinary Approach to Placenta Percreta: An Observational Case Study.
Abstract Abnormal placental implantations can result in postpartum hemorrhage and poor outcomes. With proper diagnosis and preplanning, complications can be minimized and aligned with maternal wishes of abstaining from blood and blood product transfusions. PMID: 30665745 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - January 18, 2019 Category: Nursing Authors: Valentine S Tags: J Perianesth Nurs Source Type: research

The Personnel's Sevoflurane Exposure in the Postanesthesia Care Unit Measured by Photoacoustic Gas Monitoring and Hexafluoroisopropanol Biomonitoring
Room ventilation in the postanesthesia care unit (PACU) is often poor, although patients exhale anesthetic gases. We investigated the PACU personnel's environmental and biological sevoflurane (SEVO) burden during patient care. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - January 18, 2019 Category: Nursing Authors: Jennifer Herzog-Niescery, Heike Vogelsang, Martin Bellgardt, Hans-Martin Seipp, Thomas P. Weber, Philipp Gude Tags: Original Article Source Type: research

Multidisciplinary Approach to Placenta Percreta: An Observational Case Study
Abnormal placental implantations can result in postpartum hemorrhage and poor outcomes. With proper diagnosis and preplanning, complications can be minimized and aligned with maternal wishes of abstaining from blood and blood product transfusions. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - January 18, 2019 Category: Nursing Authors: Sabrina Valentine Tags: Continuing Education Source Type: research

Perioperative Care of Children Undergoing Intra-arterial Chemotherapy for Retinoblastoma.
Abstract Retinoblastoma (RB) is a rare cancer of the eye, most commonly seen in children. Intra-arterial chemotherapy for RB is a relatively new treatment modality that has gained increasing popularity worldwide. The principal underlying the intra-arterial approach is delivery of chemotherapeutic agents directly to the site of the tumor. This avoids system toxicities normally associated with higher dose of these drugs. The purpose of this continuing education article was to review the features of RB and its treatment, with a focus on the perioperative management of children undergoing intra-arterial chemotherapy a...
Source: Journal of Perianesthesia Nursing - January 16, 2019 Category: Nursing Authors: Almontaser E, Ritchie C, Madison J, Jabbour P Tags: J Perianesth Nurs Source Type: research

Effect of Lavender Oil on the Anxiety of Patients Before Breast Surgery.
CONCLUSIONS: Inhalation of lavender oil before breast surgery decreased anxiety levels of patients. Our study results suggest that the inhalation of lavender oil offered by nurses has positive effects in reducing anxiety levels. PMID: 30660371 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - January 16, 2019 Category: Nursing Authors: Beyliklioğlu A, Arslan S Tags: J Perianesth Nurs Source Type: research

Effect of Lavender Oil on the Anxiety of Patients Before Breast Surgery
This study aimed to investigate the effects of inhaling lavender oil on anxiety levels in patients before breast surgery. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - January 16, 2019 Category: Nursing Authors: Ay şe Beyliklioğlu, Sevban Arslan Tags: Original Article Source Type: research

Perioperative Care of Children Undergoing Intra-arterial Chemotherapy for Retinoblastoma
Retinoblastoma (RB) is a rare cancer of the eye, most commonly seen in children. Intra-arterial chemotherapy for RB is a relatively new treatment modality that has gained increasing popularity worldwide. The principal underlying the intra-arterial approach is delivery of chemotherapeutic agents directly to the site of the tumor. This avoids system toxicities normally associated with higher dose of these drugs. The purpose of this continuing education article was to review the features of RB and its treatment, with a focus on the perioperative management of children undergoing intra-arterial chemotherapy at our institution....
Source: Journal of PeriAnesthesia Nursing - January 16, 2019 Category: Nursing Authors: Esmihan Almontaser, Carmel Ritchie, John Madison, Pascal Jabbour Tags: Continuing Education Source Type: research

The Use of Aromatherapy in Postoperative Nausea and Vomiting: A Systematic Review.
CONCLUSIONS: Aromatherapy is one modality that should be considered as treatment for PONV in adult surgical patients. More research should be conducted to provide additional support in the use of aromatherapy for PONV. Future research could aim at standardizing a nausea scale that would provide more reliable and valid results in studies that research PONV. PMID: 30600134 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - December 29, 2018 Category: Nursing Authors: Asay K, Olson C, Donnelly J, Perlman E Tags: J Perianesth Nurs Source Type: research

Physicians' and Nurses' Attitudes and Actions Regarding Perioperative Medication Management.
CONCLUSIONS: The study confirms a knowing-doing gap in medication management in perioperative settings, highlighting the need to address this issue, to ensure that physicians and nurses act in accordance with their beliefs and consider the importance of medication safety in interdisciplinary work across specialties. PMID: 30600135 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - December 29, 2018 Category: Nursing Authors: Olsen SW, Draborg E, Lisby M Tags: J Perianesth Nurs Source Type: research

Physicians' and Nurses' Attitudes and Actions Regarding Perioperative Medication Management
To investigate physicians' and nurses' attitudes and actions related to the prescription and administration of perioperative antibiotics and opioids during a 2-week period. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - December 29, 2018 Category: Nursing Authors: Susanne Winther Olsen, Eva Draborg, Marianne Lisby Tags: Original Article Source Type: research

The Use of Aromatherapy in Postoperative Nausea and Vomiting: A Systematic Review
To evaluate the following question: In adult surgical patients, does the use of aromatherapy affect the incidence of nausea and vomiting postoperatively? (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - December 29, 2018 Category: Nursing Authors: Katie Asay, Casey Olson, Julie Donnelly, Echo Perlman Tags: Original Article Source Type: research

Perianesthesia Nursing Malpractice: Reducing the Risk of Litigation.
Abstract Nursing malpractice claims are escalating, which equates to a higher risk of being named in a lawsuit and possibly defending one's actions in court. The perianesthesia nurse is at particular risk because of patient involvement before, during, and after surgical procedures. To minimize this risk nurses should have a clear understanding of how a malpractice claim proceeds and the common incidents involved. Three perianesthesia case studies are presented that identify potential nursing litigation threats and strategies to reduce those threats. PMID: 30578045 [PubMed - as supplied by publisher] (Source: ...
Source: Journal of Perianesthesia Nursing - December 18, 2018 Category: Nursing Authors: Frank L, Danks J Tags: J Perianesth Nurs Source Type: research

Perianesthesia Nursing Malpractice: Reducing the Risk of Litigation
Nursing malpractice claims are escalating, which equates to a higher risk of being named in a lawsuit and possibly defending one's actions in court. The perianesthesia nurse is at particular risk because of patient involvement before, during, and after surgical procedures. To minimize this risk nurses should have a clear understanding of how a malpractice claim proceeds and the common incidents involved. Three perianesthesia case studies are presented that identify potential nursing litigation threats and strategies to reduce those threats. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - December 18, 2018 Category: Nursing Authors: Lyerla Frank, Jamie Danks Tags: Continuing Education Source Type: research

Family Visitation in the PACU: An Evidence-Based Practice Project.
CONCLUSIONS: Family satisfaction can be increased and anxiety decreased by allowing a brief visit in the PACU. Although registered nurses expressed concerns before the change, the new visitation policy was successfully implemented and met with enthusiasm. It continues in practice today. PMID: 30528306 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - December 5, 2018 Category: Nursing Authors: Pagnard E, Sarver W Tags: J Perianesth Nurs Source Type: research

Effectiveness of a Pre-emptive Preoperative Belladonna and Opium Suppository on Postoperative Urgency and Pain After Ureteroscopy.
CONCLUSIONS: Pre-emptive preoperative administration of a B + O suppository before ureteroscopy results in decreased urinary urgency during the postoperative recovery. Pre-emptive preoperative interventions can result in positive outcomes before discharge. PMID: 30528307 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - December 5, 2018 Category: Nursing Authors: Fetzer SJ, Goodwin L, Stanizzi M Tags: J Perianesth Nurs Source Type: research

Enhancing the Quality of the Anesthesia to Postanesthesia Care Unit Patient Transfer Through Use of an Electronic Medical Record-Based Handoff Tool.
CONCLUSIONS: The use of a standardized anesthesia to PACU EMR-based handoff checklist significantly increased the percent of accurate information transferred without considerably affecting the duration of the PACU handoff process. PMID: 30528308 [PubMed - as supplied by publisher] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - December 5, 2018 Category: Nursing Authors: Halladay ML, Thompson JA, Vacchiano CA Tags: J Perianesth Nurs Source Type: research

Enhancing the Quality of the Anesthesia to Postanesthesia Care Unit Patient Transfer Through Use of an Electronic Medical Record –Based Handoff Tool
Anesthesia to postanesthesia care unit (PACU) handoffs are often incomplete, imprecise, and highly variable with respect to information transfer, and therefore can jeopardize patient safety. A standardized anesthesia to PACU electronic medical record (EMR)-based patient handoff checklist was implemented and evaluated for its effect on the information transfer. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - December 5, 2018 Category: Nursing Authors: Margaret L. Halladay, Julie A. Thompson, Charles A. Vacchiano Tags: Original Article Source Type: research