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

PACU Construction Survivor
Our Main 29 bed PACU unit needed to embark on a major yearlong renovation. Knowing that change was a major contributor to workplace stress, we developed a plan to try and decrease the impact of renovation on our frontline nursing staff. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Kate Horner, Erica Stefanik, Jacqueline Bates Tags: ASPAN National Conference Abstract Source Type: research

Improved Perioperative Handoff Through Informatics
Handoff communication is Joint Commission National Patient Safety Goal which went into effect in 2006. Ineffective communication between healthcare providers can lead to sentinel events and may be the primary reason for errors in healthcare (Nether, 2017). In our perioperative area we use the electronic medical record (EMR). “Using an embedded EMR report for handoff can improve communication by ensuring all care Team Members have access to the most up-to-date information.” (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Vicki Byas, Cassandra Pryor, Laura Martinez Tags: ASPAN National Conference Abstract Source Type: research

Standardized Handoff Report using Electronic Medical Record
Our Orthopedic Medical and Surgical Unit approached our Practice Council hoping to adapt a report tool that was successfully used when transferring patients from the ED to the inpatient unit. The handoff smart text note was entered in the Electronic Medical record using key items from the RN ’s charting. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Meredith Joyce, Jackie Dols, Deborah Kozel, Sara Thul, Juliann Paulisich, Erin Hanson Tags: ASPAN National Conference Abstract Source Type: research

A Unit Method of Changing Behavior Culture
“In OR Holding, how does staff usage of sacred word, sacred person and mediation compared to ad hoc use of tradition/policy of MGUH, affect disruptive behavior among peers.” (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Deborah L. Threats, Anne M. Burke Tags: ASPAN National Conference Abstract Source Type: research

Implementing Guidelines for Updating Family of Patients in the PACU
The family of the patients in our PACU may end up not seeing the patient until an hour or more after the Phase I finished, patient is transferred to the floor or to a Phase II outpatient unit. Pediatric patients and those with extenuating circumstances get a visit from family. Other PACU patients ’ family may not get an update during the entire PACU stay. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Abigail Kathleen M. Acosta, Mario Zermeno Tags: ASPAN National Conference Abstract Source Type: research

STOP! In the Name of Safety … Implementing a Pause in PACU Handover
Handover communication is an essential part of safe patient care. In a unit like the PACU, we depend on quality report form the OR team to initiate our interventions for the patients we receive. Historically, OR RNs who are pressed to achieve increasingly stringent turnover times have been in a hurry to finish handover to the PACU RN, regardless of the patient stability upon admission in the PACU. This has led to staff dissatisfaction and unsafe patient care conditions. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Abigail Kathleen M. Acosta, Julie Mungridis, Frances Bullman, Caroline Estrada, Deborah Ralph, Heidi Phillips, Susan Ruiz Endoscopy, Antonio Lira, Kelly Marsh Hogue Tags: ASPAN National Conference Abstract Source Type: research

Effectiveness of Multi-Modal Analgesia
Despite many advances in health care, managing pain in the post-anesthetic period continues to be a challenge. With more procedures being performed on an outpatient basis, shorter lengths of stay and drive to improve patient satisfaction, providers are looking for ways to enhance the surgical care experience and reduce opioid use. In addition, the increase burden of obesity in society has contributed to a rise in co-morbidities such as diabetes, cardiovascular, and gallbladder disease making laparoscopic cholecystectomies the second most frequently performed general surgery procedure in the United States. (Source: Journal ...
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Mary Torres Tags: ASPAN National Conference Abstract Source Type: research

Changing Logistics of Emergency Equipment in Same Day Surgery
Same Day Surgery had a total of six separate emergency equipment carts located throughout the department. This made it difficult to locate the appropriate equipment in emergency situations. This project is important for improving the accessibility of emergency supplies, cost savings by eliminating duplicate supplies, and for the overall safety of our patients. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Lisa Law, Stacy Rice Tags: ASPAN National Conference Abstract Source Type: research

Air-Assisted Transfer Device (AATD) Use for Pediatric Spinal Fusion Patients: Improving Care
Spinal fusion patients require imaging while in the post-anesthesia care unit (PACU), a reportedly painful process. Prior to this practice change, imaging required five or more staff to safely lift the patient and maintain patient flat time. Despite using multiple staff, it was often difficult to lift the patients high enough to prevent potential shearing near the incision from the imaging board. An AATD had not been previously utilized in the surgical pediatric population at SFCH. This practice change was based on the author ’s experience with use of this device in other patient populations and active participation ...
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Brittany Walker, Kristina Beachy, Stephanie Stewart Tags: ASPAN National Conference Abstract Source Type: research

“I Feel Fine”: Fall Preventative Measures in the Post Anesthesia Care Unit (PACU)
Falls are linked to prolonged hospital stay, increased discharge to nursing homes, and higher health care expenditure. MIDAS reports indicated four patient falls occurred in the Post Anesthesia Care Unit (PACU) area from January 2017 to October 2017. 1 out of 4 falls resulted in patient injury, requiring a surgical intervention. A post fall focus study revealed that the falls happened while patients used the bathroom or ambulated to the bathroom. In all fall Cases in the PACU, patients have expressed “I feel fine”. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Rusela DeSilva, Tesha Seabra, Lini Thomas, Dawn Sullivan, Joey Yap, Siobhan McCourt, Joan Riswold, Robin Reidy Tags: ASPAN National Conference Abstract Source Type: research

Standardizing the Inpatient Pre-Op Process
Standardizing the process of Inpatient Pre-Op addresses patient safety concerns that arise from a lack of RN to RN report, multiple hand-offs in care, and delays in patient surgery. Previously there was no RN to RN verbal handoff, as the OR unit coordinator would call the Inpatient RN to bring the patient to Pre-Op. The lack of RN to RN verbal handoff resulted in incomplete transfer of care elements. No verbal handoff has the potential for patient errors, delays in surgery, and incomplete patient preparation prior to surgery. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Tracy Herbert, Amber Senetza, Ashley Medl Tags: ASPAN National Conference Abstract Source Type: research

Overcoming Communication Barriers During the Pre-Procedure Evaluation
The Pre-Procedure Evaluation (PPE) phone program interviews patients scheduled for elective surgery or procedures requiring anesthesia. The PPE nurse obtains the patient ’s medical and surgical history, list of medications, and completes the nursing assessment. The information is reviewed by the anesthesia staff prior to the procedure. The intent of PPE is for the anesthesia team to access fitness for surgery and develop a specific individualized plan of care to e nsure a safe anesthetic with positive outcomes. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Susan Croteau, Caroline Horgan, Lucy Milton, Karen Parmenter, Sharon Kelly-Sammon, Joan Braccio Tags: ASPAN National Conference Abstract Source Type: research

Surgical Site Infection Reduction: Through Povidone-Iodine Nasal Decolonization Prior to Surgery
Surgical site infections (SSIs) are the most common and expensive healthcare-acquired infection in the United States, occurring in 2-5% of patients who undergo surgery. Patients who experience deep SSI ’s report lower quality of life and pain. SSI elimination reduction is a current national patient safety goal. Thus, the objective of this nurse-driven process improvement project was to implement a cost-effective and practical decolonization protocol to improve outcomes for high-risk veteran popu lations undergoing surgery, as well as avoid undue suffering, and hundreds of thousands of dollars in medical expenses. (So...
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Melissa S. Schmidt, Sherri Atherton, Graeme N. Forrest, Christy Stewart Tags: ASPAN National Conference Abstract Source Type: research

Revision and Organization of a PACU Emergent Intubation Toolbox to Facilitate Improved Patient Outcomes
Patients arriving to the post-anesthesia care unit (PACU) have an inherent risk of possible re-intubation due to effects of general anesthesia and airway compromise. Our PACU experienced a situation in which a patient needed to be emergently re-intubated and supplies were not organized or accessible in a timely manner, causing stress among staff members and possible delay in patient care. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Stephanie Quintavalle, Linda Schiff, Sandra Muckenfuss Tags: ASPAN National Conference Abstract Source Type: research

Reducing Day of Surgery Cancellations via Electronic Prescreening Tool
A large percentage of scheduled surgical Cases were cancelled on the day of surgery (DOS). Most commonly, DOS cancellations were due to preventable reasons such as upper respiratory illness, NPO violations, legal issues/ missing documentation, or miscommunicated preoperative instructions. Cases cancelled on the DOS attributed to patient dissatisfaction, decreased accesses to surgical intervention for other patients, underutilized OR schedule blocks, and loss in revenue to the hospital. In order to address these issues an electronic prescreening tool was created and utilized for all preoperative patients. (Source: Journal o...
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Leticia Boutros, Deanna Wofford, Sharee Anzaldo, Mike Rokovich Tags: ASPAN National Conference Abstract Source Type: research

Seeing is Believing! Putting the “SPARK” in You: An Educational Pathway to Implementing a New Surgical Procedure in Perioperative Services
In early 2018, Children ’s Hospital Los Angeles (CHLA) was designated as a Vision Center for treating congenital retinal gene defect (biallelic RPE65 mutation-associated retinal dystrophy) via the injection of Luxturna (gene therapy). CHLA was the first hospital to perform this innovative gene therapy surgery. With innov ation comes inherent lack of knowledge, such as aims of the procedure, medication, nursing care, and patient education. An extraordinary amount of preparation and teamwork was required to ensure that the highest level of patient care was delivered to all patients receiving this cutting edge surgical ...
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Deanna Wofford, Ashley Anderson Tags: ASPAN National Conference Abstract Source Type: research

Standardized Orientation for Post-Operative Nurses
A nurse ’s ability to safely and efficiently practice in the Post Anesthesia Care Unit (PACU) requires a strong foundation. Upon completion of a four-week preceptorship, newly hired nurses consistently reported feeling apprehensive about recovering patients independently. Post orientation feedback from nu rses indicated that our orientation lacked key exposures, overall direction, and formal preceptor preparation. A closer look at our orientation process revealed many additional issues related to case assignments, inconsistency with preceptor pairings, as well as unstructured and inadequate resources . (Source: Journ...
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Deanna Wofford, Mira Ahn Tags: ASPAN National Conference Abstract Source Type: research

ASPAN Your Mind
Nurses Week 2018 was celebrated in our PACU with an “ASPAN” quiz bowl. Questions for the contest were taken from a CPAN study guide. Staff really enjoyed the game and were shocked at how much they didn’t know. Once Nurses week was over – as well as the game – several requests came from the staff asking if we could continue to play. We decid ed to make it more than a game. We turned it into a quest for knowledge. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Katrina Push, Toya Clemons Tags: ASPAN National Conference Abstract Source Type: research

Collaboration and Success: One Team Moving Forward
The recruitment of Oncology trained perianesthesia nurses can be an extremely difficult task to achieve. As our patient census continues to grow, the need to meet the high acuity recovery demands with minimal staff continues to be overwhelming for our comprehensive cancer center. Through collaboration with department leadership and the clinical educators, the resolution was clear, a perianesthesia nurse cohort must be developed. The idea was to envelop and develop nurses to gain oncology and recovery knowledge in order to perform independently at the highest acuity level in an oncology perianesthesia unit. (Source: Journal...
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Michelle Johann, Peter Hirsch, Ida Antonio, Kerry Caldwell Tags: ASPAN National Conference Abstract Source Type: research

Mass Casualty Incident Response: Flexing PACU Muscles
Mass Casualty Incidents (MCIs) have greatly impacted hospitals across the United States. These unplanned traumatic events place extraordinary demands on hospital systems. Frequently, casualties from MCI events arrive unannounced via EMS and personal vehicles. Even ten traumatically injured patients would overwhelm a level-one trauma center. Each casualty could require a health care team of up to 10 professionals with skillsets including critical care, trauma, radiology, laboratory and social work. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Elizabeth Resweber, Alya Nadji, Aviva Mandel Tags: ASPAN National Conference Abstract Source Type: research

Supporting Perianesthesia Nurses Throughout the Transition to One Cohesive Unit
(Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Marie Courtney, Heather Murphy Tags: ASPAN National Conference Abstract Source Type: research

Respond, Intervene and Escalate: Acute Stroke Events in the Post Anesthesia Care Unit
In the post-anesthesia care unit (PACU) setting there can be challenges in differentiating between anesthesia-related versus thrombolytic neurologic deficits. The ability to accurately assess, differentiate and escalate care is imperative to improve outcomes. The occurrence of acute stroke events in the peri-operative setting at a comprehensive cancer center emphasized the need for an evidence-based and comprehensive approach to assessment, communication and documentation of risk factors for thrombotic complications. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Lisa Jiang, Heather Douglas, Miguel Laxa, Leena Mathew, Sharon Sarmiento, Kimberly Vanderhorst, Elizabeth Vogler Tags: ASPAN National Conference Abstract Source Type: research

Improving Comfort Level of PACU Nurses During Intubation and Code Blue Emergencies
The PACU is a diversified group of nurses with a wide range of experiences. These experiences range from 43% nurses with less than 5 years nursing experience to 26% nurses having greater than 21 years of experience. After having an emergent intubation and a code blue, the staff verbalized various comfort levels in assisting the Anesthesiologist in these situations. ACLS is currently done via computer program and does not lend to hands on practice other than the CPR portion. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Janet Fricker, Emily Tirado, Katelyn Jones Tags: ASPAN National Conference Abstract Source Type: research

Improving Work-life Balance in the PACU to Cultivate an Environment of Mindfulness While Building Nursing Resilience
The Mindful Ethical Practice and Resilience Academy (MEPRA) training advocates for nurses to build resilience by using mindfulness in their practice. Nursing resilience is crucial to handling morally distressful situations that challenge nurses daily. Staff attended a “train the trainer” course, embracing and encouraging coworkers to improve self-care strategies for themselves and their patients. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Michelle P. Carter, April Brown Tags: ASPAN National Conference Abstract Source Type: research

“Wide-Eyed and Bushy Tailed”: A Transition into PACU from the Perspective of a Newly Licensed Nurse
(Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Kara Leigh MacLean, Cara Bailey, Holly Bourdon Tags: ASPAN National Conference Abstract Source Type: research

PACU Stat! Utilizing Low Fidelity Simulation to Enhance Teamwork and Build Confidence Among PACU Nurses during Crisis Situations
The PACU experienced a distressing code event in January 2017 that resulted in a successful resuscitation and return to OR, but left nursing staff feeling frustrated with the lack of organization, role designation, and leadership throughout the duration of the event. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Rebecca Vincent, Rebecca Vincent, Beth McNeill, Wendy Bernstein Tags: ASPAN National Conference Abstract Source Type: research