Meta-Analysis of the Ease of Care From a Patients' Perspective Comparing Fentanyl Iontophoretic Transdermal System Versus Morphine Intravenous Patient-Controlled Analgesia in Postoperative Pain Management.
Abstract PURPOSE: The purpose of this meta-analysis was to evaluate patients' assessment of fentanyl iontophoretic transdermal system (ITS) and morphine intravenous patient-controlled analgesia (IV PCA) ease of care (EOC) using a validated patient EOC questionnaire. Fentanyl ITS is a preprogrammed, needle-free PCA system used for the management of acute pain in postoperative patients. METHODS: This meta-analysis assessed the patient EOC of fentanyl ITS and morphine IV PCA using data from three randomized, active-comparator trials in adult postoperative patients with moderate-to-severe pain. All three studies ...
Source: Journal of Perianesthesia Nursing - July 27, 2017 Category: Nursing Authors: Lindley P, Ding L, Danesi H, Jones JB Tags: J Perianesth Nurs Source Type: research

Meta-Analysis of the Ease of Care From the Nurses' Perspective Comparing Fentanyl Iontophoretic Transdermal System (ITS) Vs Morphine Intravenous Patient-Controlled Analgesia (IV PCA) in Postoperative Pain Management.
Abstract PURPOSE: The aim of this meta-analysis was to compare the ease of care (EOC) of fentanyl iontophoretic transdermal system (ITS) vs the morphine intravenous patient-controlled analgesia (IV PCA) as assessed by the nurse. DESIGN: Meta-analysis of three phase 3B randomized active-comparator trials. METHODS: This meta-analysis according to Cochrane's approach assessed EOC using a validated nurse questionnaire (22 items grouped into three subscales, which include time efficiency, convenience, and satisfaction) in adult patients treated with fentanyl ITS or morphine IV PCA for postoperative pain manag...
Source: Journal of Perianesthesia Nursing - July 27, 2017 Category: Nursing Authors: Pestano CR, Lindley P, Ding L, Danesi H, Jones JB Tags: J Perianesth Nurs Source Type: research

A Turkish Version of the Critical-Care Pain Observation Tool: Reliability and Validity Assessment.
CONCLUSIONS: The validity and reliability of the Turkish version of the Critical-Care Pain Observation Tool was determined to be acceptable for pain assessment in critical care, especially for patients who cannot communicate verbally. PMID: 28739066 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - July 27, 2017 Category: Nursing Authors: Aktaş YY, Karabulut N Tags: J Perianesth Nurs Source Type: research

The Unique Role of the Pediatric Clinical Research Nurse in Anesthesia: An Interdisciplinary Collaboration.
This article describes the distinctive function of the pediatric clinical research nurse (CRN) in the anesthesia setting. The pediatric CRN in anesthesia acts as a liaison between families and the research team and is the major nexus between the principal investigator or anesthesiologist on a study, and the collaborating surgeons from many different departments. This is unique because the CRNs collaborate with physicians in specialties that can include plastics, urology, neurosurgery, orthopaedics, otolaryngology, cardiology, critical care, and many other departments. The profession requires a breath of knowledge ranging f...
Source: Journal of Perianesthesia Nursing - July 27, 2017 Category: Nursing Authors: Dube C, Young V, Anderson M, Barton B, Leahy I Tags: J Perianesth Nurs Source Type: research

Management of Emergence Delirium in Adult PTSD Patients: Recommendations for Practice.
Abstract Emergence delirium is a known phenomenon which occurs after general anesthesia in approximately 5% of the general population. However, individuals who have been diagnosed with post-traumatic stress disorder may present with symptoms refractory to conventional methods of reorientation. In the past several years, literature has begun to address the problem, but no standardized guidelines exist at present. The authors synthesize the available literature, combining data with evidence-driven principles from multiple disciplines, to submit an initial set of guidelines until research either supports or disproves...
Source: Journal of Perianesthesia Nursing - July 27, 2017 Category: Nursing Authors: Lovestrand D, Lovestrand S, Beaumont DM, Yost JG Tags: J Perianesth Nurs Source Type: research

Critical Care Connection Nurses' Caring Behaviors.
PMID: 28739069 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - July 27, 2017 Category: Nursing Authors: Makic MBF Tags: J Perianesth Nurs Source Type: research

Cybersecurity: A Real Threat to Patient Safety.
PMID: 28739070 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - July 27, 2017 Category: Nursing Authors: Ross J Tags: J Perianesth Nurs Source Type: research

Sustain and Shape the Culture of Your Unit.
PMID: 28739071 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - July 27, 2017 Category: Nursing Authors: Iacono MV Tags: J Perianesth Nurs Source Type: research

Opioid Stewardship.
PMID: 28739072 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - July 27, 2017 Category: Nursing Authors: Clifford T Tags: J Perianesth Nurs Source Type: research

Considering the Sample.
PMID: 28739073 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - July 27, 2017 Category: Nursing Authors: Fetzer SJ Tags: J Perianesth Nurs Source Type: research

When the Worst Happens: Cardiac Arrest in the Pediatric PACU.
PMID: 28739074 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - July 27, 2017 Category: Nursing Authors: Christensen R, Voepel-Lewis T Tags: J Perianesth Nurs Source Type: research

Adolescence: A Time of Transition.
PMID: 28739075 [PubMed - in process] (Source: Journal of Perianesthesia Nursing)
Source: Journal of Perianesthesia Nursing - July 27, 2017 Category: Nursing Authors: Douglas KE, Stewart MW Tags: J Perianesth Nurs Source Type: research

Considering the Sample
SOME OF THE MOST difficult decisions made by  researchers is the definition and identification of the research sample, a process known as sampling. Such decisions are critical to the overall research process and if not carefully considered can result in a failed or faulty study. Sampling provides the data to answer the research question and m ay consist of people, animals, records, or institutions. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Susan J. Fetzer Tags: Research for Practice Source Type: research

Adolescence: A Time of Transition
FORTY-TWO MILLION ADOLESCENTS live in the United States.1 Adolescence begins at the onset of puberty and can span an age range of several years. On the other hand, the legal age of majority (or adulthood) varies among states and countries. Because of these varying ages, it is difficult to pinpoint an exact age range when adolescence begins and ends. Whether your practice is primarily pediatric or primarily adult care, perianesthesia nurses will more than likely care for an adolescent patient at some point. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Kimberly E. Douglas, Mary W. Stewart Tags: The Back Page Source Type: research

Cybersecurity: A Real Threat to Patient Safety
IN 2016, THE COMPUTER systems of Hollywood Presbyterian Medical Center were held hostage by hackers. Staff at the 434-bed hospital were unable to access the patient's medical records, and they had to resort to paper records. The hospital administration was under a ransomware attack, and the hackers who had the decryption demanded a ransom to unlock the system. The hackers were also asking for bitcoins, a hard-to-trace electronic currency favored by cyber criminals, as ransom. In the end, the administrators paid $17,000 in bitcoins to access their electronic health care records (EHRs). (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Jacqueline Ross Tags: Patient Safety Source Type: research

Facts and Opinions: Use Evidence to Make the Call
“Everyone is entitled to his own opinion, but not his own facts.”Daniel Patrick Moynihan (1927–2003). (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Jan Odom-Forren Tags: Editorial Opinion Source Type: research

Decreasing Postoperative Urgency Following Ureteroscopy: A Randomized Controlled Trial
Postoperative recovery immediately following ureteroscopy can be painful or extremely uncomfortable. The urgent need to void, despite an empty bladder, arises from bladder spasms often resistant to narcotic interventions. Administration of a belladonna and opium (B+O) suppository, a standard postoperative intervention, requires 15 to 30 minutes for opium and 1 to 2 hours for belladonna to act, longer than many ureteroscopy procedures. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Linda Goodwin, Susan Jane Fetzer, Matthew Stanizzi Tags: ASPAN National Conference Abstract Source Type: research

Perioperative Clinical Immersion
Senior nursing students have not been provided with a practicum experience in the perioperative environment which led to a limited interest of the perioperative environment for employment. As the nursing workforce in this environment is aging it is imperative that consideration of the perioperative environment as a nursing career be available to graduating nursing students. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Mary Doerner, Connie Swenty Tags: ASPAN National Conference Abstract Source Type: research

The Effectiveness of Aromatherapy Compared to Standard Care for the Relief of PONV/PDNV in Ambulatory Surgical Patients
Postoperative nausea and vomiting (PONV) is an inadvertent complication of anesthesia following ambulatory surgery. PONV occurs in 30% of patients ( ∼ 37% in post discharge patients, i.e. PDNV) and up to 70%-80% in patients with high-risk factors. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Lois Stallings Welden, Mary Doerner, Elizabeth (Libby) Ketchem, Laura Benkert, Susan Alka, Michael Aders, Jonathan D. Stallings Tags: ASPAN National Conference Abstract Source Type: research

Weight-Based Risk for Prolonged Post-Tonsillectomy Pain in Children: A Retrospective Study
Tonsillectomy, one of the most painful of pediatric surgeries, is performed in more than 0.5 million children each year in the United States. The estimated yearly number of obese or overweight (OB/OW) children who undergo tonsillectomy or adenotonsillectomy (T&A) approaches 200,000. Theoretically, OB/OW children could be at risk for longer episodes of uncontrolled post-tonsillectomy pain (PTP) in the Post anesthesia care unit (PACU) due to underlying genetic and physiological processes. PACU nurses provide PTP management for OB/OW children after surgery without clear guidelines to manage weight-based differences in PTP...
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Shirley Martin, Bryan Harris, Tim Muirheid Tags: ASPAN National Conference Abstract Source Type: research

Comparing the Use of IPad ™ Distraction Versus Oral Versed to Reduce Pediatric Preoperative Anxiety
Children experience anxiety before outpatient surgical procedures at parental separation and mask induction. Most common treatment for preoperative anxiety is administration of benzodiazepines, usually oral Versed, with undesirable side effects of prolonged sedation and emergence delirium. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Terri Pearcy, Barbara Stewart, Rebecca Severnak Tags: ASPAN National Conference Abstract Source Type: research

In Retrospect – Peri-Anesthesia Nursing Practice in the Philippines: Onwards to a Model and Standards
The Peri-Anesthesia period begins when the patient is informed about procedure until recovery and continues until the patient resumes his or her usual activities. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Paul Michael S. Tan, Rodolfo Borromeo Tags: ASPAN National Conference Abstract Source Type: research

Effectiveness of Pre-Surgery Video in Reducing Anxiety in Daystay Surgical Patients
Preoperative anxiety is a common psychological issue affecting many patients who are faced with the prospect of undergoing surgery. The need for a robust preoperative teaching plan is central to patient comfort, decreasing patient anxiety and better patient outcomes. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Kathleen Frodema, Stella D ’Ascoli, Sandra Fidalgo, Linda Haraty, Laurie Hurley, Jane Garb Tags: ASPAN National Conference Abstract Source Type: research

Does Disruptive Behavior Cause Problems With Patient Care?
The purpose of this project is to assess if nurses are aware that disruptive behavior may cause harm to patients. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Deborah L. Threats, Anne Burke Tags: ASPAN National Conference Abstract Source Type: research

Same Day Surgery Follow-Up Phone Calls
Research supports same day surgery (SDS) follow-up phone calls to reduce post-operative complications, readmissions, and adverse events. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Amy Berardinelli, Angela Sotka Tags: ASPAN National Conference Abstract Source Type: research

Obstructive Sleep Apnea: Emphasis on Discharge Education After Surgery
Over half of the surgical patients with obstructive sleep apnea (OSA) are predisposed to increased incidence of perioperative complications. The American Society of Perianesthesia Nurses recommends that discharge education (DCE) on OSA should be provided after surgery to OSA patients to promote continuous positive airway pressure (CPAP) compliance and self-care behaviors at home. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Arbert Nazareno, Cresilda Newsom, Esther Lee, Joseph Burkard Tags: ASPAN National Conference Abstract Source Type: research

Exploration of the Scott Triggers ™ Instrument in Predicting Postoperative Pressure Ulcer Risk in the On-Pump Cardiovascular Surgery Population
Hospital acquired pressure ulcers continue to pose a significant health problem in the US, affecting up to 3 million adults at a cost of up to $11 billion annually. Postoperative pressure ulcer (PPU) rates are as high as 66%, with the incidence rates in cardiovascular (CV) surgical patients ranging as high as 50%. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Jeanie Bollinger, Cheryl Postlewaite, Sheri Denslow, Vallire Hooper Tags: ASPAN National Conference Abstract Source Type: research

Preprocedure Warming to Prevent Intraoperative Hypothermia
The prevention of perioperative hypothermia is recognized as an important initiative in the prevention of postoperative complications such as bleeding, wound infection, and prolonged recovery from anesthetics. Preprocedure warming of the patient is an intervention that can be utilized to prevent intraoperatve hypothermia. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Kathy Anders, Vallire Hooper Tags: ASPAN National Conference Abstract Source Type: research

Exploration of the Use of the Scott Triggers ™ Instrument in Predicting Postoperative Pressure Ulcer Risk
Hospital acquired pressure ulcers continue to pose a significant health problem in the US, affecting up to 3 million adults in acute care facilities at a cost of up to $11 billion annually. Surgical patients are at elevated risk for pressure ulcer development due to a combination of physiological, non-physiological, and surgical/anesthesia related factors. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Cheryl Postlewaite, Jeanie Bollinger, Sheri Denslow, Vallire Hooper Tags: ASPAN National Conference Abstract Source Type: research

Identifying Nurses ’ Perceptions of Barriers to Research at an Orthopedic Specialty Hospital
Evidence-Based Practice has long been recognized by the health care and nursing communities as best practice in delivering quality care and assuring positive patient outcomes. The Institute of Medicine has recommended that 90% of all clinical decisions be evidence based by 2020. Current literature identifies a variety of barriers to nurses ’ participation in research. The identification of these barriers will enable perianesthesia nurses, as well as all nurses, to become active participants in nursing research. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Kathryn McCarraher, Christine A. Fournier Bell, Kerry Sorrentino Tags: ASPAN National Conference Abstract Source Type: research

Oral Tranexamic Acid Reduces Transfusions and Procedure Time in Total Knee Arthroplasty
Intraoperative blood loss is a known potential complication of total knee arthroplasty (TA) often resulting in the need for postoperative transfusions. Tranexamic acid (TA) has been shown to reduce intraoperative blood loss and postoperative transfusion in patients undergoing (TKA). While there are numerous studies demonstrating the efficacy of intravenous and topical TA in patients undergoing TKA, there are comparatively few demonstrating the effectiveness and appropriate dosing recommendations of oral formulations. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Christine A. Fournier Bell, Roger Perriault, Carl Talmo, David Mattingly Tags: ASPAN National Conference Abstract Source Type: research

An mhealth Self-Management Program to Decrease Postoperative Symptom Distress in Orthopaedic Patients
Approximately 60% of all surgeries in the United States are performed in the ambulatory setting, involving over 53 million procedures in 34 million patients annually. The most common distressing symptoms in ambulatory surgery (AS) are pain and nausea. Other distressing symptoms are fatigue, sore throat, problems in wound healing and mobility. Patients ’ experience of symptoms at home during recovery is more profound than clinicians expect, lasts longer, and interferes with the ability to return to normal activities. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Jan Odom-Forren, Mary K. Rayens, Paul Sloan, Scott Mair, Dawn Profit Tags: ASPAN National Conference Abstract Source Type: research

Descriptive Characteristics of Obstructive Sleep Apnea Patients at Risk of Longer Post-Operative Hospital Stay
Obstructive sleep apnea (OSA) is defined as the occurrence of at least five apnea and hypopnea episodes in an hour accompanied by a decrease of oxygen saturation exceeding 4%. OSA may increase perioperative risk in patients requiring general anesthesia, sedation or intravenous analgesia. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Esther Lee, JoAnn S. Daugherty Tags: ASPAN National Conference Abstract Source Type: research

Evidence-Based Post Anesthesia Care Unit Practice Guidelines for Determining Length of Stay and Discharge Location for Surgical Obstructive Sleep Apnea Patients
Obstructive sleep apnea (OSA) is the occurrence of ≥ five apnea/hypopnea episodes in an hour accompanied by oxygen saturation decrease. The American Society of Anesthesiology (2014) recommends OSA patients have extended stay in Post Anesthesia Care Unit (PACU) but no specific guidelines were offered on length of stay. In our own facility, no speci fic policy existed and questions were raised as to what is the best practice. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Esther Lee, JoAnn S. Daugherty, Ulrich Schmidt Tags: ASPAN National Conference Abstract Source Type: research

Post-Operative Nausea Vomiting Aromatherapy Project
Post-operative nausea and vomiting (PONV) causes considerable distress for patients who experience it and PONV increases staff workload. It is associated with decreased patient satisfaction, increased health care costs due to prolonged post anesthesia care unit (PACU) times and unanticipated hospital admissions. The effectiveness of aromatherapy as a complimentary therapy for PONV has been supported in multiple studies. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Debra Malone Tags: ASPAN National Conference Abstract Source Type: research

Aromatherapy: A Non-Pharmacologic Intervention for Postoperative Nausea and Vomiting
Incidence of Postoperative Nausea and Vomiting (PONV) is 15.5% among ambulatory patients at Houston Methodist Sugar Land Hospital (HMSLH) from May – June, 2015, and the unavailability of non-pharmaceutical therapy in the current PONV treatment modality. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Ronald M. Malit, Paschale Dorismond-Parks Tags: ASPAN National Conference Abstract Source Type: research

Don ’t Ignore My Snore: Reduce Perioperative Complications Related to Obstructive Sleep Apnea
Obstructive sleep apnea (OSA), a condition associated with decreased muscle tone in the airway, has been linked to postoperative complications. Perioperative patients were screened for OSA risk, yet no guideline was enforced. A chart audit revealed a high percentage of patients screened high-risk for OSA had postoperative cardiopulmonary complications. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Ludy P. Lemus, Betty McMullin, Honorata Balinowski Tags: ASPAN National Conference Abstract Source Type: research

Making the Bladder Gladder; Decreasing Pour in the Ambulatory Care Setting
Postoperative urinary retention (POUR) is often unnoticed until the patient is ready for discharge and cannot void. This could require catheterization and/or an extended stay. 61% of surgical outpatients have asymptomatic bladder distention and are unaware they need to void. Could changing our practice to focus on prevention of POUR make a difference for our patients? (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Lori Dager, Denise O ’Brien, Tracy Buetow Tags: ASPAN National Conference Abstract Source Type: research

Use of a Protocal Developed From Nursing Concern and Studies Regarding Partial Opioid Agonist/Anti-Agonist Medications and Other Illegal Substances in the Preoperative Patient to Prevent Adverse Operative and Post Operative Complications
Patients who consume illicit substances or in a pain management program may experience adverse reactions to anesthesia and difficulty with post-operative pain control. Identifying these patients pre-operatively allows for interventions aimed at optimizing anesthesia, post-operative pain control and preventing complications. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Tiffany Shope, Lora Dement, Jackie Knauff, Nicole Reese, Bridget Scott, Bethany Wheeler Tags: ASPAN National Conference Abstract Source Type: research

Sugammadex: Do the Benefits Outweigh the Cost?
Sugammadex is indicated for the reversal of moderate or deep neuromuscular blockade (NMB) by nondepolarizing neuromuscular blocker, a muscle relaxant. It can help reduce the risk of multiple side effects of general anesthesia and is useful for patients who have contraindications to neostigmine or succinylcholine. Administration in our 176-bed community hospital was considering adding sugammadex to the formulary for use in our post-anesthesia care unit, which sees approximately 5,500 surgical patients per year. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Heather Noble, Danielle Merritt Tags: ASPAN National Conference Abstract Source Type: research

A Multi-Modal Performance Improvement Project to Improve Nursing Education
The problem identified by the Perianesthesia nursing staff was that transitioning from a smaller facility to a larger one highlighted a knowledge gap for current RNs regarding the change in patient clientele and their comfort in caring for them. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Esther Lee, Maura Adams Tags: ASPAN National Conference Abstract Source Type: research

Pre-Anesthesia Screening: What ’s the Value?
Sharp Memorial Pre-Anesthesia Evaluation Services (PAES) provides coordination of care to surgical patients at three hospitals within an integrated health care delivery system. PAES screens nearly 17,000 patients annually. Great progress has been made toward standardizing work in the PAES department using the foundational question of “What's the value?” (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Leslie Barkley, Elizabeth Latoure, Vella Lagao-ybarra, Jeanne Palomo, Marie Bermudez Reyes, Rebecca Crane, Susan Londerholm, Angelica Orona, Heather Vogelhuber, Veronica Cortez Whiting Tags: ASPAN National Conference Abstract Source Type: research

Post Anesthesia Care Unit (PACU) Throughput Tracking: Decreasing Length of Stay
(Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Marie Andrea Enriquez, Amber Bullock, Maria Clarissa Park Tags: ASPAN National Conference Abstract Source Type: research

Eliminating Specimen Labeling Errors in Post Anesthesia Care Unit (PACU)
Inaccurately identified specimens can result in critical patient safety issues through delayed or wrong diagnoses, missed or incorrect treatments, blood transfusion errors, and the need for additional laboratory testing. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Lini Thomas, Joey Yap, Shirley Sabarre, Dawn Sullivan Tags: ASPAN National Conference Abstract Source Type: research

Patient Liaison - Bridging the Gap of Communication to Patients and Families
Consistency is critical in facilitating the admission process to the operating room (OR). In the Post Anesthesia Care Unit (PACU) we capture monthly data in relation to preoperative room delays and patient notification of these delays. Our target goal has been 90% or higher for patient notification of surgery delays. For fiscal year 2014 our score has remained on average 84% related to the inability of the preoperative staff being available to communicate with patients and families. Communication also affects our patient satisfaction scores. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Tesha Seabra, Bridgitte DeJesus, Alena Mascetta, Sol Briones Tags: ASPAN National Conference Abstract Source Type: research

Music Therapy: A PACU Evidence-Based Practice Project
Studies have shown approximately 80% of surgical patients will experience moderate to severe pain, and music during the post-operative period can reduce postoperative pain and anxiety.1,2 Controlling pain leads to improved patient satisfaction, improved wound healing, and decreases in hospitalization length and consequently reduction in healthcare costs.9 Music therapy is recommended by the Agency for Healthcare Research and Quality and is scientifically explained by several different theories.1,4,6 Orthopedics is often considered to be the most painful surgeries and being common surgery at Houston Methodist Sugar Land Hos...
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Fiona S. Smith Tags: ASPAN National Conference Abstract Source Type: research

Eliminating Medical Device-Related Pressure Ulcers (MDRPU) Caused by Continuous Blood Pressure Cuff Monitoring
Medical device related pressure ulcers (MDRPU) can cause harm and are often avoidable. Over a 5-month period, from March 2013 through July 2013, an increased trend in MDRPU caused by blood pressure (BP) cuffs was identified. The 9 identified injuries during this time frame were reported to the multi-disciplinary collaborative (Perianesthesia/Perioperative Skin Committee). (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Hillary Stamps, Lisa Owens, Kristine O ’Neill, Melanie Becker Tags: ASPAN National Conference Abstract Source Type: research

Identifying Patients ’ Level of Pain Preoperatively to Improve Postoperative Pain Management
NYU Langone Medical Center Pre-Admission Testing (PAT) team hypothesized, chronic pain patients undergoing elective surgery, are at risk for suboptimal, pain control if they did not receive preoperative pain consultation. In collaboration with NYULMC Center for Innovations in the Advancement of Care, we designed a quality improvement project to answer the following research question. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Jacqueline Connery, Dana Costanzo, Shirley Mauzoul, Patricia Sheehy-McCann Tags: ASPAN National Conference Abstract Source Type: research

Nurse-Anesthesia Collaboration in Preadmission Testing to Improve Efficiency and Reduce Costs
An efficient, high quality preadmission testing (PAT) process is vital for ensuring positive outcomes for surgical patients. As of 2008, there was no structured PAT process at Longmont United Hospital Centura Health (LUH). Preoperative testing was determined by individual surgeon preference, rather than by surgical risk, comorbidities, or best practice, often resulting in unnecessary testing. Preoperative testing was often not done until the day of surgery, putting patients at risk for unnecessary cancellations due to lab or EKG abnormalities, which are costly, and cause patient dissatisfaction. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Diane Brackin, Ruth Gwin, Linda Hirt Tags: ASPAN National Conference Abstract Source Type: research

Preoperative Screening for Obstructive Sleep Apnea: Enhancing Perioperative Safety
Nearly 25 million people in the United States suffer from obstructive sleep apnea (OSA). This serious under-recognized, under-diagnosed medical disorder is associated with significant comorbidities as well as increased perioperative risks. Therefore, preoperative screening for OSA using a validated OSA screening tool such as the STOP-Bang OSA screening questionnaire is imperative. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 23, 2017 Category: Nursing Authors: Mary Frances Mullins Tags: ASPAN National Conference Abstract Source Type: research