Evidence Based Practice Education Initiative
Nurses commonly identify the need to improve clinical practices and rely on their own clinical expertise and experience to provide evidence to support change. There is a knowledge deficit related to the process by which existing clinical research is incorporated and utilized to promote and support practice improvements. Nurses are increasingly called upon to develop process improvements using evidence based practice (EBP) principles yet do not have the skills to initiate projects. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Margaret Netti, Denise O ’Brien, Toni Szpara, Tracy Buetow, Kristen Lemorie Tags: ASPAN National Conference Abstract Source Type: research

Implementation of a Cardiac Service Line
Nursing staff in the department recognized a need for additional education to care for cardiac patients. This included cardiac pathophysiology, anesthesia care post-procedure, and interventions performed in the Cath Lab. The Cardiac Service Line was developed through collaboration with bedside nursing staff, leadership, and the cardiac procedural team to meet the educational needs of staff and provide quality care for our cardiac patients and families. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Lauren Boston, Leigh Ann Chadwell, Lacie Favret, Jessica Jolly, Alison Israel, Sarah Mitchum, Rachel Mounts Tags: ASPAN National Conference Abstract Source Type: research

Providing Comprehensive Care to Patients with Epidermolysis Bullosa in the Perioperative Environment
The University of Minnesota Medical Center and Masonic Children ’s Hospital EB Center offers comprehensive multidisciplinary care to children with Epidermolysis Bullosa (EB). This is the only center in the United States to offer Bone Marrow Transplantation (BMT) as a treatment for EB. To determine candidacy, these patients come to the Operating Room to have th eir dressings fully removed, labs drawn, photographs taken and skin biopsies collected under general anesthesia. The child is transported to PACU and remains under sedation while dressings are reapplied, often a 2-3 hour process. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Emily Theis, Mary Briggs, Gretchen Lilja, Sarah Preusser, Elena Zupfer Tags: ASPAN National Conference Abstract Source Type: research

Leadership of Perioperative Quality Improvement Council
Our Perioperative Senior Director and Perianesthesia Nursing Director developed a Quality Council (QC). The QC consists of the Senior Director for Perioperative Services, Perianesthesia Nursing Director, 2 Clinical Educators from Operating Room (OR) and 2 Clinical Educators from Perianesthesia (PA). (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Esther Lee, JoAnn Daugherty, Thomas Hamelin Tags: ASPAN National Conference Abstract Source Type: research

Reimagine Health Care Leadership, Challenges and Opportunities in the 21st Century
Healthcare leaders face many challenges in redesigning the healthcare ecosystem of the 21st century. Important considerations include human capital (leaders and staff) management and cost control. Under hospital-wide, centralized services in Information technology (IT), material services (MS) and finance models, these support teams for Perioperative Services were disconnected from the frontline managers who needed data for quality improvement and monitoring budget and resource utilization. In this model, support staff and clinical managers took several days to communicate managers ’ needs, complete database searches ...
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Esther Lee, Thomas Hamelin, JoAnn Daugherty Tags: ASPAN National Conference Abstract Source Type: research

Visitation Guidelines in the PeriAnesthesia Setting: From Evidence to Practice Change
In the perianesthesia setting, the promotion of family-centered care includes visitation for the postoperative patient. A variety of nursing practices amongst nurses exist that lead to delays in family presence at the bedside. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Antoinette A. Zito, Bridget Simpson, Jennifer Spurlock, Tammy DiCarlo, Jennifer Jones, Ali Kalifoot, Amy Berardinelli Tags: ASPAN National Conference Abstract Source Type: research

Measures to Reduce Airway Events in PACU
In a large oncology Post Anesthesia Care Unit (PACU), nurses sought to evaluate interventions that could lead to a reduction in emergent airway events. A group of senior nurses collaborated with the Anesthesia Medical Director, Quality Improvement Specialist and clinical nurses to evaluate all airway events reported in PACU in fiscal year 2017. After reviewing the report, an airway-auditing tool was created, and, monthly action items for Team Members. Best practice guidelines were also established for monitoring patients for potential airway events in the PACU. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Staci Eguia, Jino Mathew, Sherly Koshy, Joy Manukot-Vito, Jocelyn Roan, Zosimo Tungpalan, Minaz Momin, Sheela Menezes, Kunjumol Saban Tags: ASPAN National Conference Abstract Source Type: research

“I’m a Same Day Surgery! Are you a Same Day Surgery? Who is a Same Day Surgery?” Streamlining the Same Day Surgery Workflow for Total Joints from a Preoperative Perspective
The staff of the following departments: Pre op, PACU, Phase II/Discharge, Hospital Posting/Scheduling (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Amanda Hill, Paula Gibbs, Kimberly Reed, Ann Hanshaw, Ruthie Rivera, Keisha Franks, Marquita Justice, Terri Moore, Jessica Alger, Amy Daniel, Anil Adiga, Dr. Mark Diehl, Matthew Grabowski, Margaret Holtz, Janie Mixon, Stephen Kim, Stanley Dysart, Vanessa Tags: ASPAN National Conference Abstract Source Type: research

The Innovative Role of an RN Regional Block Coordinator: Getting Patients There on Time
Evidence indicates that preoperative regional nerve blocks are an effective pain management strategy for the orthopedic surgery population. Patients who receive regional nerve blocks prior to undergoing orthopedic surgery indicate significantly lower pain scores and require less narcotic pain medication during the postoperative period. Research suggests that the implementation of a block nurse team increases patient safety, perioperative efficiency, and productivity while decreasing OR start time delays. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Leanne Davis, Alicia White, Marianne Truslow, William Manson, Sean Corbett, Ashley Shilling, Crockett Stanley, Mary Tyree Tags: ASPAN National Conference Abstract Source Type: research

Improving Safety and Handoff for the Fast Tracked Patient
Following an endoscopy procedure, most patients are fast tracked from the endoscopy suite to phase II. Some patients were returning to phase II from the endoscopy suite that had not achieved phase II status by evidence of decrease level of consciousness, difficult arousing, and unstable vital signs. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Tiffany LaCoste, Bethany Wheeler, Debbie Lewis, Jerry Klaiber, Jason Martin Tags: ASPAN National Conference Abstract Source Type: research

The Perioperative Flow Facilitator ’s Impact on Capacity Management
Facing continuously high hospital census, capacity management became the focus for maintaining surgical operations. The population served by Children ’s Hospital of Philadelphia (CHOP) in the surgical area includes Cases with complex medical histories and many co-morbidities. Given these complex considerations, the Perioperative Flow Facilitator (PFF) role was developed to positively influence coordination of care in the surgical department at the CHOP. (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

Acute Care Nurse Practitioners in the PACU
The Post-Procedural PACU of MGUH was opened in 2012. This unit was to be an extension of the PACU, built to take patients after IR and Catheterization Lab procedures. Because of the distance of the new unit from the main PACU, the need for in-house providers to manage emergent interventions, coordinate referrals and discharges, and prescribe urgent treatments or medications, became apparent. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Martha Beene, Arlis Jean Cihak Tags: ASPAN National Conference Abstract Source Type: research

Family Visitation During Phase 1 Recovery
Moffitt utilizes a family-centered care nursing model. Traditionally, families were not allowed to visit patients during Phase 1 recovery. This practice contributed to anxiety and dissatisfied family members as evidence by anecdotal feedback and survey results which prompted implementation of a process change. PACU nurses questioned family visitation during Phase 1 because of space limitations, privacy, concerns about confidentiality, and liability risks. After a systematic literature review, evidence showed decreased family anxiety with visitation. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Savannah Huss, Elesi Dzandza, Cindy Chytil, Melissa Davidson, Vanessa Bailey, Angela Sandberg, Angela M. Ellis Tags: ASPAN National Conference Abstract Source Type: research

Increasing Patient Satisfaction by Decreasing Turnaround Time for Lab Results
In the Post Anesthesia Care Unit (PACU), patients that need a cardiac catheterization require a sheath, which is a long narrow catheter that is inserted through the femoral artery. Due to the numerous blood thinners this patient population receives, they must remain flat due to their hypercoagulable state. Often these patients experience increased discomfort related to prolonged bedrest which leads to decreased patient satisfaction. Prior to sheath removal an Activated Clotting Time (ACT) level needs to be evaluated until a therapeutic value that has been determined by the physician has been reached. (Source: Journal of Pe...
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Ingrid Guerzon, Deborah Martin, Sarah Vy, Rusela DeSilva, Tesha Seabra, Alena Mascetta, Robin Reidy, Glenda Buranasombati, Jay Arcilla PI Tags: ASPAN National Conference Abstract Source Type: research

Nurse-Driven Early Identification of Post Operative Urinary Retention (POUR) in the Ambulatory Hernia Surgery Population
In the post-anesthesia care unit (PACU), successful urinary void trials are a discharge requirement for ambulatory hernia surgery patients. In many instances, patients are delayed from being discharged home despite meeting PACU criteria due to the inability to pass a void trial. Failed void trials can result in patients being admitted and/or having an indwelling catheter placed. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Angela Patruno, Toni Velasquez Tags: ASPAN National Conference Abstract Source Type: research

Fast Track to Rapid Recovery
Nurses in a high-volume outpatient orthopedic surgical unit at Houston Methodist Hospital (HMH) found that patients were being discharged from the operating room (OR) to Phase I meeting Phase I discharge criteria. Standard practice on the unit allowed for the patient to stay in Phase I for a minimum amount of time. This “sacred cow” practice resulted in staff shortages, OR turnover delays, increased patients’ length of stay (LOS), and increased LOS cost. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Barbara Harris, Ashleigh Arcaro, Chea Wallace Tags: ASPAN National Conference Abstract Source Type: research

Standardization of Nursing Electronic Documentation in the Perianesthesia Area
(Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Ellen M. Vigneau, Robert Veilleux, Karen Lane, Rita Senra Costa, Meghan McCue, Kathleen Laureano, Richelle Wesley, Jennifer McGoldrick, Lauren Dayton, Karen Foley Tags: ASPAN National Conference Abstract Source Type: research

Embracing New Family Visitation Guidelines in the Perianesthesia Unit
(Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Kathryn Geagan, Josette Renda, Julia Rodriguez, Robert Veilleux Tags: ASPAN National Conference Abstract Source Type: research

How to Train for the Unknown: Opening a New Ambulatory Center with a New Model of Care
New York-Presbyterian Healthcare System (NYP) built a new ambulatory center in 2018 – the David H. Koch Center (DHK). The new ambulatory surgery and endoscopy departments created a new model including pre-operative and post-operative services within the same architectural and geographical footprint. The new model of care meant that the registered nurses (RN) moving to the new dep artments would be working as pre-operative and post-operative nurses simultaneously. How can a perioperative department train RNs working in isolated environments to successfully and competently care for the perioperative patient comprehensi...
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Michelle Perregrini, Amanda Alfano, Peter Stoffan, Kellianne Morgan, Kerri Hensler Tags: ASPAN National Conference Abstract Source Type: research

Bundles for Barriers: An Evidence-Based Approach to Reduce PACU Length of Stay
The goal of ambulatory surgery at New York-Presbyterian/David H. Koch Center is to provide quality care that is cost-effective for our patients. The occurrence of minor adverse events can increase PACU length of stay. Eliminating and/or reducing the occurrence of adverse events can have positive effects for patient outcomes. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Cindy Delaine, Danisha Reeves, Peter Stoffan Tags: ASPAN National Conference Abstract Source Type: research

What a PAIN! Easing the PIV Insertion Process
In the perioperative department, the pre-operative phase of care involves many tasks – one of which is to place the peripheral intravenous catheter (PIV). Research has shown that stress in the preoperative phase causes delays and a reduction in on time starts therefore negatively affecting patient outcomes and the patient experience. Practice has shown that preparing for insertion of the PIV can elicit enough stress and anxiety in the patient to cause a vasovagal reaction. How can the pre-operative nurse help the patient through what is often reported to be the most-remembered and negative experience while remaining ...
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Nicole Geiger, Peter Stoffan Tags: ASPAN National Conference Abstract Source Type: research

Implementing an Algorithm for Improving Patient Experience with Procedural Delays or Prolonged Pre-Procedural Stays
Peri-anesthesia patients can have prolonged wait times. This increases anxiety. This also leads to staff dissatisfaction, who feel helpless to resolve it. The Perioperative Clinical Practice Council (PCPC) addressed this using FOCUS-PDCA and a task force. (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, Kurstin Thomas, Deborah Ralph, Heidi Phillips, Susan Ruiz Endoscopy, Antonio Lira, Kelly Marsh Hogue Tags: ASPAN National Conference Abstract Source Type: research

Giving Time Back to Nurses!: A Multidisciplinary Approach to Medication Reconciliation
At New York-Presbyterian Weill Cornell Medical Center, nurses facilitate medication reconciliation during the pre-operative assessment. In the pre-operative setting this collected information was transcribed onto a paper form leaving medication reconciliations incomplete, inaccurate, and unable to be verified or communicated with the patient ’s Electronic Medical Record (EMR). This process was improved by having the nurses (RN) input medication reconciliation directly into EMR. However, this proved to be tedious, lengthy and added significant time to the patient assessment interview. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Dawn Eliazarian, Jennifer Piper, Amanda Alfano, Kellianne Morgan, Peter Stoffan, Kerri Hensler, Mary Cassai, Leigh Efird, Yi Guan, Diana Kohlberg, Mouli Chakravarty, Joshua Choe Tags: ASPAN National Conference Abstract Source Type: research

Pediatric PACU Work Flow Improvement
Cleveland Clinic ’s pediatric PACU is a 10-bed unit that takes care of patients throughout all phases of surgery including pre-operative, Phase I and Phase II recovery. Daily census ranges from 20-25 patients. Patient acuity varies greatly from simple outpatient procedures to patients requiring intensive care unit . (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Michelle Levay, Erin Kampman, Megan Sumser Tags: ASPAN National Conference Abstract Source Type: research

Clinical Nurses Experience with being on a Clinical Research Team
Completing clinical research is a time intensive endeavor requiring specialized training and skills. Average time for research evidence to reach clinical practice is 17 years.1-4 This lag truly highlights the divide between clinical world and the research world. The American Credentialing Center recognizes clinical nurses ’ ability to participate in research through Magnet designation for hospitals that demonstrate nurse led research. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Elizabeth Card, Shannon Brooks, Clayton Freemen, Christy Loyd, Adesinasi Wuraola, Patricia Elizabeth Hall Tags: ASPAN National Conference Abstract Source Type: research

Increasing Recovery Room Utilization through a Merger of Ambulatory Surgery Units
Prior to January 2018, the hospital followed a traditional method for post-surgical recovery and experienced many Operating Room (OR) delays due to Recovery Room (RR). Patients were moved from the OR to the RR and then transferred to Day Surgery (DS) or Inpatient Unit. When RR reached capacity, the Registered Nurses (RNs) stopped accepting patients. With nowhere to transfer them, the OR was then forced to begin recovery care and not proceed with the next patient. Between July and December 2017, OR delays totaled 204 hours, an estimated cost to the organization of $113,000. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Marie Fulcher, Jane Harwood, Kathleen Kennedy, Christine Saby, Melaine Wistuba Tags: ASPAN National Conference Abstract Source Type: research

Going Paperless: Improving the Patient Admission and Registration Process
The New York-Presbyterian Weill Cornell Endoscopy Unit was responsible for registering patients upon arrival and completing the pre-procedure nursing assessment in multiple modalities including paper forms and computer applications. This led to repeat and inconsistent documentation. Several multidisciplinary teams were created to address (3) key focuses: decrease registration time, create an integrated electronic admission note, and reassign key roles. The registration process was improved by moving to electronic registration, centralizing the admitting department, and encouraging patient ’s to complete online pre-re...
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Kellianne Morgan, Kerri Hensler Tags: ASPAN National Conference Abstract Source Type: research

Patient Comfort Menu
New York-Presbyterian Hospital opened an outpatient ambulatory facility built with patient experience at the core. Opening the unit provided the opportunity to implement tailored patient care. Our main focus is to ensure patients feel comforted, welcomed and in control of their care. A patient comfort menu was designed and created by clinical nurses (RN) in the Pre/PACU at DHK Endoscopy. Research shows that patients can sense they are in good and competent hands if their care is effectively coordinated and there is attention to individual needs. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Samantha Sherding, Janet Ben-Shmuel, Juliana Arroyave, Kellianne Morgan, Kerri Hensler Tags: ASPAN National Conference Abstract Source Type: research

Improving the Endoscopy Patient ’s Understanding of Recovery
The Division of Gastroenterology (GI) has expanded the type of outpatient procedures performed at New York Presbyterian. As evidenced by poor patient satisfactions scores in the discharge domain of the OAS-CAHPS, we identified an opportunity to improve and specialize procedure discharge instructions. Previous discharge instructions were formatted in a free text, handwritten style, resulting in a lack of clarity, details, and comprehension. Procedure specific discharge instructions can increase patients ’ comprehension of post procedure information, therefore increasing patient satisfaction. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Jill B. Cohen, Kellianne Morgan, Kerri Hensler Tags: ASPAN National Conference Abstract Source Type: research

Surgical Service Pamphlet for Same Day Surgery Patients: A Helpful Tool to Diminish Anxiety for Patients and Their Families
Patients arriving for surgery experience anxiety related to their impending procedure and the lack of understanding in navigating their surgical pathway. Expectations of patients and their families were found to be very different from the reality of the routine flow for Same Day Surgery (SDS). Staff noted that patient and family anxiety increased when expected timeframes were misunderstood or there was a lack of knowledge in navigating the day of surgery. Press Ganey results also revealed patient dissatisfaction regarding information provided. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Audrey McFadden, Sallie Williams, Karen Nunn, Judith Conner, Debbie LaRosa, Precy D ’Souza Tags: ASPAN National Conference Abstract Source Type: research

Home Care Instruction for Eye Surgery – Using Health Literacy Best Practices
Health literacy is a well-established best practice that nurses can use to provide home care instructions post hospital stay. It is an excellent place to start, especially given the intensity of care, complexity of medications and importance of patient adherence. Nurses provide extensive information in a condensed period of time about how to take acre at home. With the anxiety of surgery, potential side effects of anesthesia and the time limitations of an outpatient setting, there is greater risk for patients being unprepared when they leave our care. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Jennifer Reynolds Tags: ASPAN National Conference Abstract Source Type: research

Improving Care of Children and Young Adults after ACL Surgery: Implementation of Best Practice
Opioid overprescribing after surgery and lack of knowledge about proper disposal of excess opioids may contribute to opioid misuse and overdose through medication availability. A recent study of adolescents and young adults (AYA) following anterior cruciate ligament (ACL) reconstruction (Taylor, Killilea, Dugan-Frost,& Solodiuk, 2017) reported that patients (N=100) used only 36% of prescribed oxycodone and 30 tablets of 5mg oxycodone would be adequate for most. Alarmingly, 65% of patients/families reported not knowing what to do with the remaining oxycodone tablets. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Teri Dugan-Frost, Nicole Taylor, Shannon Frick, Samantha Killilea, Patricia A. Dwyer, Jean C. Solodiuk Tags: ASPAN National Conference Abstract Source Type: research

Tell Me More
Communication with our patients and families at the Ambulatory Surgery Centers helps create a positive experience while maintaining a patient/family centered environment. With ongoing questions regarding the flow of the surgical day from these families, one of our Ambulatory Surgery Center committee ’s realized the need for a tool to convey this information at the most opportune time. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Jaclyn Ivy, Kim Platt, Sharon Knauss, Sharon Hayes, Francisco Boneta, Nancy Mancine, Pamela Myers Tags: ASPAN National Conference Abstract Source Type: research

Use of a Discharge Information Sheet to Improve the Patient Experience Leading to Increased OAS CAHPS Scores in an Ambulatory Surgery Center
Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and System (OAS CAHPS) scores measure the patient experience with surgery performed at a hospital based outpatient surgery department or a free standing ambulatory surgery center. This survey contains 37 questions, within the domains of facilities and staff, communication about procedure, preparations for discharge and recovery, overall rating of surgery center and willingness to recommend. The scores in the discharge domain, were not where they needed to be. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Michelle Pedalino, Susan Miller, Gloria Collura, Maureen Early-Donohue, Ellen Carpenter, Michelle Williams Tags: ASPAN National Conference Abstract Source Type: research

Live from New York – It’s Pre-Op Instructions!
Breast surgery patients go to a myriad of appointments unseen by the PACU staff. Nuclear Medicine, Mammography, Ultrasound, Seed Placement, Clip Placement, Imaging, Biopsies and consultative appointments all occur prior to being booked for surgery. In a time where the patient experience matters most, focus needs to be given to the patient population undergoing the most amount of pre-surgical, stressful appointments. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Alison Horan, Amanda Alfano, Martha Adair, Joan Leonard Tags: ASPAN National Conference Abstract Source Type: research

The B-Link System: A British Best Practice Becomes a Nursing-Led Innovative Program in the United States
In 2017, the Einstein Healthcare Network (EHN) Surgical Services Nursing Shared Governance Committee ( “Surgical Cluster”) challenged the accepted practice of rinsing indwelling urinary catheter drainage bags daily with a vinegar/bleach solution. Surgical Cluster deemed the practice as a “sacred cow”, a tradition not based in evidence. Utilizing evidence-based decision-making, the team of cli nical perioperative nurses collaborated with a large patient engagement corporation to eliminate unnecessary rinsing from discharge instructions in the electronic medical record. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Robert Haney, Robert Levin, Maureen McClellan, Joanne Matulewitz, Diane Newns, Teresa Bolden, Coleen Zisa, Karen Schwartz Tags: ASPAN National Conference Abstract Source Type: research

Best Practice in Supporting Parents Witnessing Emergence Delirium in the PACU
Emergence delirium (ED) is described as a mental disturbance seen during recovery from general anesthesia. ED is characterized by disorientation manifested by moaning, restlessness, and/or involuntary thrashing (Kain et al., 2004). ED is a common occurrence in pediatrics. In support of family centered care, parents/caregivers are brought to the PACU shortly after their child ’s arrival from the operating room. Although this approach promotes parental involvement, parents often observe their child experiencing ED. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Susan Repucci, Susan O ’Leary Tags: ASPAN National Conference Abstract Source Type: research

Saving the Best for Last: Identifying and Intervening in Local Anesthetic Toxicity Emergency
Local anesthetic systemic toxicity (LAST) is a rare, but serious complication to local anesthesia that can be potentially fatal. Prompt recognition and intervention is critical for the best patient outcome, however, there is a lack of ability to recognize the signs and symptoms of LAST, along with a lack of knowledge of interventions in the post anesthesia care unit (PACU). (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Sasha Ramirez, Biji Chirrapattu, Donna Conde, Precious Byrd Tags: ASPAN National Conference Abstract Source Type: research

Pediatric Perioperative Education: Are We Doing Enough at Geisinger Health System to Prepare our Pediatric Patients and Their Families for Surgery?
This EBP poster explores pediatric and family anxiety in association with surgical procedures. Review and reflection of current practices at Geisinger Health System compared to top performing children ’s hospitals in the U.S. Concluding with best practice recommendations for practice change. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Amanda Wertz, Aimee Hess Tags: ASPAN National Conference Abstract Source Type: research

An Evidenced Based Practice Approach to Malignant Hyperthermia (MH) Emergency Response: A Multidisciplinary Quality Improvement Initiative
Malignant Hyperthermia (MH) is a rare medical emergency that may occur after receiving anesthetics. The Malignant Hyperthermia Association of the United States advises all medical facilities to be prepared for prompt diagnosis and immediate treatment response, in order to prevent mortality and reduce morbidity. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Antonella Mossa Tags: ASPAN National Conference Abstract Source Type: research

An Exploration of Postoperative Delirium and Unplanned Perioperative Hypothermia in Surgical Patients
Postoperative delirium (POD) may impact 72% of surgical patients and has been associated with increased hospital length of stay, one-month mortality, post-acute discharge to long-term care, and a higher probability of developing dementia. These adverse events contribute to significant increases in healthcare costs. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: V. Doreen Wagner, Vallire Hooper, Andrew Johnson, Kaitlyn Bankieris Tags: ASPAN National Conference Abstract Source Type: research

Development of a Discharge Scoring Tool in the Post Anesthesia Care Unit
Current criteria at MSKCC for discharging a patient from the Post Anesthesia Care Unit (PACU) depends on clinical judgement and several variables. Patients are often kept in the PACU for a specific amount of time without supported evidence. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Robell Calucag, Desire é Serfaty-Sokoli, Maureen Diver, Kristyn DiFortuna, Kathleen Lamb, Jane Murphy, Francine Osikowicz Tags: ASPAN National Conference Abstract Source Type: research

Multisession Education Improves Nurses ’ Knowledge and Confidence for Malignant Hyperthermia Crisis
Malignant hyperthermia (MH) is a rare genetic skeletal muscle disorder that when a patient is exposed to volatile inhalation agents and/or succinylcholine, can cause a potentially lethal condition. It is important to educate PACU nurses to foster confidence and preparedness when working with these patients. Prompt recognition and treatment is paramount for a patient to survive a MH crisis. Previous staff education has proven effective in enhancing nursing knowledge and led to positive patient outcomes. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Hazzel H. Gomez, Barbara J. Crim Tags: ASPAN National Conference Abstract Source Type: research

Increasing Competence of PACU RNs Responding to Code Blue
Cardiopulmonary arrest (Code Blue) remains a high risk, low frequency event in Post-Anesthesia Care Units (PACUs). Literature denotes that healthcare facilities should implement Code Blue refresher programs to bridge the gap amid initial and recertification of Advanced Cardiac Life Support (ACLS) and Basic Life Support (BLS) skills due to the loss of knowledge in as little as two weeks after certification. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Ayumi Fielden, Pamela Northrop, Laura Ortiz, Xavia Holmes-Fuller Tags: ASPAN National Conference Abstract Source Type: research

PACU Critical Care Program: Increasing Preceptor Knowledge and Confidence to Foster Future Generations of RNs
An academic medical center ’s Post-Anesthesia Care Units (PACU) have increased bed space due to increasing surgical volume, patient acuity, and lack of Intensive Care Unit (ICU) beds. Often patients in the PACU require ICU care, requiring an increased stay in PACU due to increased monitoring requirements and medical interve ntions to stabilize patients postoperatively. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Ayumi Fielden, Laura Ortiz, Pamela Northrop, Holly Rodriguez Tags: ASPAN National Conference Abstract Source Type: research

Bedside Handoff Between the Peri-Anesthesia Care Unit and Medical-Surgical Unit
This evidenced-based practice (EBP) project was instituted after noting many rapid response activations (RRT ’s) on the medical-surgical unit in a community hospital in the greater Boston area. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Ann-Marie Bermingham Tags: ASPAN National Conference Abstract Source Type: research

Pain, Nausea and …Thirst?
Literature shows that the thirst sensation is often among the top patient complaints in ICU settings. While the Post Anesthesia Care Unit (PACU) is a comparable space, there is little available information on evaluating and treating thirst there. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Joni Lauri Tags: ASPAN National Conference Abstract Source Type: research

Implementing Sepsis-3 and the qSOFA in Ambulatory Services
Sepsis-3 and the Quick Sequential Organ Failure Assessment (qSOFA) was released in 2016. A large university healthcare system implemented Sepsis-3 education and a qSOFA best practice alert (BPA) trial in Ambulatory Services (AS). (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Debra Malone Tags: ASPAN National Conference Abstract Source Type: research

Effect of Prewarming on Inadvertent Hypothermia and Thermal Comfort
Inadvertent perioperative hypothermia (IPH), where core body temperature is less than 36 °C or 96.8°F, occurs in 26-90% of patients undergoing elective surgery. This preventable anesthesia- and surgery-related complication affects patients’ outcome and is associated with increased risk for surgical site infections (SSIs), bleeding, blood transfusions, and decreased patient thermal c omfort. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Kathryn Mercado, Denise Rainier, Adrianna Medina, Marci Trump, Janeen Lozada, Peggy Kalowes Tags: ASPAN National Conference Abstract Source Type: research

Interactive Text Notification of Arrival Times for Pediatric Surgery Patients
Parents of pediatric patients admitted from home for surgery historically were directed to call for their arrival time between 3:30-6:00 p.m. the last business day prior to surgery. Calls are automatically directed to 3 minute recorded review of need to know information prior to speaking with an agent to receive their arrival time and respond to any questions. (Source: Journal of PeriAnesthesia Nursing)
Source: Journal of PeriAnesthesia Nursing - July 31, 2019 Category: Nursing Authors: Susan N. Kamerling, Linda C. Lawler Tags: ASPAN National Conference Abstract Source Type: research