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

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