Periop Nursing

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March 2025
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Improved communication tools put PACU visitors at ease

About 8 years ago, Maine Medical Center (MMC) in Portland had a policy that required visitors to wait in the surgery waiting room at least 3 hours before being allowed to visit their loved ones. The postanesthesia care unit (PACU) nurse was not expected to communicate with the family while…

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By: OR Manager
October 19, 2017
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Effect of perceived stress and coping abilities on health of nurses

Editor's Note The combined influence of stress perception and perceived coping abilities affect the health and work performance of nurses, this study finds. Of 120 nurses surveyed, in general: 92% had moderate-to-very high stress levels 78% slept less than 8 hours per night 69% did not exercise regularly 63% consumed…

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By: Judy Mathias
September 19, 2017
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Fluid monitoring process helps bariatric surgery patients drink more water

Editor's Note A well-structured water distribution and documentation process helped bariatric surgery patients drink more water and improve postoperative outcomes, finds this study presented July 23 at the 2017 American College of Surgeons Quality and Safety Conference. The average baseline water intake for 12 patients was 381.5 mL during a…

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By: Judy Mathias
August 2, 2017
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Surgical ‘ICU boarders’ get less attention from physicians, caregivers

Editor's Note Surgical ICU patients boarding in alternative ICUs because of overcrowding are often seen at the end of rounds, receive fewer face-to-face assessments from physicians, and are given less bedside attention by ICU provider teams, this study finds. The researchers found that: caregivers spent about 16% less time on…

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By: Judy Mathias
June 20, 2017
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Avoiding blood wastage in the OR can improve bottom line

Keeping a close eye on implants that are opened and not used is one way OR leaders can track practices that add significantly to costs. But what about blood products? Blood taken to the OR and not used also can be costly. Although an individual unit of blood doesn't compare…

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By: Cynthia Saver, MS, RN
June 20, 2017
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New staffing schedule unclogs PACU bottleneck

Perioperative services is a key driver for financial performance, and efficient use of space and staffing is vital in the current era of declining reimbursement. A bottleneck in any of the three phases of surgery—pre-, intra-, and postoperative—can result in long delays as well as surgeon, anesthesiologist, and staff anxiety…

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By: Judith M. Mathais, MA, RN
May 17, 2017
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National Nurses Week is May 6-12

Editor's Note National Nurses Week is May 6-12, with May 12 celebrated as International Nurses Day in honor of Florence Nightingale’s birthday. National Nurses Week is celebrated annually to raise awareness of the important role nurses play in society. This year’s theme is “Nursing: The Balance of Mind, Body, and…

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By: Judy Mathias
May 2, 2017
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Causes, characteristics of ICU deaths

Editor's Note In this French study, the majority of ICU patients had at least one organ failure at the time of death. Of 698 patients analyzed, 84% had one or more organ failures and 89% required at least one organ support at the time of death. Deaths were considered unexpected…

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By: Judy Mathias
April 21, 2017
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DC hospital receives first Patient Blood Management Certification

Editor's Note The Joint Commission announced on March 22 that MedStar-Georgetown University Hospital in Washington DC received the first Patient Blood Management Certification by the Joint Commission and AABB (formerly known as the American Association of Blood Banks). The certification provides a third party evaluation of patient blood management programs…

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By: Judy Mathias
March 23, 2017
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Discontinuity of nursing care negatively impacts patient outcomes

Editor's Note In this study, discontinuity in nursing care was high and negatively impacted patient outcomes. The analysis of 3,892 medical-surgical inpatients found that discontinuity of nursing care declined from nearly 100% in the first 24 hours, to 70% at 36 hours, and to 50% by the 10th postadmission day.…

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By: Judy Mathias
March 22, 2017
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