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At least 1,099 records · Page 61Linked to original sources
PubMed1989

Delegating intraoperative activities. A pilot study.

The purpose of phase one of this descriptive study was to obtain information about the research process. We identified problems associated with the pilot and examined the feasibility of completing phase two of the study at the national level. The pilot provided insight into the weaknesses and strengths of the tool design. It also identified interesting trends and data regarding delivery of intraoperative nursing care. The pilot study supported the ultimate goals of the research project, and we plan to continue with phase two of the study. Further research is needed to substantiate the findings and solidify the implications for perioperative nursing.

Clinical Competence↗
PubMed1989

Occupational hazards in the OR. A historical perspective.

The area of research and prevention of occupational health hazards that affect operating room nurses has not been formalized. There are many devices and substances that present actual and potential dangers to OR nurses. Historically, more attention has been paid to the effect of these substances and equipment on the patients than the providers of the treatment. Further research is warranted in this area by OR and occupational health nurses.

Acquired Immunodeficiency Syndrome↗
PubMed1995

Clinical risk management in theatres. Professional practice: are you a team player?

Adverse patient outcomes in theatres are most frequently caused by a breakdown in the continuity of care as the patient moves through the operating theatre suite. The effective management of clinical risk of liability exposures requires a co-ordinated, integrated theatre process which focuses on providing safe, high quality patient care. This article will cover the main areas of concern to theatre nurses, ways of addressing the risk exposure and providing the best service for patients.

Humans↗
PubMedDate not supplied

Greening the OR: an Australian perspective.

1. Many hospitals in Australia have become proactive about environmental issues, including use of plastics, disposable drapes, and glutaraldehyde; laundering of linen; and disposal of waste. 2. Although some standards are not mandated (as in the United States), timely, comprehensive guidelines are being published. 3. Environmental advocacy demonstrates the resourcefulness and creativity of perioperative nurses, as well as a commitment to preserving the environment for future generations.

Australia↗
PubMed1991

Hepatitis A through E--current and future trends.

1. Five viruses have now been identified that each cause a different type of hepatitis, A through E. 2. The majority of people with viral hepatitis recover uneventfully; however, in some persons with HBV and HCV, a chronic carrier state develops that may persist for a lifetime. 3. Operating room nurses are at greatest risk for HBV if they are not immunized; they can prevent HBV by obtaining hepatitis B vaccine and adhering to standard OR practices plus using eye protection.

Hepatitis, Viral, Human↗
PubMed1978

Nursing care of the infant in surgery.

The operating room nurse, as an important team member, actively participates in the specialized care of the infant undergoing surgical intervention. Using the steps of the nursing process, he or she initiates the assessment preoperatively, collecting data about the health status of the patient. Based on these data, the nurse plans and prepares for the intraoperative phase and implements nursing actions while continuously and systematically reassessing the patient's condition and environment. In general, the most significant areas to consider in assessment, planning, and implementing care for infants undergoing surgical procedures are temperature regulation, fluid balance, readiness of the OR to receive the patient, prevention of infection, safe and reliable monitoring devices, careful tissue handling, and organization of priorities and interventions, especially to make efficient use of time.

Adaptation, Physiological↗
PubMed1997

Giant intracranial aneurysm obliteration using deep hypothermic circulatory arrest.

Giant intracranial aneurysms pose significant technical problems for the neurosurgical team. Because of the location and structure of these lesions, the risks associated with traditional surgical techniques are usually unacceptable. Although aneurysm clipping using deep hypothermic circulatory arrest was first described 30 years ago, it was nearly abandoned because of poor outcomes associated with the systemic and cardiac complications of extracorporeal circulation. Advances in cardiopulmonary bypass techniques have inspired renewed interest in the use of this method in surgery for intracranial aneurysm. Deep hypothermic circulatory arrest, using low-flow states, has yielded exceptional patient outcomes. This increasingly popular means of management provides unique challenges to the neurosurgical health care team. Understanding the pre-, intra-, and postoperative care of these patients is imperative for neurosurgical nurses of the twenty-first century.

Heart Arrest, Induced↗
PubMed1988

Evaluation of exposure to isoflurane (Forane): environmental and biological measurements in operating room personnel.

The concentration of isoflurane (Forane) in the ambient atmosphere was determined in 11 operating theaters of 5 hospitals in Italy. The concentration of isoflurane in the ambient air exceeds the recommended time-weighted average exposure levels (median value: 113 mumol/m3). Isoflurane was detected in the urine of 45 exposed subjects (anesthetists, surgeons, and nurses). A significant correlation was found between the isoflurane concentration in urine produced during the shift (Cu' nmol/l) and isoflurane environmental concentration (Cl' mumol/m3) (Cu = 0.243 X Cl + 3.712) (r = .90). The results show that the urinary isoflurane concentration can be used as an appropriate biological exposure index. The authors suggest a biological exposure index of 18 nmol/l (3.4 micrograms/l). This is the biological value obtained after 4 h of an average environmental exposure to 81 mumol/m3 (2 ppm).

Adult↗
PubMed1992

The resuscitation OR: priorities for the perioperative trauma nurse.

1. Bypassing the emergency department for resuscitation of the most severely injured patients has long been advocated. Rapid transport systems combined with the instant availability of OR facilities and trained trauma teams markedly decreased morbidity and mortality among these patients. 2. In many institutions, the resuscitation operating room is in the OR suite; others have built an operating room in the emergency department. The most radical approach is a self-contained trauma facility, complete with operating rooms, separate from the emergency department. 3. Awareness of priorities, continuous assessment and revision of priorities, defined roles, and multidisciplinary cooperation are important. Reduction of inventory and simplification of instrumentation are essential for a fast response.

Humans↗