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Developing an OR Environmental Rounds Protocol to Ensure a Safe Environment of Care AORN J. (IF 0.9) Pub Date : 2024-03-27
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The Effectiveness of Perioperative Nursing Interventions for Surgical Site Infection Prevention in Orthopedic Surgery AORN J. (IF 0.9) Pub Date : 2024-03-27
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Decreasing Emergency Department Visits After Surgery Among Patients at Risk for Postoperative Urinary Retention AORN J. (IF 0.9) Pub Date : 2024-03-27 Margaret M. Manning
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Enhancing Health Literacy AORN J. (IF 0.9) Pub Date : 2024-03-27 Carolyn Cutilli, Sarah A. Christensen
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75 Years of Greatness: Together We Rise AORN J. (IF 0.9) Pub Date : 2024-03-27 Nakeisha M. Tolliver
Events of the last four years have highlighted nursing's significant impact on the world, our communities, and health care as a whole. After navigating the coronavirus pandemic, it is clear that the health care landscape has changed forever. As perioperative nurses, it is time for us to use our collective voices to help shape the future of nursing and patient care by solidifying our priorities and
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Implementation of a Blended‐Learning Perioperative Nursing Education Program in Canada AORN J. (IF 0.9) Pub Date : 2024-03-27 Jack S. Li, Aaron Conway
Governmental COVID‐19 mandates in Ontario, Canada, resulted in a backlog of perioperative procedures. Organization leaders were required to expand services after the pandemic; however, the ongoing nursing shortage and college‐based structure of perioperative education programs complicated their response. In 2021, we developed an in‐house perioperative education program using a blended‐learning theory
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A Randomized Controlled Trial of Povidone‐Iodine Versus Chlorhexidine Gluconate With Isopropyl Alcohol for Preoperative Vaginal Antisepsis AORN J. (IF 0.9) Pub Date : 2024-03-27 Debra Dunn, Kara Yannotti, Andrea Centrella‐Nigro, Stacy Correa, Denise O'Dea, Sandra Wiley
Many surgeons request use of 10% povidone‐iodine (PI) for vaginal antisepsis; however, when PI is contraindicated, some surgeons request use of chlorhexidine gluconate (CHG) instead. The purpose of this randomized controlled trial was to determine any significant differences in self‐reported symptoms associated with vaginal antisepsis with either 10% PI scrub or 4% CHG with 4% isopropyl alcohol. The
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Guidelines in Practice: Manual High‐Level Disinfection AORN J. (IF 0.9) Pub Date : 2024-03-27 Jennifer Speth
There are several steps involved when performing high‐level disinfection (HLD) of semicritical devices. The recently updated AORN “Guideline for manual high‐level disinfection” provides perioperative nurses with evidence‐based best practices for performing safe and effective HLD of reusable semicritical items. The guideline also addresses preventing injury to patients and health care workers associated
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Clinical Issues — April 2024 AORN J. (IF 0.9) Pub Date : 2024-03-27 Karen deKay, Zach Swartz
THIS MONTHCell phone cleaningKey words: electronic device, disinfect, hand hygiene, bacteria, cell phone.Laundry facility accreditationKey words: linen, laundering, inspection, accreditation standards, Healthcare Laundry Accreditation Council (HLAC).Cleaning hybrid OR floor tracksKey words: hybrid OR, between‐patient cleaning, terminal cleaning, maintenance, tracking system.Nail coverings in the perioperative
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Making My Mark as AORN President AORN J. (IF 0.9) Pub Date : 2024-02-26 Elizabeth S. Pincus
This year has flown by, and it is bittersweet that I must write my final President's Message column. Being the 61st AORN President is the professional honor of a lifetime, and I am excited to reflect on my year as I prepare to pass the torch. Attending meetings and conferences, representing our 45,000 members, and advocating for the perioperative nursing specialty entails great responsibility and accountability
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Sharing Perioperative Nursing Expertise Through Publication: A Guide for the Novice Author AORN J. (IF 0.9) Pub Date : 2024-02-26 Rebecca Vortman, Pamayla E. Darbyshire, Ray‐an Talatala
Perioperative nurses can share their expertise by writing for publication in a peer‐reviewed journal. Writing can help perioperative nurses grow their professional careers and advance the science of the perioperative nursing specialty. Despite the value and importance of publishing, perioperative nurses may lack confidence and fear rejection and negative feedback; increasing their knowledge and understanding
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Encephaloduroarteriosynangiosis Procedure: A Treatment Option for Patients With Moyamoya Disease AORN J. (IF 0.9) Pub Date : 2024-02-26 Beth Karasin, Marissa Boyce, Monica Kleban, Jonathan Hancock, Gina Rizzo, Tara Hardinge, Lauren Eskuchen, Johanna Watkinson, Elizabeth Gold
Moyamoya disease is a progressive cerebrovascular disorder for which there is no cure. It is characterized by narrowing of and occlusions in the blood vessels that supply the brain, which causes a fine vascular network to develop to serve as collateral pathways. Moyamoya disease can lead to a reduction of blood flow to the brain and increase the risk of stroke. Patients with moyamoya disease may present
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Factors Affecting Perioperative Nurse Adherence to Ergonomic Safety Measures AORN J. (IF 0.9) Pub Date : 2024-02-26 Susan Letvak, Brandi Apple, Marjorie Jenkins
AORN has identified safety risks unique to the perioperative setting and has developed ergonomic safety measures to help prevent musculoskeletal injuries and disorders. Little is known about adherence to these safety measures or the perceived barriers and facilitators to adherence. This study used a cross‐sectional survey to determine the prevalence of pain and occurrence of musculoskeletal injuries
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Factors in the Perioperative Nurses’ Work Environment That Predict Work Engagement AORN J. (IF 0.9) Pub Date : 2024-02-26 M. Imelda Wright, Shuying Sha, Lynne A. Hall, Brittany Hessler
Perioperative nurse engagement and certification are associated with a culture of safety, which is crucial in perioperative environments. Therefore, examining relationships between engagement, the practice environment, and certification is warranted. The purposes of this study were to examine the relationships between the perioperative practice environment and reported nurse engagement, determine differences
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Preventing Wrong‐Side Surgery AORN J. (IF 0.9) Pub Date : 2024-02-26
Editor's note: All names have been changed to protect the privacy and anonymity of the individuals, teams, and facilities involved.
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Sustainability in the Perioperative Practice Setting AORN J. (IF 0.9) Pub Date : 2024-02-26 Erin Kyle
Climate change1, 2 and climate justice2—which addresses the social, racial, environmental, multispecies, and economic aspects of the climate crisis3—and their relationship with health are urgent issues that require nurses’ attention.1, 2, 4 The American Nurses Association,2 the International Council of Nurses,5 the World Health Organization,6 the American Society of Anesthesiologists,7 and AORN1 believe
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Clinical Issues — March 2024 AORN J. (IF 0.9) Pub Date : 2024-02-26 Emily Jones
THIS MONTHExoskeleton use in the ORKey words: exoskeleton, exosuit, ergonomics, musculoskeletal injury, fatigue and pain.The Revised National Institute for Occupational Safety and Health Lifting EquationKey words: ergonomic risk, Revised NIOSH Lifting Equation (RNLE), lifting index (LI), load, lifting task.Surgical smoke safety during transurethral resection of the prostate proceduresKey words: surgical
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News Briefs AORN J. (IF 0.9) Pub Date : 2024-02-26
Fourth Survey and Report on Nurse Wellness Released As part of its Pulse on the Nation's Nurses Survey Series, the American Nurses Foundation and American Nurses Association has released its fourth mental health and wellness survey and report, the goal of which is to obtain data to inform decisions about how to support nurses. The survey, which included more than 7,000 nurses, identified that 56% of
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Whole‐Room Disinfection Using Germicidal Light AORN J. (IF 0.9) Pub Date : 2024-02-26 Lisa Croke
The electromagnetic spectrum includes ultraviolet (UV) light, which has a wavelength of 100 to 400 nanometers (nm), and visible light, which has a wavelength of 400 to 760 nm.2 “The UV spectrum from 200 nm to 400 nm, as well as visible light up to a wavelength of 405 nm, are considered to be germicidal,” said Arthur Kreitenberg, MD, clinical professor and orthopedic surgeon, University of California
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Creating Specialty Leads in an Ambulatory Surgery Center to Improve Efficiency AORN J. (IF 0.9) Pub Date : 2024-02-26
Periop Briefing interviewed Tabitha Hoffman, MSN, RN, RNC-OB, NPD-BC, clinical education specialist, WellSpan Apple Hill Surgical Center, York, Pennsylvania, about a project to create a specialty lead role to improve communication, teamwork, efficiency, and preparedness.
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Best Practices for Surgical Smoke Evacuation and Filtration AORN J. (IF 0.9) Pub Date : 2024-02-26
Surgical smoke is produced when surgical energy devices, such as electrosurgical units, lasers, and high-speed powered instruments, are used on tissue. It has been reported to contain toxic compounds (eg, hydrogen cyanide, benzene), bioaerosols, viruses (eg, human immunodeficiency virus), viable cancer cells, particles, blood fragments, and bacteria. Perioperative personnel, including surgeons, nurses
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Making Your Mark Through Lifelong Learning AORN J. (IF 0.9) Pub Date : 2024-01-26 Elizabeth S. Pincus
Continuing our education is part of our responsibility as professional perioperative nurses. We are in a specialty in which the only constant is change. Since my first years in practice, I have seen the number of minimally invasive and robotic surgeries increase. Technological advances continue to boom, and the frequency of hearing “tie…tie…scissors” in the OR has diminished. To maintain up-to-date
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The Immeasurable Impact of Education AORN J. (IF 0.9) Pub Date : 2024-01-26 Jennifer L. Fencl
When I was in elementary school, I wanted to be a teacher when I grew up. I vividly recall the hours upon hours that I spent pretending to be a teacher for all my stuffed animals and toys or my imaginary classroom full of inquisitive students, and even at times, my younger brother. I also remember being the student who eagerly volunteered to be the teacher's helper and would bring back the techniques
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AORN Global Surgical Conference & Expo 2024 Speaker Interviews AORN J. (IF 0.9) Pub Date : 2024-01-26
Each year, AORN strives to provide the very best in perioperative nursing education at its annual meeting. At the AORN Global Surgical Conference & Expo 2024, attendees will receive continuing education that focuses on current issues and trends, evidence-based practice and research, and health care initiatives relative to the advancement of perioperative practice. Several of the distinguished speakers
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Forum and House of Delegates Agenda AORN J. (IF 0.9) Pub Date : 2024-01-26
1st FORUM Sunday, March 10, 9:30 to 10:30 AM Roll Call Membership Update Update on Facilities Using Introduction to Perioperative Nursing, Including Chamberlain University AORN Foundation
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Innovative and Effective Education Strategies for Adult Learners in the Perioperative Setting AORN J. (IF 0.9) Pub Date : 2024-01-26 Laura Ward, Abby Gordon, Allyson Kirkman
Ongoing nursing education is vital for keeping nurses’ knowledge and skills current and promoting positive patient outcomes. Providing meaningful, quality nursing education in the perioperative setting requires the development and implementation of innovative and effective teaching strategies. Adult learning theory is complex, and it can be challenging to engage multigenerational perioperative staff
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Implementing a Standardized Phase-of-Care Craniotomy Education Program AORN J. (IF 0.9) Pub Date : 2024-01-26 Christina Watford, Jennifer Fencl
Leaders at a community hospital in the southeastern United States sought to add a craniotomy program to meet the needs of the local patient population. Perioperative and critical-care nurses required specific knowledge and skills to care for patients undergoing craniotomy procedures. The facility's education team applied adult learning theories and an innovation diffusion framework when developing
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Leveraging Clinical Ladder Nurses to Support an Education Program on Intraoperative Cell Salvage for Obstetric Patients AORN J. (IF 0.9) Pub Date : 2024-01-26 Laura Ward
Postpartum hemorrhage continues to be a leading cause of maternal morbidity and mortality in the United States. With the use of appropriate screening tools and treatment modalities, most of these deaths are preventable. Various interventions are used to prevent and treat postpartum hemorrhage, though intraoperative cell salvage historically has been contraindicated in the obstetric setting. This article
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Creating a Just Culture in the Perioperative Setting AORN J. (IF 0.9) Pub Date : 2024-01-26 Katie Hooven, Gerry Altmiller
There has been an increased perioperative focus on avoiding adverse events and providing safe patient care since To Err Is Human: Building a Safer Health System published in 2000. Adverse events continue to occur in perioperative areas and are likely underreported. The interdisciplinary nature and high cost of perioperative care may discourage personnel from speaking up for fear of retribution and
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Managing a Multigenerational Workforce AORN J. (IF 0.9) Pub Date : 2024-01-26
Additional Resources for Aspiring Leaders Ferriss T. Tools of Titans: The Tactics, Routines, and Habits of Billionaires, Icons, and World-Class Performers. Boston, MA: Houghton Mifflin Harcourt; 2016. Ferriss T. Tribe of Mentors: Short Life Advice From the Best in the World. Boston, MA: Houghton Mifflin Harcourt; 2017. Nursing Management Podcast. Wolters Kluwer. Accessed October 30, 2023. https://podcasts
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Preventing Local Anesthetic Systemic Toxicity After Administration of Long-Acting Local Anesthetics AORN J. (IF 0.9) Pub Date : 2024-01-26 Vonda L. Davidson, Meaghan C. McGrath, Sara Navarro
Adequate pain management is one of the most important aspects of postoperative patient care and can be challenging to achieve. Study results involving 1,014 patients who underwent procedures in a variety of specialties (eg, general, orthopedic, neurosurgery, gynecology) showed that more than half of the patients reported moderate-to-severe pain the day after surgery.1 Researchers who studied pain after
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Clinical Issues — February 2024 AORN J. (IF 0.9) Pub Date : 2024-01-26 Julie Cahn
Retaining count sheets in the patient's medical record
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Systematic Review and Meta-Analysis of Prehabilitation for Orthopedic Surgery AORN J. (IF 0.9) Pub Date : 2024-01-26
Punnoose A, Claydon-Mueller LS, Weiss O, Zhang J, Rushton A, Khanduja V. Prehabilitation for patients undergoing orthopedic surgery: a systematic review and meta-analysis. JAMA Netw Open. 2023;6(4):e238050. https://doi.org/10.1001/jamanetworkopen.2023.8050
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News Briefs AORN J. (IF 0.9) Pub Date : 2024-01-26
Survey Finds That Medication and Supply Shortages Are Harming Patients ECRI and the Institute for Safe Medication Practices have released findings from a survey of 200 pharmacists and pharmacy technicians, procurement specialists, physicians, and nurses on shortages of medications and medical supplies and equipment and their effect on patient care; 86% of the respondents worked in hospitals. Overall
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Guideline for Surgical Attire AORN J. (IF 0.9) Pub Date : 2024-01-26 Lisa Croke
The updated AORN “Guideline for surgical attire” provides recommendations for wearing surgical attire (ie, long sleeves, lab coats, head coverings, shoes) in semirestricted and restricted areas; laundering scrub apparel; and cleaning identification badges, stethoscopes, and personal items (eg, backpacks, briefcases, cell phones, tablets).1 “AORN hopes that this updated guideline can help reduce the
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Support and Recovery Strategies for Second Victims AORN J. (IF 0.9) Pub Date : 2024-01-26 Lisa Croke
One main goal for perioperative team members is to avoid complications for their patients; however, medical errors and adverse events can occur as a consequence of human fallibility. Such errors and adverse events can result in patient harm or death; this makes patients the “first victim.” In addition to the patient, three other groups also can be considered victims of an error or adverse event: health
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Considerations for Selecting a Decolonization Strategy AORN J. (IF 0.9) Pub Date : 2024-01-26
Approximately 30% of people are colonized with Staphylococcus aureus on their skin and in their intranasal cavities. Patients with S aureus colonization have up to a nine times greater risk of developing a surgical site infection than patients without S aureus colonization. Decolonization, which aims to decrease the bacterial load on a patient's body and in their nares, can effectively decrease this
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AORN Global Surgical Conference & Expo 2024 Speaker Interviews AORN J. (IF 0.9) Pub Date : 2023-12-27
Each year, AORN strives to provide the very best in perioperative nursing education at its annual meeting. At the AORN Global Surgical Conference & Expo 2024, attendees will receive continuing education that focuses on current issues and trends, evidence-based practice and research, and health care initiatives relative to the advancement of perioperative practice. Several of the distinguished speakers
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Guideline Quick View: High-Level Disinfection AORN J. (IF 0.9) Pub Date : 2023-12-27
The AORN Guideline Quick View is a key component of Guideline Essentials, a suite of online implementation tools designed to help the perioperative team translate AORN's evidence-based guidelines into practice. Each Guideline Quick View highlights important elements of the full guideline and includes images, implementation steps, and the rationale for why these steps are important to promote safety
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Making Your Mark Through Supporting the Nursing Pipeline AORN J. (IF 0.9) Pub Date : 2023-12-27 Elizabeth S. Pincus
The nursing shortage has been a topic of discussion for decades. As Baby Boomers retire and many nurses choose to leave the bedside or the profession entirely, we are not bringing in new nurses as quickly as we are losing experienced ones. In addition, there are challenges in faculty and clinical instructor recruitment in academia. As a result, the pipeline of new nurses is less robust than we would
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AORN Board of Directors AORN J. (IF 0.9) Pub Date : 2023-12-27
President Elizabeth Pincus, MSN, MBA, RN, ACNS-BC, CNS-CP, CNOR, clinical nurse specialist, Stanford Health Care, Palo Alto, CA President-elect Nakeisha Tolliver, DNP, MBA, RN, NE-BC, CNOR, CSSM, director, Perioperative Services, Texas Children's Hospital Pavilion for Women, Houston, TX Vice President Darlene B. Murdock, MSN, BBA, RN, CNOR, CSSM, clinical staff nurse IV, Memorial Hermann Texas Medical
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AORN Nominating Committee AORN J. (IF 0.9) Pub Date : 2023-12-27
Chair, Hung-Fu “Charlie” Lin, MSN, APRN, NP-C, CNOR, CNAMB, nurse practitioner/RN first assistant, Pediatric Otolaryngology, Stanford Medicine Children's Health, Palo Alto, CA Natalie B. Jones, DHA, MBA, BHSA, BSN, RN, CNOR, perioperative director/healthcare administrator, NBJ Healthcare Consulting & Management Company, Coconut Creek, FL Daphny Peneza, MSN, RN, CNOR, CSSM, FAORN, perioperative services
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Slate of Candidates and Voting Procedures AORN J. (IF 0.9) Pub Date : 2023-12-27
The names of the candidates for the 2024 national election appear on the ballot to the right. Officers, members of the Board of Directors, and members of the Nominating Committee (NC) will be elected by electronic ballot by members in good standing with voting rights as defined in Article III of AORN's bylaws. Voting opens on February 10, 2024, and closes at midnight on March 11, 2024. Members can
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Candidate Biographical Information and Election Statements AORN J. (IF 0.9) Pub Date : 2023-12-27
PRESIDENT-ELECT (ONE TO BE ELECTED) Darlene B. Murdock, MSN, BBA, RN, CNOR, CSSM, is a clinical staff nurse IV at Memorial Hermann Hospital-Texas Medical Center, Houston, Texas. She earned an associate degree of technology in data processing from Jones County Junior College, Ellisville, Mississippi; a bachelor of arts in business administration from the University of North Carolina at Charlotte; a
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Rocuronium-Induced Anaphylaxis in the Perioperative Period: A Clinical Review AORN J. (IF 0.9) Pub Date : 2023-12-27 David E. Harris
Rocuronium, a nondepolarizing neuromuscular blocking agent used for muscle relaxation especially during endotracheal intubation, can cause hypersensitivity reactions. This article provides an overview of anaphylactic reactions; risk factors; and the pathophysiology, presentation, diagnosis, treatment, and nursing implications associated with rocuronium-induced anaphylaxis. Life-threatening anaphylaxis
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Does a Presurgical Antisepsis Protocol Decrease Surgical Site Infections in Young Children? AORN J. (IF 0.9) Pub Date : 2023-12-27 Valerie Lapp, Bertha Ben Khallouq, Dana Bentley, Allie Kirkland, Jill Dykstra-Nykanen, Keith Ayotte
National standards for surgical site infection (SSI) prevention for children remain elusive. Our institution developed a presurgical antisepsis protocol that included the three components of chlorhexidine gluconate bathing wipes, chlorhexidine gluconate oral rinse, and povidone-iodine nasal swab. This retrospective cohort study examined data from electronic health records to compare SSI rates before
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Guidelines in Practice: Design and Maintenance of the Surgical Suite AORN J. (IF 0.9) Pub Date : 2023-12-27 Jennifer Speth
Hospital construction and renovation is an ongoing occurrence in the health care setting. The recently updated AORN “Guideline for design and maintenance of the surgical suite” provides perioperative nurses with information on the layout design and maintenance of perioperative spaces; safety measures to use during construction and renovation; monitoring and maintenance of the heating, ventilation,
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Operating Theater Nurses’ Main Concerns During Organ Procurement Procedures: A Grounded Theory Study AORN J. (IF 0.9) Pub Date : 2023-12-27 Linda Andersson, Anna Forsberg
The purpose of this study was to explore the experiences of perioperative nurses in Sweden (ie, operating theater nurses) associated with caring for a donor patient during organ procurement procedures. We sought to determine the nurses’ main concerns and how they dealt with them. Using constructivist grounded theory methodology, our participant sample included 10 nurses, one of whom self-identified
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Preventing an Allergic Reaction AORN J. (IF 0.9) Pub Date : 2023-12-27 Terry Emerson
Editor's note: All names have been changed to protect the privacy and anonymity of the individuals, teams, and facilities involved.