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Increasing Medication Access by Promoting Appropriate Use of Multi-dose Vials. 通过促进适当使用多剂量小瓶增加药物可及性。
Plastic Surgical Nursing Pub Date : 2020-10-01 DOI: 10.1097/PSN.0000000000000323
William Beauregard Rowe, Brett Morgan, Robert Whitehurst, Peggy A Bush
{"title":"Increasing Medication Access by Promoting Appropriate Use of Multi-dose Vials.","authors":"William Beauregard Rowe,&nbsp;Brett Morgan,&nbsp;Robert Whitehurst,&nbsp;Peggy A Bush","doi":"10.1097/PSN.0000000000000323","DOIUrl":"https://doi.org/10.1097/PSN.0000000000000323","url":null,"abstract":"<p><p>Medication shortage is a problem that affects patients, providers, and institutions of all sizes and scope across the United States. The objective of this quality improvement project was to promote the appropriate use of multi-dose vials (MDVs) by anesthesia providers at an independent plastic surgery office. Multi-dose vials can be used to decrease waste and potentially cost, thus increasing access to necessary medications for the patients at this practice. A focus group was used to obtain an understanding of barriers to the use of MDVs at this practice. A focused E-learning module on safe use based on established guidelines was then created, and a simplified flow sheet was implemented and placed in medication preparation areas as a cognitive aid. The education and flow sheet focused on identification and preparation of the medication area, proper identification of MDVs versus single-use vials, hand hygiene, proper beyond-use labeling, septum cleaning, use of a new sterile syringe and needle, and administration time frames. Provider feedback included high levels of satisfaction with the E-learning module. Our comparison of the use of ketamine from MDVs during the pre- and postimplementation phases showed a 14% increase in the number of doses used per vial. This finding suggests that were similar practices implemented at a larger site with MDVs of medications other than ketamine, resources could be impacted to manage shortages and increase access to medications.</p>","PeriodicalId":20248,"journal":{"name":"Plastic Surgical Nursing","volume":"40 4","pages":"177-182"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38322810","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
What's New With the PSNCB? PSNCB有什么新动向?
Plastic Surgical Nursing Pub Date : 2020-10-01 DOI: 10.1097/PSN.0000000000000340
Renee J Hinojosa
{"title":"What's New With the PSNCB?","authors":"Renee J Hinojosa","doi":"10.1097/PSN.0000000000000340","DOIUrl":"https://doi.org/10.1097/PSN.0000000000000340","url":null,"abstract":"","PeriodicalId":20248,"journal":{"name":"Plastic Surgical Nursing","volume":"40 4","pages":"176"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38659556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Changes as the Body Ages. 随着身体年龄的增长而变化。
Plastic Surgical Nursing Pub Date : 2020-10-01 DOI: 10.1097/PSN.0000000000000346
{"title":"Changes as the Body Ages.","authors":"","doi":"10.1097/PSN.0000000000000346","DOIUrl":"https://doi.org/10.1097/PSN.0000000000000346","url":null,"abstract":"","PeriodicalId":20248,"journal":{"name":"Plastic Surgical Nursing","volume":"40 4","pages":"E13"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38659560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Factors Affecting the Desire to Undergo Cosmetic Procedures Among the Nurses of Kermanshah, Iran: A Cross-Sectional Study. 影响伊朗克尔曼沙阿护士整容意愿的因素:一项横断面研究。
Plastic Surgical Nursing Pub Date : 2020-10-01 DOI: 10.1097/PSN.0000000000000324
Maryam Janatolmakan, Ali Soroush, Bahare Andayeshgar, Afsoon Vahdat, Alireza Khatony
{"title":"Factors Affecting the Desire to Undergo Cosmetic Procedures Among the Nurses of Kermanshah, Iran: A Cross-Sectional Study.","authors":"Maryam Janatolmakan,&nbsp;Ali Soroush,&nbsp;Bahare Andayeshgar,&nbsp;Afsoon Vahdat,&nbsp;Alireza Khatony","doi":"10.1097/PSN.0000000000000324","DOIUrl":"https://doi.org/10.1097/PSN.0000000000000324","url":null,"abstract":"<p><p>The number of people undergoing cosmetic procedures (CP) has been growing around the world in recent years. The aim of this study was to determine factors involved in the desire of nurses to undergo CP. A total of 360 nurses were recruited in this cross-sectional study. Stratified random sampling was used to select the samples. The data were collected using the Social Appearance Anxiety Scale and a questionnaire addressing social factors affecting the desire to undergo CP. More than half of the nurses (56.7%) were willing. Gender, social factors, and social appearance anxiety (SAA) were associated with undergoing CP. The results of logistic regression indicated that women were four times more willing to undergo CP than men, and for each unit increase in SAA score, the odds of desiring to undergo CP increased by 1.04. The Hosmer-Lemeshow test confirmed the goodness-of-fit of the regression model. Moreover, 3 independent variables of gender, SAA, and social factors were powerful predictors of the desire to undergo CP that could explain 39.9%-53.6% of changes in the desire to undergo CP. Further studies are needed to investigate the amount of CP and motivations to undergo CP in nurses.</p>","PeriodicalId":20248,"journal":{"name":"Plastic Surgical Nursing","volume":"40 4","pages":"205-210"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38659566","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
The Expanding Role of the Canadian Nurse Practitioner in Medical Aesthetics. 加拿大执业护士在医学美学中的作用日益扩大。
Plastic Surgical Nursing Pub Date : 2020-10-01 DOI: 10.1097/PSN.0000000000000321
Jeanine Harrison, Colleen White, Tracey Hotta
{"title":"The Expanding Role of the Canadian Nurse Practitioner in Medical Aesthetics.","authors":"Jeanine Harrison,&nbsp;Colleen White,&nbsp;Tracey Hotta","doi":"10.1097/PSN.0000000000000321","DOIUrl":"https://doi.org/10.1097/PSN.0000000000000321","url":null,"abstract":"<p><p>Advanced practice in nursing is well established and has been active since the 1800s. In most cases, the role was developed because of a specific need or gap in patient care. Advanced practice nurses (APNs) have been experts in medical aesthetic injections for more than 30 years. The APNs' independence became increasingly common as a mechanism of continuity of care for the non-surgical-medical aesthetic patients. The APN role has evolved, and nurse practitioners (NPs) are now collaborating with nurses safely and effectively in nurse-led clinics in medical aesthetics. There are specific education and college regulations that are required to ensure patient safety in this collaborative care model. The role of the NP in a nurse-led medical aesthetic clinic is an accepted and recognized independent practice role that creates an innovative and well-regulated approach to patient care.</p>","PeriodicalId":20248,"journal":{"name":"Plastic Surgical Nursing","volume":"40 4","pages":"202-204"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38670733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Surgical Masks and Respirators for Plastic Surgical and Nonsurgical Aesthetic Procedures. 采购产品用于整形外科和非手术美容程序的外科口罩和呼吸器。
Plastic Surgical Nursing Pub Date : 2020-10-01 DOI: 10.1097/PSN.0000000000000338
Sharon Ann Van Wicklin
{"title":"Surgical Masks and Respirators for Plastic Surgical and Nonsurgical Aesthetic Procedures.","authors":"Sharon Ann Van Wicklin","doi":"10.1097/PSN.0000000000000338","DOIUrl":"https://doi.org/10.1097/PSN.0000000000000338","url":null,"abstract":"","PeriodicalId":20248,"journal":{"name":"Plastic Surgical Nursing","volume":"40 4","pages":"185-188"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38659562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 2
Atypical Presentation of a Marjolin Ulcer After a Burn: A Case Report. 烧伤后马卓林溃疡的不典型表现:1例报告。
Plastic Surgical Nursing Pub Date : 2020-10-01 DOI: 10.1097/PSN.0000000000000322
Alberto Sánchez-García, Miriam Alonso-Carpio, Ana Trapero, María D Pérez-Del Caz
{"title":"Atypical Presentation of a Marjolin Ulcer After a Burn: A Case Report.","authors":"Alberto Sánchez-García,&nbsp;Miriam Alonso-Carpio,&nbsp;Ana Trapero,&nbsp;María D Pérez-Del Caz","doi":"10.1097/PSN.0000000000000322","DOIUrl":"https://doi.org/10.1097/PSN.0000000000000322","url":null,"abstract":"<p><p>The development of a nonhealing ulcer on a chronic wound or scar should raise suspicions of the plastic surgeon or nurse regarding the potential for malignant degeneration to a Marjolin ulcer. Occasionally, a Marjolin ulcer may present as exophytic granulation tissue within a scar. Most Marjolin ulcers are well-differentiated injuries; however, because of their aggressive nature and poor prognosis, to ensure surgical success, diagnosis of Marjolin ulcer should be confirmed and treatment initiated as soon as possible.</p>","PeriodicalId":20248,"journal":{"name":"Plastic Surgical Nursing","volume":"40 4","pages":"195-196"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38659565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Resuming Practice After COVID-19. COVID-19后恢复练习。
Plastic Surgical Nursing Pub Date : 2020-10-01 DOI: 10.1097/PSN.0000000000000344
{"title":"Resuming Practice After COVID-19.","authors":"","doi":"10.1097/PSN.0000000000000344","DOIUrl":"https://doi.org/10.1097/PSN.0000000000000344","url":null,"abstract":"","PeriodicalId":20248,"journal":{"name":"Plastic Surgical Nursing","volume":"40 4","pages":"E11"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38659557","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Changes as the Body Ages. 随着身体年龄的增长而变化。
Plastic Surgical Nursing Pub Date : 2020-10-01 DOI: 10.1097/PSN.0000000000000339
Sharon Ann Van Wicklin
{"title":"Changes as the Body Ages.","authors":"Sharon Ann Van Wicklin","doi":"10.1097/PSN.0000000000000339","DOIUrl":"https://doi.org/10.1097/PSN.0000000000000339","url":null,"abstract":"Copyright © 2020 International Society of Plastic and Aesthetic Nurses. Unauthorized reproduction of this article is prohibited. Plastic Surgical Nursing www.psnjournalonline.com 189 Plastic Surgical Nursing (PSN), the official journal of the International Society of Plastic and Aesthetic Nurses (ISPAN), is introducing this new column to provide information about fundamental best practices for aesthetic nurses.","PeriodicalId":20248,"journal":{"name":"Plastic Surgical Nursing","volume":"40 4","pages":"189-192"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38659559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
It's So Hard to Say Goodbye to Yesterday! 对昨天说再见太难了!
Plastic Surgical Nursing Pub Date : 2020-10-01 DOI: 10.1097/PSN.0000000000000342
Amanda Bailey
{"title":"It's So Hard to Say Goodbye to Yesterday!","authors":"Amanda Bailey","doi":"10.1097/PSN.0000000000000342","DOIUrl":"https://doi.org/10.1097/PSN.0000000000000342","url":null,"abstract":"","PeriodicalId":20248,"journal":{"name":"Plastic Surgical Nursing","volume":"40 4","pages":"175"},"PeriodicalIF":0.0,"publicationDate":"2020-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38322809","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
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