{"title":"Is your personal breathing zone healthy or hazardous?","authors":"A Allen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Numerous studies over several decades have indicated that exposure to ambient anesthetic gases place health care providers and their families at risk of serious health problems. As a result, scavenging systems are used in virtually every Operating Room. But the risk for thousands of caregivers has not been given adequate attention. This article discusses the results of several studies and their implications for providers of postanesthesia care.</p>","PeriodicalId":77223,"journal":{"name":"Journal of post anesthesia nursing","volume":"10 3","pages":"175-7"},"PeriodicalIF":0.0,"publicationDate":"1995-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18783850","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}
{"title":"Mastering the weaning process in the postanesthesia care unit.","authors":"P Guillaume","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Most PACUs are accustomed to rapidly weaning patients who arrive on mechanical ventilators. However, as the acuity of patients in the PACU continues to increase, the ability to quickly wean patients to extubation is becoming less possible. The difficult-to-wean patient population is requiring the PACU nurse to become more astute in assessing and planning the weaning process. A collaborative approach can facilitate the successful weaning of a patient from the ventilator.</p>","PeriodicalId":77223,"journal":{"name":"Journal of post anesthesia nursing","volume":"10 3","pages":"151-4"},"PeriodicalIF":0.0,"publicationDate":"1995-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18785868","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}
{"title":"Reading research critically: results--Part 1.","authors":"M Giuffre","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Nurses in PACUS as well as other areas of nursing are increasingly being asked to incorporate research into their clinical practices. Unfortunately, many nurses have limited formal education in research and are not adequately prepared to critically analyze the quality of the research they are reading. This is especially true when it comes to the statistical analysis section of the published research report. This article lays the foundation for understanding the statistical analysis most commonly seen in results sections of research publications in nursing journals.</p>","PeriodicalId":77223,"journal":{"name":"Journal of post anesthesia nursing","volume":"10 3","pages":"166-71"},"PeriodicalIF":0.0,"publicationDate":"1995-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18783848","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}
{"title":"Tomorrow's workplace: no jobs ... just work to be done.","authors":"P Muller-Smith","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The workplace of the future will be less structured, and roles will be less specific. As teams and teamwork become the way to get the work done, those who have relied on a job description to direct what they do will face a real challenge. As this shift in thinking moves into the health care setting, there is fear and confusion on the part of both managers and staff. By working together, managers and staff can build trust and a new sense of security even in an uncertain future.</p>","PeriodicalId":77223,"journal":{"name":"Journal of post anesthesia nursing","volume":"10 3","pages":"172-4"},"PeriodicalIF":0.0,"publicationDate":"1995-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18783849","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}
{"title":"Identification of potential problems for elderly outpatients after preoperative medication: a case study.","authors":"S M Irvin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Meperidine and promethazine are preoperative medications ordered frequently for outpatient and inpatient surgical procedures in this facility. Although all medications have the potential to cause adverse reactions, the case studies presented in this article suggest a relationship between the use of one or both of these drugs and the cancellation of surgery, ie, two surgical procedures were cancelled because of the patients' behavior after administration of preoperative medication. Nurses are advised of the potential for reactions, especially in the elderly patient. Further examination of this topic is essential to prevent other episodes of adverse drug reaction or cancellation of surgical procedure and to add to the current knowledge base of effective preoperative medications.</p>","PeriodicalId":77223,"journal":{"name":"Journal of post anesthesia nursing","volume":"10 3","pages":"159-62"},"PeriodicalIF":0.0,"publicationDate":"1995-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18785870","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}
{"title":"The habit of synergy.","authors":"J Bauer","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77223,"journal":{"name":"Journal of post anesthesia nursing","volume":"10 3","pages":"193-4"},"PeriodicalIF":0.0,"publicationDate":"1995-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18783851","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}
{"title":"Development of an outpatient perioperative care record.","authors":"L Boike, L Canala, K Kozminski, C A Wynd","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Since the 1970s outpatient surgery has become increasingly popular as a mechanism for reducing hospitalizations and allowing patients to recuperate in their own homes. Advanced nursing care, improved surgical procedures, and modern pharmaceuticals and anesthetic techniques increase the rate and quality of patient recovery and allow the patient to enter the hospital, undergo surgery, and be discharged in the same day. It is now estimated that more than 40% of all surgeries are being performed in the outpatient setting. The rapid turn-around time for outpatient surgeries creates new challenges for nurses as well as patients and their families. Documentation of surgical procedures and nursing care is essential for communicating with other providers and for establishing a legal document that can be used to evaluate the quality of services delivered. Yet the time available for record keeping is greatly reduced. New charting procedures are needed to decrease redundancy and enhance the structural efficiency of perioperative records. This article describes a method of streamlining perioperative outpatient surgery records. The use of nursing diagnoses is incorporated into a documentation system that uses checklists, flowsheets, and charting by exception.</p>","PeriodicalId":77223,"journal":{"name":"Journal of post anesthesia nursing","volume":"10 3","pages":"140-50"},"PeriodicalIF":0.0,"publicationDate":"1995-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18785867","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}
{"title":"Taking control: an approach to problem solving.","authors":"L Litwack","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77223,"journal":{"name":"Journal of post anesthesia nursing","volume":"10 3","pages":"163-5"},"PeriodicalIF":0.0,"publicationDate":"1995-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18785871","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}
{"title":"Rewarming hypothermic postanesthesia patients: a comparison between a water coil warming blanket and a forced-air warming blanket.","authors":"D Ciufo, S Dice, C Coles","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The warming effects of a Blanketrol water coil-heated hypothermia blanket and a Bair Hugger forced-warm air warming blanket were compared. Thirty-two patients admitted to the PACU with temperatures 34.4 degrees C (94 degrees F) or lower were assigned to treatment with the Blanketrol (Cincinnati Sub-Zero Products, Cincinnati, OH) or the Bair Hugger (Augustine Medical, Eden Prairie, MN) in alternating fashion, and treatment continued until the patients' temperatures reached 36.1 degrees C (97 degrees F). Every half hour each patient's temperature was measured using a tympanic temperature device and recorded on the data collection sheet. Analysis of the findings showed that the forced-air warming blanket warmed patients to 36.1 degrees C (97 degrees F) or higher significantly faster than the water coil-heated blanket (P < .001).</p>","PeriodicalId":77223,"journal":{"name":"Journal of post anesthesia nursing","volume":"10 3","pages":"155-8"},"PeriodicalIF":0.0,"publicationDate":"1995-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18785869","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}
{"title":"A PACU classic. Interview by Anne Allen.","authors":"J K Gilligan","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A classic can be defined as a model, an outstanding representative of lasting significance and recognized value. Jovita Keane Gilligan, RN, fits the description. This energetic, enthusiastic, and stylish woman by all measures is a model, for she certainly has been an outstanding representative of her profession. Her work in organizing postanesthesia nurses and supporting their continuing education has been significant and of lasting value. This article offers a glimpse of a model worthy of emulation, a classic.</p>","PeriodicalId":77223,"journal":{"name":"Journal of post anesthesia nursing","volume":"10 2","pages":"116-7"},"PeriodicalIF":0.0,"publicationDate":"1995-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18723892","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}