{"title":"Teams: one kind doesn't fit all.","authors":"P Muller-Smith","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The use of teams to implement change and to deal with problems is being presented as the most effective and efficient way to manage in the \"new\" organization. Although there are data to support the concept that self-managed teams are effective, it is important to note that not all teams can or should be structured with that expectation. Choosing the right kind of team for the job at hand is equally as important as the use of a team approach.</p>","PeriodicalId":77223,"journal":{"name":"Journal of post anesthesia nursing","volume":"10 2","pages":"113-5"},"PeriodicalIF":0.0,"publicationDate":"1995-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18723891","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":"Seek first to understand.","authors":"J Bauer","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77223,"journal":{"name":"Journal of post anesthesia nursing","volume":"10 2","pages":"136, 135"},"PeriodicalIF":0.0,"publicationDate":"1995-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18723894","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":"From \"my patient\" to \"our patient\".","authors":"S A Goodwin","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":77223,"journal":{"name":"Journal of post anesthesia nursing","volume":"10 2","pages":"65-6"},"PeriodicalIF":0.0,"publicationDate":"1995-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18723895","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":"Can advance directives assure that patients' decisions will be considered?","authors":"S M Irvin","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>When the Patient Self-Determination Act of 1990 was enacted, health care facilities were mandated to question all patients regarding their choices in health care matters. Since that time, advance directives have received mixed reviews from health care providers, patients, and families. Much of the controversy results because advance directives vary from state to state, are poorly understood by health care providers and patients, and the laws are stated in vaguely defined terms. Understanding the laws at the state and local level can help educate professionals, who can share this information with other staff members, family, and patients.</p>","PeriodicalId":77223,"journal":{"name":"Journal of post anesthesia nursing","volume":"10 2","pages":"79-83"},"PeriodicalIF":0.0,"publicationDate":"1995-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18723896","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":"What floor nurses want to hear from you.","authors":"C A Weant","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>This article explores how a thorough, concise, and organized transfer report can help the PACU nurse effectively communicate the patient's condition, help the floor nurse anticipate the patient's needs, and facilitate the patient's recovery period. A three-step process is recommended for developing a systematic approach to the transfer report.</p>","PeriodicalId":77223,"journal":{"name":"Journal of post anesthesia nursing","volume":"10 2","pages":"100-1"},"PeriodicalIF":0.0,"publicationDate":"1995-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18723888","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":"Forced-air warming versus routine thermal care and core temperature measurement sites.","authors":"D A Krenzischek, S M Frank, S Kelly","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Hypothermia occurs commonly during the perioperative period and is preventable with proper warming measures and body temperature monitoring. Using a prospective, randomized study design, we compared forced-air warming (Warm Touch, Mallinckrodt Medical, Inc, St Louis, MO) (n = 15) with routine thermal care (n = 14) during the intraoperative and early postoperative periods. The results show that compared with routine thermal care, forced-air warming resulted in higher core temperatures both intraoperatively and postoperatively. The incidence of shivering was lower and thermal comfort scores were higher in the warming group. A secondary focus in this study was to assess the correlation between body temperatures measured at the urinary bladder, oral cavity, rectum, and tympanic membrane. The results indicated that the sites most highly correlated with tympanic temperature (listed in order of most to least correlated) were the bladder, rectum, and oral cavity. Assuming tympanic temperature is most representative of \"core\" temperature, oral measurements were likely to underestimate core temperature, whereas bladder and rectal temperatures overestimated core temperature. The relationship between body temperatures measured at commonly used monitoring sites must be recognized by nurses to account for the tendency to overestimate or underestimate core temperature. This knowledge can be applied in the management of patients in the operating room or PACU and specifically in the evaluation of PACU patients before discharge.</p>","PeriodicalId":77223,"journal":{"name":"Journal of post anesthesia nursing","volume":"10 2","pages":"69-78"},"PeriodicalIF":0.0,"publicationDate":"1995-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18723897","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":"Death in the operating room and postanesthesia care unit: helping nurses to cope.","authors":"D E Gerber, D P Workman","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The death of patients in the OR and PACU is an unexpected event that can cause grief, burnout, and turnover among the caregivers who work there. In this era of emphasis on quality, customer satisfaction, and cost containment, prevention of these negative outcomes is important. Although there is scant literature devoted to how nurses cope with patient death in this setting, many of the principles described in the literature for other settings can be applied to assist caregivers to view death as a growth-producing experience, both personally and professionally.</p>","PeriodicalId":77223,"journal":{"name":"Journal of post anesthesia nursing","volume":"10 2","pages":"84-8"},"PeriodicalIF":0.0,"publicationDate":"1995-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18724390","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 care of patients with Parkinson's disease.","authors":"D M Dorton","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Possible etiologies, pathophysiologies, manifestations, and the medical management of Parkinson's disease (PD) are discussed. Nursing interventions for the perioperative period and special considerations for postsurgical patients with PD are presented.</p>","PeriodicalId":77223,"journal":{"name":"Journal of post anesthesia nursing","volume":"10 2","pages":"102-6"},"PeriodicalIF":0.0,"publicationDate":"1995-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18723889","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: assessing the validity and reliability of research instrumentation--Part 2.","authors":"M Giuffre","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Accurate measurement of research variables is necessary so that research consumers can trust that it is the research intervention that affected the change in the outcome variable, not some extraneous error component. Reliability is the accuracy with which the research instruments measure the variable that they are designed to measure. A number of known threats to instrument reliability should be anticipated by the researcher and looked for the consumer. These threats are presented in this article.</p>","PeriodicalId":77223,"journal":{"name":"Journal of post anesthesia nursing","volume":"10 2","pages":"107-12"},"PeriodicalIF":0.0,"publicationDate":"1995-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18723890","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 case study: identification and treatment of narcotic depression in the ambulatory surgical patient.","authors":"N Burden","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The staff in a freestanding ambulatory surgical center (ASC) must be prepared to identify and treat all emergencies and untoward patient responses. This case study exemplifies some of the problems encountered with a patient who had surgery late in the day and who did not have local anesthetic infiltrated for pain control after inguinal herniorrhaphy. In a retrospective analysis and discussion of the case, the caregivers identified that, in addition to the narcotics given, this patient's lengthy postoperative course was further complicated by inadequate intravenous fluid replacement and ambulation too soon after narcotic administration. From this case study a number of lessons were identified, particularly for the freestanding ASC. These lessons relate to adequate staffing (two nurses) for late cases, the importance of the presence of the anesthesiologist at the center until all patients have been discharged, the need to assure that home conditions are adequate for patients discharged late in the day, and the staff's ability to quickly and accurately identify and treat untoward patient responses.</p>","PeriodicalId":77223,"journal":{"name":"Journal of post anesthesia nursing","volume":"10 2","pages":"94-9"},"PeriodicalIF":0.0,"publicationDate":"1995-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"18724392","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}