ORNAC journal最新文献

{"title":"50YEARS ON - BC PERIOPERATIVE NURSING ORGANIZATION ATTAINS A MILESTONE IF WE WANT TO KNOW WHERE WE ARE GOING WE NEED TO KNOW WHERE WE CAME FROM.","authors":"Susan Knoff","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Just last year the BC Operating Room Nurses Group (BCORNG), now the Perioperative Registered Nurses Association of BC (PRNABC), celebrated 50 years of promoting perioperative nursing education and practice since its inception in 1966. Almost since . the beginning, BCORNG/PRNABC has advocated for a close relationship with the National Perioperative Nursing Organization, and has actively participated in the formation and growth of the Operating Room Nurses Association of Canada (ORNAC). This article includes some highlights from the last five decades of BCORNG/PRNABC with a focus on connections and experiences with ORNAC.</p>","PeriodicalId":89707,"journal":{"name":"ORNAC journal","volume":"35 1","pages":"27-9, 32"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36909681","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":"EVALUATION OF THE SURGICAL TRAY OPENING PROCEDURE IN OPERATING SUITES: SYSTEMATIC REVIEW AND RECOMMENDATIONS.","authors":"Martin Bussières,&nbsp;Sylvain L'Espèrance,&nbsp;Martin Coulombe,&nbsp;Marc Rhainds","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Optimizing the processes involved in managing operating suite activities is an essential element in obtaining gains in efficiency. The early opening of surgical trays could represent an innovative practice for reducing operating times and wait periods between surgeries as well as for increasing the number of daily surgeries. The purpose of this systematic review is to assess the risks and benefits of introducing this practice in the operating room.</p><p><strong>Methodology: </strong>A systematic literature review was conducted in various indexed databases as well as in the grey literature in order to identify synthesis studies, clinical guidelines and randomized and non-randomized studies on the impact of opening surgical trays early. The following indicators were sought: time lapse between the patient's entrance and the beginning of surgery, the frequency of surgical tray contamination, and the rate of surgical wound infection.</p><p><strong>Results: </strong>An original study and four practice guides were included after a quality assessment. No studies on efficiency gains associated with the early opening of surgical trays were found. The results of the experimental study suggest that the contamination rate for uncovered surgical trays is low for the first 30 minutes (4%) and increases over time with exposure to the ambient air. Most clinical guidelines recommend preparing the surgical instruments as close to the beginning of surgery as possible without specifying the minimum time interval to be respected as well as whether or not the patient is in the operating room.</p><p><strong>Discussion: </strong>The analysis- of all the available data does not make it possible to determine the optimal moment for opening the surgical trays. Given the uncertainty regarding the risks of infection, and the lack of data on the associated benefits, the decision to opt for a change in practice in the opening of surgical trays should be based on a range of factors. An assessment of the data therefore suggests caution and that a feasibility analysis, including a review of all processes and parameters for managing the risks associated with the early opening of surgical trays, be conducted before initiating any changes in the institutions where a change of practice is being sought.</p>","PeriodicalId":89707,"journal":{"name":"ORNAC journal","volume":"35 1","pages":"57-66"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36908997","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":"HAN DOVER BETWEEN ANAESTHETISTS AND POST-ANAESTHETIC CARE UNIT NURSING STAFF USING ISBAR PRINCIPLES: A QUALITY IMPROVEMENT STUDY.","authors":"Patricia Kitney,&nbsp;Raymond Tam,&nbsp;Paul Bennett,&nbsp;Dianne Buttigieg,&nbsp;David Bramley,&nbsp;Wei Wang","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>A structured approach to communication between health care professionals contains introduction/identification; situation; background; assessment and request/recommendation (ISBAR). ISBAR was introduced into the post anaesthetic care unit (PACU) of a large Victorian health service in 2013. The aim of this study was to measure the effect of an education program on ISBAR compliance.</p><p><strong>Method: </strong>A pre/post-test design using a 14-item audit tool was used to measure compliance to ISBAR before and after an education intervention in two acute hospitals in Melbourne, Victoria. The intervention consisted of one 30-minute education session to anaesthetists, and two 30-minute education sessions to PACU nurses, combined with visual cues using ISBAR wall posters.</p><p><strong>Results: </strong>In Hospital A, significant improvement from pre- to post-audit was found in the items of cardiovascular assessment and actions (Fisher's exact test p < .05) and (X² (1) = 4.06, p < .05), respiratory assessment (X² (1) = 12.85, p < .01), analgesia assessment and responsibility + referral (X² (1) = 4.44, p < .05. For Hospital B significant improvement was found in communication difficulties (X² (2)= 13.55, p-< .01) and significant decreased performance was found in respiratory assessment (X² (1) = 8.98, p < .01) and responsibility + referral (X² (1) = 13.26, p < .01).</p><p><strong>Implication for practice: </strong>The results from this study cohort suggest an augmented education program may produce mixed results for ISBAR compliance. More than education and visual tools may be required to improve PACU ISBAR compliance.</p>","PeriodicalId":89707,"journal":{"name":"ORNAC journal","volume":"35 1","pages":"13-18"},"PeriodicalIF":0.0,"publicationDate":"2017-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36909679","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":"BLOOD SAFETY IN THE OR: THE BLOODYTRUTH.","authors":"Leonor De Biasio","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Blood transfusions are lifesaving and life-sustaining treatments given to patients in many clinical areas of a hospital with a large proportion occurring in the Operating Room (OR).6 Transfusion related errors are rare events in the OR but they do occur and are often severe enough to cause patient morbidity and mortality. Therefore, care must be taken in all elements of the transfusion process. The purpose of this article is to build awareness around the potential for critical errors during the blood transfusion process in the OR and ways in improving the safety of blood transfusion for all surgical patients.</p>","PeriodicalId":89707,"journal":{"name":"ORNAC journal","volume":"34 4","pages":"17-23"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36771437","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":"BACKTO BASICS: ENVIRONMENTAL CLEANING.","authors":"Lisa Spruce,&nbsp;Amber Wood","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The need for a clean perioperative environment is a basic principle for all perioperative team members. Recent evidence suggests that the environment plays a role in the occurrence of health care-associated infections (HAIs), including surgical site infections. Frequently cleaning high-touch surfaces helps prevent the spread of infections, and routinely cleaning and disinfecting the patient's environment can reduce the level and frequency of contamination and the risk of HAIs. Perioperative personnel should use a bundled approach to perform a standardized cleaning routine and implement a successful monitoring program.</p>","PeriodicalId":89707,"journal":{"name":"ORNAC journal","volume":"34 4","pages":"58-63"},"PeriodicalIF":0.0,"publicationDate":"2016-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"36771311","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":"TRADITIONAL CANISTER-BASED OPEN WASTE MANAGEMENT SYSTEM VERSUS CLOSED SYSTEM: HAZARDOUS EXPOSURE PREVENTION AND OPERATING THEATRE STAFF SATISFACTION.","authors":"M Horn,&nbsp;N Patel,&nbsp;D M MacLellan,&nbsp;N Millard","doi":"","DOIUrl":"","url":null,"abstract":"<p><strong>Introduction: </strong>Exposure to blood and body fluids is a major concern to health care professionals working in operating rooms (ORs). Thus, it is essential that hospitals use fluid waste management systems that minimise risk to staff, while maximising efficiency.</p><p><strong>Method: </strong>The current study compared the utility of a 'closed' system with a traditional canister-based 'open' system in the OR in a private hospital setting.</p><p><strong>Results: </strong>A total of 30 arthroscopy, urology, and orthopaedic cases were observed. The closed system was used in five, four, and six cases, respectively and the open system was used in nine, two, and four cases, respectively. The average number of opportunities for staff to be exposed to hazardous fluids were fewer for the closed system when compared to the open during arthroscopy and urology procedures. The open system required nearly 3.5 times as much staff time for set-up, maintenance during procedures, and post-procedure disposal of waste. Theatre staff expressed greater satisfaction with the closed system than with the open.</p><p><strong>Conclusion: </strong>In conclusion, compared with the open system, the closed system offers a less hazardous and more efficient method of disposing of fluid waste generated in the OR.</p>","PeriodicalId":89707,"journal":{"name":"ORNAC journal","volume":"34 2","pages":"36-50"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34744616","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":"SPOTLIGHT ON ORNAC MEMBERS. AN INTERVIEW WITH ELIZABETH BECK RN, CPN(C), ORNAC TREASURER.","authors":"Elizabeth Beck,&nbsp;Andras Switzer","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":89707,"journal":{"name":"ORNAC journal","volume":"34 2","pages":"32-5"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34744615","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":"KNOWLEDGE AND SKILLS ENHANCEMENT THROUGH PERIOPERATIVE NURSING SIMULATION LAB TRAINING.","authors":"Trish Whelan,&nbsp;Xinzhe Shi,&nbsp;Sue Yorke,&nbsp;Keith Andony,&nbsp;Keith Andony,&nbsp;Mary Lou McKenzie","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>In Edmonton Zone, the attrition rate among new perioperative nursing staff is an issue of concern and many ORs are facing noticeable staffing challenges. In the Edmonton area there are approximately 79 surgical suites. A series of simulation labs were established in 2015 to provide perioperative nurses in order to increase their comfort on the job and to help build confidence levels. The expectations for this simulation are an overall improvement in perioperative nurses' competency, a reduction in OR orientation and training time, and a decrease in the attrition rates among OR nurses.</p>","PeriodicalId":89707,"journal":{"name":"ORNAC journal","volume":"34 2","pages":"13-9, 21-5, 28-30"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34744614","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":"TRADITIONAL CANISTER-BASED OPEN WASTE MANAGEMENT SYSTEM VERSUS CLOSED SYSTEM: HAZARDOUS EXPOSURE PREVENTION AND OPERATING THEATRE STAFF SATISFACTION.","authors":"M. Horn, N. Patel, D. MacLellan, N. Millard","doi":"10.26550/jpn.281.02","DOIUrl":"https://doi.org/10.26550/jpn.281.02","url":null,"abstract":"INTRODUCTION\u0000Exposure to blood and body fluids is a major concern to health care professionals working in operating rooms (ORs). Thus, it is essential that hospitals use fluid waste management systems that minimise risk to staff, while maximising efficiency.\u0000\u0000\u0000METHOD\u0000The current study compared the utility of a 'closed' system with a traditional canister-based 'open' system in the OR in a private hospital setting.\u0000\u0000\u0000RESULTS\u0000A total of 30 arthroscopy, urology, and orthopaedic cases were observed. The closed system was used in five, four, and six cases, respectively and the open system was used in nine, two, and four cases, respectively. The average number of opportunities for staff to be exposed to hazardous fluids were fewer for the closed system when compared to the open during arthroscopy and urology procedures. The open system required nearly 3.5 times as much staff time for set-up, maintenance during procedures, and post-procedure disposal of waste. Theatre staff expressed greater satisfaction with the closed system than with the open.\u0000\u0000\u0000CONCLUSION\u0000In conclusion, compared with the open system, the closed system offers a less hazardous and more efficient method of disposing of fluid waste generated in the OR.","PeriodicalId":89707,"journal":{"name":"ORNAC journal","volume":"34 2 1","pages":"36-50"},"PeriodicalIF":0.0,"publicationDate":"2016-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69461766","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":"WHEN SURGERY GOES WRONG: THE IMPORTANCE OF THE PATIENT'S VOICE.","authors":"Kapka Petrov","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":89707,"journal":{"name":"ORNAC journal","volume":"34 1","pages":"37-46"},"PeriodicalIF":0.0,"publicationDate":"2016-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"34471357","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}