{"title":"Message From the President","authors":"Lori J. Lynch","doi":"10.1097/jps.0000000000000389","DOIUrl":"https://doi.org/10.1097/jps.0000000000000389","url":null,"abstract":"","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45342949","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}
Morgan B. Alexander, Cassandra F. Newsome, E. Paton, Leslie N. Rhodes
{"title":"Improving Surgical Delays Related to Pediatric Preoperative Pregnancy Testing","authors":"Morgan B. Alexander, Cassandra F. Newsome, E. Paton, Leslie N. Rhodes","doi":"10.1097/JPS.0000000000000384","DOIUrl":"https://doi.org/10.1097/JPS.0000000000000384","url":null,"abstract":"Abstract Introduction Preoperative pregnancy status is a vital measure necessary for patient safety. At our institution, missing or delayed pregnancy test results, measured by human chorionic gonadotropin (HCG) levels, were identified as a contributing factor to surgical delays. Methods A quality improvement project was initiated in 2020 at a free-standing children’s hospital after missing or delayed HCG results were identified as a cause of surgical delays. A team was created to specifically evaluate this problem and devise an intervention. As a result, an automatically generated HCG test order was established to address surgical delays associated with missing or delayed HCG test results. The automatic order is triggered when the patient’s initial admission order is activated. For female patients 9 through 11 years of age, an order is automatically generated only if the admitting physician answers “No” to the question “Is the patient premenses?” when prompted. The system automatically generates an order for all female patients greater than 12 years of age regardless of menstruation. Results Pre-intervention data revealed approximately 6% of surgical cases were delayed because of pregnancy test results; post-intervention data revealed approximately 2.6% of surgical cases were delayed because of pregnancy test results. Conclusion Initiation of an automatically generated HCG test order helped achieve the overall goal of reducing surgical delays linked to missing or delayed HCG results. Continued education and collective efforts are underway to help ensure the automatic order’s continued success.","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":"12 1","pages":"95 - 100"},"PeriodicalIF":0.0,"publicationDate":"2023-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48904377","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":"On the Cutting Edge","authors":"Kristine Rimbos","doi":"10.1097/jps.0000000000000379","DOIUrl":"https://doi.org/10.1097/jps.0000000000000379","url":null,"abstract":"And that’s precisely what the new APCD lawn mower trade-in program is all about electric mowers. Why? According to project coordinator Stan Cowen, “Our lawn mower trade-in program can reduce between 0.7 – 2.2 tons per year of reactive organic compounds and nitrogen oxides, the precursors to ozone formation. It also gets people to think about the things they personally can do to help clean the air.”","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":"1041 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41271656","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}
Carlos Javier Avendaño Vásquez, Luz Angela Vásquez Castellanos, Arley David Forero Castellanos, Jesús David Malagón Pérez
{"title":"Nursing Care of Children Post-Cardiac Surgery in Intensive Care Units","authors":"Carlos Javier Avendaño Vásquez, Luz Angela Vásquez Castellanos, Arley David Forero Castellanos, Jesús David Malagón Pérez","doi":"10.1097/jps.0000000000000380","DOIUrl":"https://doi.org/10.1097/jps.0000000000000380","url":null,"abstract":"","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43684540","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":"Promoting Patient-Centered Fasting Through E-Mail Reminders","authors":"Karen M. Robbins","doi":"10.1097/JPS.0000000000000378","DOIUrl":"https://doi.org/10.1097/JPS.0000000000000378","url":null,"abstract":"Abstract Historical fasting practices before 1999 advised that surgical patients should have nothing to eat or drink after midnight to minimize the risk of aspiration. This practice can lead to prolonged fasting from food and liquids, which causes irritability, hunger, excessive thirst, and stress for the child and their caregiver. In addition, an increased inflammatory response and insulin resistance can occur during surgery. Research has demonstrated that fasting from clear liquids for 1–2 hours before surgery does not increase the risk of aspiration in children. A pre- and post-intervention quality improvement project was conducted in a pediatric surgical department in central Florida. From March to August 2022, 346 parents of children scheduled for general surgery were included in the project. Both groups received a reminder phone call the day before surgery with their preoperative instructions. In addition to a phone call, the post-intervention group also received an e-mail summarizing fasting instructions and times. This quality improvement project compared fasting times from food, nonclear liquids, and clear liquids before and after implementing an e-mail message reminder. The mean fasting times for clear and nonclear liquids did not change significantly from the baseline group to the post-intervention group. However, the mean solid fasting times did decrease significantly from 13.8 to 12.9 hours (p < .05) in the post-intervention group. Sending an e-mail reminder the day before surgery significantly reduced the mean fasting times for food. However, additional interventions and parental education may be needed to promote a reduction in fasting from clear and nonclear liquids.","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":"12 1","pages":"80 - 87"},"PeriodicalIF":0.0,"publicationDate":"2023-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49471395","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":"Pharmacology","authors":"Amrinder Bhandal, Harleen K. Muhar","doi":"10.1097/JPS.0000000000000368","DOIUrl":"https://doi.org/10.1097/JPS.0000000000000368","url":null,"abstract":"Abstract Spina bifida is one of the congenital neural tube defects that can lead to loss of bladder control, also known as neurogenic bladder. This can lead to recurrent urinary tract infections and subsequent renal function decline if not properly managed. Proper management may include pharmacological care that aims to prevent improper drainage of the bladder directly by utilizing agents such as anticholinergics, urinary antispasmodics, and botulism toxins. In addition to direct care, patients with neurogenic bladder also may require bowel regimens because of concurrent instances of neurogenic bowels.","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":"12 1","pages":"12 - 16"},"PeriodicalIF":0.0,"publicationDate":"2023-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43939587","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":"Pharmacology: Spina Bifida and Urinary Tract Infection Management","authors":"Amrinder Bhandal, K. Muhar","doi":"10.1097/jps.0000000000000381","DOIUrl":"https://doi.org/10.1097/jps.0000000000000381","url":null,"abstract":": Spinabifidaisoneof thecongenitalneuraltubedefects that can lead to loss of bladder control, also known as neurogenic blad- der. This can lead to recurrent urinary tract infections and subsequent renal function decline if not properly managed. Proper management mayincludepharmacologicalcarethataimstopreventimproperdrain-age of the bladder directly by utilizing agents such as anticholinergics, urinary antispasmodics, and botulism toxins. In addition to direct care, patients with neurogenic bladder also may require bowel regimens be- cause of concurrent instances of neurogenic bowels.","PeriodicalId":90905,"journal":{"name":"Journal of pediatric surgical nursing","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49644714","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}
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