bluuebunny/crossref_metadata_2025 huggingface dataset:
Patient Positioning: Competency Assessment Module
Authors: Johnson Diane S.
Published: August 2006

Patient Positioning: Competency Assessment Module, Ellen V. Lord, 2001, paperback, 58 pp $50
Transumbilical Breast Augmentation
Authors: Dixton Patricia T. , Dowden Richard , Connor Paula , Klein Claudia
Published: August 2006

ABSTRACT

Surgical augmentation has been performed since 1899, with varying results. Recent developments in endoscopic instrumentation have enabled surgeons to perform many types of procedures through small incisions located at a distance from the surgical site. The transumbilical breast augmentation (TUBA) has advantages over other methods, including a quicker recovery, less pain, and lower chances of complications. This article familiarizes perioperative personnel with TUBA and how to care for the patients who undergo this procedure. AORN J (Oct 2000) 615–625.
Chronic Regional Pain Syndrome, Type 1: Part II
Authors: Dunn Debra G.
Published: August 2006

ABSTRACT

Chronic regional pain syndrome, type 1 (CRPS1) is a complex neurologic disease characterized by chronic, severe, burning pain; hyperesthesia; soft tissue swelling; dystrophy; hyperhidrosis; vasomotor and sudomotor instability; joint stiffness; and patchy osteoporosis. Five to six million people in the United States alone suffer from CRPS1. To date, CRPS1 is poorly understood and often is not recognized clinically. This syndrome requires early detection, pain control, and treatment in tandem with physical therapy to the affected area. Part I (published in September) discussed background information on CRPS1 and sympathetic nerve blocks. Part II focuses on the remaining treatment modalities (eg, sympathectomy, physical therapy, stimulators, trigger point injections, acupuncture, tourniquet effects, placebo effects, amputation). AORN J 12 (Oct 2000) 643–653.
Collaboratively Developing an Orientation Program for OR Nurses
Authors: Penprase Barbara
Published: August 2006

ABSTRACT

Many articles have addressed perioperative education's role in recruiting and retaining perioperative nurses, yet they continue to decline in number. The challenging, and sometimes stressful, perioperative environment often inhibits recruitment and retention of perioperative nurses. A unique, collaborative effort between a school of nursing and a hospital resulted in the development of a nursing orientation program that focuses its attention on reducing reality shock and preparing nurses for the perioperative environment. The orientation program incorporates AORN's standards and recommended practices. AORN J 72 (Oct 2000) 663–670.
Information Provided to Surgical Patients Versus Information Needed
Authors: Mordiffi Siti Zubaidah , Tan Seo Peng , Wong Mei Kin
Published: August 2006

The importance of providing preoperative information to patients has been reiterated in many research studies; however, the delivery is based on health care providers' view of what information should be included. An analysis of studies on the type of preoperative information given to patients confirms the lack of patient focus when delivering such information. In this study, a multifaceted approach was used to determine patients' and health care providers' perceptions about preoperative information. Importance was placed on information about the details of anesthesia by all three cohorts (ie, patients, nurses, physicians). A gap in information provided about the details of anesthesia and the OR environment was found. Further analysis seems to attribute the inadequate information received by patients to health care providers' misunderstanding regarding the information patients want. AORN J 77 (March 2003) 546–561.
Preoperative Teaching Received and Valued in a Day Surgery Setting
Authors: Bernier M.J. , Sanares D.C. , Owen S.V. , Newhouse P.L.
Published: August 2006

This study examined the congruence between the preoperative teaching received and valued by patients undergoing same day surgery. A convenience sample of 116 patients was interviewed using the 26‐item preoperative teaching interview guide, which explores five dimensions of preoperative information, including situational/procedural information, sensation/discomfort information, patient role information, psychosocial support, and skills training. The correlation between preoperative teaching received and valued was r = 0.34, P ≤ .01. Significant relationships were observed between income level and preference for situational/procedural information and between gender and preference for psychosocial support information. The findings are being used to frame a program of research in perioperative nursing and to restructure preoperative teaching in one facility. AORN J 77 (March 2003) 563–582.
Intraoperative Magnetic Resonance Imaging Safety Considerations
Authors: Russell Lori
Published: August 2006

Patient safety considerations are a priority for perioperative nurses. In the intraoperative magnetic resonance imaging (MRI) chamber, additional safety precautions for both patients and staff members must be taken. This article provides a brief overview of the intraoperative MRI environment and details safety considerations for surgical staff members and patients. AORN J 77 (March 2003) 590–592.
Why Can't My Procedures Start On Time?
Authors: Lebowitz Philip
Published: August 2006

Despite OR practice improvements, approximately 50% of second or subsequent surgical procedures will not start on time because of procedure duration overruns caused by preceding procedures. Operating room scheduling that uses reliable historical data about specific surgeon and procedure combinations and computerized scheduling systems can minimize overruns. Statistical variability in procedure durations, however, implies that one‐half of the procedures will run longer than the calculated mean, resulting in wait times for time‐scheduled surgeons and their patients. Managers must understand the tradeoffs between the competing goals of surgical throughput and decreasing patient wait times in their efforts to optimize the OR schedule. AORN J 77 (March 2003) 594‐597.
RN to BSN—Advice On Returning to School
Authors: Leonard Teresa
Published: August 2006

Registered nurses who return to school to pursue a bachelor's degree face many challenges, including scheduling, family, and financial concerns. Despite these issues, RNs with an associate's degree or diploma are among the fastest growing groups of bachelor of science in nursing (BSN) students. Nurses return to school for personal satisfaction, to fulfill requirements for certification or graduate school, and to advance their careers and improve practice. A group of students enrolled in an RN to BSN program were surveyed to determine their perceptions of the difficulties and rewards of returning to school. This article shares their insights and advice for other RNs wishing to pursue a BSN. AORN J 77 (March 2003) 598‐608.
Sjögren's Syndrome—Implications for Perioperative Practice
Authors: Petruzzi Lynn M. , Vivino Frederick B.
Published: August 2006

Sjögren's syndrome (SS) is a chronic autoimmune rheumatic disorder in which lymphocytes invade the exocrine glands, leading to destruction of the glandular tissue. Systemic inflammation also may occur and involve multiple organs. Ninety percent of patients with SS are female, Caucasian, and middle‐aged. The characteristic symptoms of xerostomia and xerophthalmia often are trivialized, and the disorder is significantly underdiagnosed. Early diagnosis and management can prevent devastating oral and ocular complications and internal organ damage. Treatment modalities are aimed at providing comfort and preventing complications and progression of the disease. In the perioperative practice setting, nurses play an important role in the health care team involved in providing surgical care to patients with SS. AORN J 77 (March 2003) 612–624.
Endovascular Repair of Abdominal Aortic Aneurysms
Authors: Hall Susan W.
Published: August 2006

Abdominal aortic aneurysms increasingly are being repaired with an endovascular procedure, which is less invasive compared to traditional approaches. Decreased hospitalization is one of several advantages of the endovascular approach; however, there also are significant disadvantages that the patient should consider carefully. Complications of the endovascular approach are the same as with open procedures, and there is added potential for endoleaks (ie, leakage of the graft). The patient must be involved in an imaging surveillance program for life to continually assess the graft's durability. Endovascular repair of abdominal aortic aneurysms is a rapidly developing technology. Research is ongoing and emphasizes smaller deployment devices and stronger graft materials. AORN J 77 (March 2003) 631‐642.
Deep Brain Stimulation for Advanced Parkinson's Disease
Authors: Byrd Debra L. , Marks William J. , Starr Philip A.
Published: August 2006

Deep brain stimulation (DBS) is a new and promising technique for the treatment of movement disorders. Medically intractable Parkinson's disease (PD) is one of the most common indications for DBS. There are three possible subcortical targets for PD, depending on the symptomatology (ie, the motor subdivision of the thalamus, the globus pallidus internus, the subthalamic nucleus [STN]). Thalamic stimulation has been well established as a safe and effective treatment for essential tremor and the tremor associated with PD. Globus pallidus internus and STN DBS are being investigated for the treatment of all the cardinal signs of PD. This article describes the pathophysiology of PD, the surgical treatment history of PD, surgical techniques used for DBS implants, and the role the perioperative nurse has in the care of the patients undergoing these procedures. AORN J 72 (Sept 2000) 387–408.
Chronic Regional Pain Syndrome, Type 1: Part I
Authors: Dunn Debra G.
Published: August 2006

Chronic regional pain syndrome refers to a class of disorders thought to involve common neuropathic and clinical features. These disorders usually are caused by injury, and they manifest in pain and sensory changes that are disproportionate in intensity, distribution, and duration to the underlying pathology. The result of these injuries is significant impairment of motor function over time. This article is divided into two parts. Part I discusses background information such as pain, pathophysiology, diagnosis, clinical stages, and the most common treatment modality, sympathetic nerve blocks. Part II, discusses alternate treatment modalities, such as sympathectomy, physical therapy, stimulators, trigger point injections, acupuncture, tourniquet effects, placebo effects, and amputation. AORN J 72 (Sept 2000) 421–449.
The Art of Fitting into Our Lives
Authors: Halford Scottt G.
Published: August 2006

When there is a long‐standing disparity between our reality and goals, internal friction grows unchecked. The incongruency of being out of step with ourselves creates major stress. Achieving congruency in our lives leads to personal and professional success. The process of achieving congruency brings us closer to our life goals, and it necessarily entails self‐examination and insight. We must examine our likes, dislikes, strengths, weaknesses, and desires and set realistic and specific goals. By aligning our words and actions to match our goals, we are more likely to achieve those goals and begin fitting into the lives we want to lead. AORN J 72 (Sept 2000) 484–492.
Recognition of Staff Nurse Job Performance and Achievements: Staff and Manager Perceptions
Authors: Coughlin Maryanne K.
Published: August 2006

Recognition of Staff Nurse Job Performance and Achievements: Staff and Manager Perceptions, SN Cronin, D Becherer, Journal of Nursing Administration, Vol 29, (January 1999), 26–31
Practical Advice for Planning and Conducting Focus Groups
Authors: McConnell Edwina A.
Published: August 2006

Practical Advice for Planning and Conducting Focus Groups, D Cote Arsenault, D Morrison Beedy, Nursing Research, Vol 48, (September/October 1999), 280–283
Ambulatory Surgery Patient Education Manual
Authors: Kitzrou Carol
Published: August 2006

Ambulatory Surgery Patient Education Manual, By Aspen Reference Group, 1997, loose‐leaf binder, 500 pp $99
Hospice Care Planning: An Interdisciplinary Guide
Authors: Lindell Colleen
Published: August 2006

Hospice Care Planning: An Interdisciplinary Guide, Cynthia L. Frozena, Maryann Hurtt, first ed, 1999, loose‐leaf binder, 314 pp $129
A Successful Practice Model for the OR
Authors: Ide Partricia , Fleming Constance
Published: August 2006

A practice model that combines shared governance and patient care teamwork to achieve optimal surgical patient care provided the framework for a successful Joint Commission on Accreditation of Healthcare Organizations visit at the Brigham and Women's Hospital, Boston, a university‐affiliated teaching hospital. This article describes ways to implement this practice model. Clinical practice, quality improvement, and development councils are explained, as well as membership criteria for the councils and how they function. The need for more sharing of such quality improvement data from other hospitals is needed to establish national standards for measuring nursing performance. AORN J 70 (Nov 1999) 805‐813.
Surviving OR Construction Projects from Conception to Completion
Authors: Hughes Michael J.
Published: August 2006

Suppose an OR needs a new floor, new sterilizers, a new ventilation system, overhead lights, or a floor‐to‐ceiling renovation. How can an OR manager or director manage a project of this magnitude and continue to provide safe, effective, and efficient patient care? This article explains how, with proper planning, construction projects can be managed safely, effectively, and efficiently for patients, staff members, physicians, and contractors. AORN J 70 (Nov 1999) 822–830.
Standardized Language—Making Nursing Practice Count
Authors: Beyea Suzanne C.
Published: August 2006

Language in nursing has never communicated the same clinical problems in a clear, precise, or consistent manner. Clinical information systems require standardized terms and definitions to help clinicians with electronic documentation. The future of nursing depends on systematic efforts to label and define nursing contributions to health care. Standardized nursing languages provide a structure to manage nursing data in a computerized patient record. Learning about and working with standardized nursing languages will ensure that nursing contributions are an integral component of any medical record. This article defines standardized language, explores standardized languages in nursing, and outlines the various nursing languages for clinical practice that have been recognized by the American Nurses Association. AORN J 70 (Nov 1999) 831‐838.
Biochemical Markers in Myocardial Injury
Authors: Gavaghan Mary
Published: August 2006

Biochemical markers are substances that are detected in body fluids or tissues that may signify a disease or other abnormality. Biochemical markers have been used to help in the diagnosis of acute myocardial infarction since the 1950s. The major problem with these markers is that they lack specificity for cardiac muscle as they are also elevated in many disease states and after minor muscle damage. AORN J 70 (Nov 1999) 840‐854.
Error Reduction in Health Care
Authors: Nunemaker Patricia A.
Published: August 2006

Error Reduction in Health Care, Patrice L. Spath, 2000, hardback, 284 pp $64
Internet Resources for Nurses
Authors: Pelletier Lori A.
Published: August 2006

Textbook in Health Informatics: A Nursing Perspective, Joyce J. Fitzpatrick, Kristen S. Montgomery, 2002, paperback, 448 pp $44.95
Preventing Perioperative Adverse Drug Reactions
Authors: Pribisko Alaine L.
Published: August 2006

The purpose of this article is to help nurses prevent adverse drug reactions (ADRs) in the perioperative, endoscopic, and special procedure areas. Up to 30% of hospitalized patients experience an ADR. Taking comprehensive medication histories, maintaining constant vigilance, and recognizing inherently dangerous patient/medication combinations are essential in preventing ADRs. The mechanisms of medication toxicity and identifying potentially preventable adverse reactions are discussed. Practical nursing guidelines and tips that patients can use to prevent ADRs from occurring are delineated. Not every ADR can be prevented, but informed nurses can implement measures to reduce their occurrence. AORN J 77 (Jan 2003) 106‐117.
Medication Errors in the OR—A Secondary Analysis of Medmarx
Authors: Beyea Suzanne C. , Hicks Rodney W. , Becker Shawn C.
Published: August 2006

Although medication errors can result in serious patient complications or even death, a paucity of Information regarding medication errors that occur in the OR exists. AORN and the US Pharmacopeia (USP) collaboratively conducted a secondary analysis of reports of medication errors that occurred in the OR. These reports were submitted to the USP via the Medmarx program. The findings will give perioperative clinicians further insight into the types and causes of medication errors that occur in the OR and will help them develop potential prevention strategies. AORN J 77 (Jan 2003) 122‐134.
Neurosurgical Considerations in Posttraumatic Syringomyelia
Authors: Hilton Edith L. , Henderson Lesley J.
Published: August 2006

Syringomyelia is a progressive degenerative disorder that results in numerous life‐altering symptoms. People with this disorder frequently are misdiagnosed and most likely will experience intractable pain for many years. Surgical procedures may offer some relief from symptoms through spinal decompression or cerebrospinal fluid shunting; however, these procedures often are unsuccessful in altering the course or progression of the disease process. Information on the implications of the disease offers insight that is helpful for nurses providing care to these patients. This article presents relevant clinical information and discusses surgical procedures, as well as a patient's perspective on living with this relatively unknown disorder. AORN J 77 (Jan 2003) 136‐150.
Using Aviation Safety Measures to Enhance Patient Outcomes
Authors: Rivers Russell M. , Swain Diane , Nixon William R.
Published: August 2006

Recent media reports have put a spotlight on the increasing number of medical errors occurring in US health care institutions. In contrast to health care's increasing error rate, the aviation industry is experiencing a decreasing error rate. Could the safety techniques used in the aviation industry be applied to health care? This article explores that question. The dynamics of the surgical suite are not unlike those of the cockpit of an airplane; therefore, perioperative services was selected to pilot test the aviation model of safety training. AORN J 77 (Jan 2003) 158‐162.
Breast Cancer: Journey to Recovery
Authors: Crisman Karen
Published: August 2006

Breast Cancer: Journey to Recovery, Carol Noll Hoskins, Judith Haber, Wendy Budin, 2001, paperback, 223 pp $25.95
The Wonder of Girls
Authors: Golobich Linda M.
Published: August 2006

The Wonder of Girls, Michael Gurian, 2002, hardback, 328 pp $26
The Effective Health Care Supervisor
Authors: Pirozzi Jennifer
Published: August 2006

The Effective Health Care Supervisor, Charles R. McConnell, fifth ed, 2002, paperback, 477, $52
Carotid Artery Stenosis and Endarterectomy
Authors: Cundy JoAnn Basso
Published: August 2006

This article reviews the disease process of carotid artery stenosis, its symptomatology, and prognosis for progression to ischemic stroke. Indications for both medical and surgical treatment are reviewed as is criteria for surgical categorization as specified by the American Heart Association guidelines for carotid endarterectomy. Although diagnostic testing, medical treatment and alternative therapy options of angloplasty, stenting and thrombolysis are presented, a thorough overview of the surgicai procedure of carotid endarterectomy is the major focus of discussion, as it remains the “gold standard” of treatment for severe carotid artery stenosis. AORN J 75 (Feb 2002) 310‐324.
Experiences of Australian Army Theatre Nurses
Authors: Biedermann Narelle
Published: August 2006

As battles have raged throughout the centuries, nurses have cared for ill and wounded soldiers. One nursing role during war is theatre (ie, OR) nursing. This article describes the role of Australian Army theatre nurses during the Vietnam War. It is based on Information collected in a study of the experiences of Australian Army nurses who worked in operating theatres in Vietnam between 1967 and 1971. As nurses today focus on the future to find new ways to meet the demands of nursing ahead, it is important to reflect on the past, as they can learn from history and from other nurses' experiences. AORN J 75 (Feb 2002) 335–346.
Mathematical Modeling to Define Optimum Operating Room Staffing Needs for Trauma Centers
Authors: Steelman Victoria
Published: August 2006

Mathematical Modeling to Define Optimum Operating Room Staffing Needs for Trauma Centers, CE Lucas et al, Vol 192, May 2001, Journal of the American College of Surgeons, 559‐565
Phlebotomy for Nurses and Nursing Personnel
Authors: Koch Fran
Published: August 2006

Phlebotomy for Nurses and Nursing Personnel, Dennis J. Ernst, Catherine Frost, 2001, paperback, 182 pp $29.95
Advocacy in Perioperative Nursing Practice
Authors: Schroeter Kathryn
Published: August 2006

Advocacy describes the act of pleading for, supporting, and active espousal. It implies taking action to achieve a goal on behalf of oneself or another. In nursing, the patient's wishes often serve as the impetus for advocacy. Perioperative nurses function as advocates and accept responsibility to safeguard the rights of surgical patients. This article describes historical aspects of and conceptual problems in nursing advocacy, and it presents case studies that demonstrate advocacy by the perioperative nurse. AORN J 71 (June 2000) 1207–1222.
Preoperative Hair Removal—a Systematic Literature Review
Authors: Kjønniksen I. , Andersen B.M. , Søndenaa V.G. , Segadal L.
Published: August 2006

This article describes a systematic literature review on whether, how, and when to perform preoperative hair removal. By searching electronic databases and reference lists of relevant articles, team members identified 20 clinical studies that deal with preoperative hair removal. No strong evidence was found to advocate against preoperative hair removal. Furthermore, there was strong evidence to recommend that when hair removal is considered necessary, shaving should not be performed. Instead a depilatory or electric clipping, preferably immediately before surgery, should be used. AORN J 75 (May 2002) 928‐940.
Ethics in Perioperative Practice—Patient Advocacy
Authors: Schroeter Kathryn
Published: August 2006

Though often difficult, ethical decision making is necessary when caring for surgical patients. Perioperative nurses have to recognize ethical dilemmas and be prepared to take action based on the ethical code outlined in the American Nurses Association's (ANA's) Code of Ethics for Nurses with Interpretive Statements. In this second of a nine‐part series that will help perioperative nurses relate the ANA code to their own area of practice, the author looks at the third provision statement, which addresses nurses' position as patient advocates. AORN J 75 (May 2002) 941–949.
Outpatient Laparoscopic Nissen Fundoplication
Authors: Todd Steven , Corsnitz Deborah , Ray Subir , Nassar Jay
Published: August 2006

Gastroesophageal reflux disease affects more than 40% of Americans, causing heartburn and reflux of gastric contents into the esophagus when bending or lying down. Lifestyle modification, such as weight loss and a diet rich in protein and low in fat and glucose, should increase the patient's resting lower esophageal sphincter pressure. Avoiding exacerbating substances, such as mint, chocolate, alcohol, and tobacco, also may reduce symptoms. Medications may be prescribed to reduce persistent symptoms, although no medication currently available cures the disease process. Patients who need antireflux medication regularly for four to six weeks or more may be candidates for laparoscopic Nissen fundoplication. Patients who do not want to take antireflux medication for the rest of their lives, cannot afford the medication for an extended period of time, or suffer significant side effects from the medication also are candidates. This article describes performing Nissen fundoplication laparoscopically on an outpatient basis. The average length of hospital stay has been decreased to two to three hours when performed laparoscopically on an outpatient basis from 10 days for the open procedure and two to three days when performed laparoscopically on an inpatient basis. The incidence of recurrent heartburn is less than 2% when the procedure is performed laparoscopically and does not appear to be clinically significant. AORN J 75 (May 2002) 956‐979.
Transplantation Drug Manual
Authors: Buchanan Holly J.
Published: August 2006

Transplantation Drug Manual, John Pirsch, William D. Simmons, Hans Sollinger, 1999, wirebound, 146 pp $45
The Case Manager's Training Manual
Authors: Smith Kay Lambert
Published: August 2006

The Case Manager's Training Manual, David W. Plocher, Patricia L. Metzger, 2001, hardback, 318 pp $59
Thermal Capsulorrhaphy for Acute or Chronic Shoulder Instability
Authors: Clark Gregory J. , Erickson Kelley K. , Mikutis Jeffrey
Published: August 2006

During the past two decades, arthroscopic procedures have been replacing traditional, more invasive orthopedic surgical procedures. As technology becomes more advanced, the opportunity to provide a greater number of minimally invasive surgical interventions continues to improve. Thermal modification of joint capsule and ligamentus tissues, a recent introduction to medical science, has been investigated extensively during the past six years. Arthroscopic thermal capsulorrhaphy is one such procedure, and it is performed on individuals with a history of joint instability. These patients now can be treated surgically without large incisions and significant shoulder joint trauma. The thermal unit in both monopolar and bipolar models has similar properties to those of the basic electrosurgical unit. Relatively low‐temperature heat is directed to the supportive structures of the shoulder joint causing the tissues to expand. This tightens a previously stretched and attenuated shoulder capsule. AORN J 74 (Dec 2001) 809‐817.
The Nuss Procedure for Pectus Excavatum Correction
Authors: Swoveland Barbara , Medvick Clare , Kirsh Marilyn , Thompson G. Kevin , Nuss Donald
Published: August 2006

Pectus excavatum is an anterior chest wall deformity that now can be corrected with a minimally invasive technique known as the Nuss procedure. Patient criteria and assessment for this new surgical procedure are defined clearly in advance to ensure the need for surgical intervention. A multidisciplinary team approach has been established at Children's Hospital of The King's Daughters, Norfolk, Va. Team members work cooperatively throughout the perioperative cycle, addressing not only the surgical procedure but also pain management and postoperative recovery. This dedicated team approach helps ensure a successful outcome for the patient. AORN J 74 (Dec 2001) 828‐841.
Perioperative Nurse Training in Cardiothoracic Surgical Robotics
Authors: Connor Michael A. , Reinbolt Jeffrey A. , Handley Patrisa J.
Published: August 2006

The exponential growth of OR technology during the past 10 years has placed increased demands on perioperative nurses. Proficiency is required not only in patient care but also in the understanding, operating, and troubleshooting of video systems, computers, and cutting edge medical devices. The formation of a surgical team dedicated to robotically assisted cardiac surgery requires careful selection, education, and hands‐on practice. This article details the six‐week training process undertaken at Sarasota Memorial Hospital, Sarasota, Fla, which enabled staff members to deliver excellent patient care with a high degree of confidence in themselves and the robotic technology. AORN J 74 (Dec 2001) 851‐857.
Is It Time for Brushless Scrubbing with an Alcohol‐based Agent?
Authors: Gruendemann Barbara J. , Bjerke Nancy B.
Published: August 2006

The practice of surgical scrubbing in perioperative settings is changing rapidly. This article presents information about eliminating the traditional scrub brush technique and using an alcohol formulation for surgical hand scrubs. Also covered are antimicrobial agents, relevant US Food and Drug Administration classifications, skin and fingernail care, and implementation of changes. The article challenges surgical team members to evaluate a new and different approach to surgical hand scrubbing. AORN J 74 (Dec 2001) 859‐873.
The Lived Perioperative Experience of Ambulatory Surgery Patients
Authors: Costa Mary Jane
Published: August 2006

Understanding patients' perspectives is central to providing appropriate nursing care. The purpose of this study was to explore ambulatory surgery patients' perceptions and views of the perioperative experience. A phenomenological study was conducted that included 16 patients who underwent abdominal surgical procedures in the ambulatory surgery center of a large teaching hospital in the northeastern United States. Intensive semistructured interviews were used to collect data. Patients were interviewed one week after surgery. Data analysis was aimed at gaining understanding of the lived experience of ambulatory surgery patients. Themes identified included fear, knowing, and presence. Results indicate that patients in this study were not prepared adequately for the perioperative experience, suffered needlessly due to inadequate pain management, and did not achieve discharge readiness. AORN J 74 (Dec 2001) 874‐881.
Anterior Cruciate Ligament Reconstruction
Authors: Bach Bernard R. , Boonos Cynthia L.
Published: August 2006

The anterior cruciate ligament (ACL) is the most commonly reconstructed knee ligament. It is estimated that more than 100,000 new ACL injuries occur annually. This article discusses preoperative education, perioperative nursing care, surgical technique, and postoperative management of patients undergoing ACL reconstruction procedures. AORN J 74 (Aug 2001) 152–164.
The Meaning of Being a Perioperative Nurse
Authors: Sigurđsson Hrafn Óli
Published: August 2006

The purpose of this study is to describe the meaning of being a perioperative nurse within the contexts of the sociopolitical, economic, and cultural forces that influence perioperative nursing practice. A theory of communicative action provided the framework for this philosophical inquiry. The researcher conducted one‐time, in‐depth interviews with six expert perioperative nurses selected from three practice settings in the northeastern United States. These interviews resulted in the text that the researcher analyzed based on the principles of critical hermeneutics, and four constitutive patterns were identified. The meaning of being a perioperative nurse for these nurses was identified as a struggle to make sense of their existence in the OR.AORN J74 (Aug 2001) 202–217.
Understanding the Nature of Errors in Nursing: Using a Model to Analyze Critical Incident Reports of Errors Which had Resulted in an Adverse or Potentially Adverse Event
Authors: Byrne Michelle
Published: August 2006

Understanding the Nature of Errors in Nursing: Using a Model to Analyze Critical Incident Reports of Errors Which had Resulted in an Adverse or Potentially Adverse Event, CE Meurier, Journal of Advanced Nursing, Vol 32 July 2000, 202‐207
Analysis of Charges and Complications of Permanent Pacemaker Implantation in the Cardiac Catheterization Laboratory Versus the Operating Room
Authors: Steelman Victoria M.
Published: August 2006

Pacing & Clinical Electrophysiology, KH Yamamura et al, Vol 22 December 1999, 1820‐1824
Perioperative Services: Administration, Resource Management, and Patient Care
Authors: Humphrey Tammi
Published: August 2006

Perioperative Services: Administration, Resource Management, and Patient Care, Cathy Frye, Cynthia Spry 2000, 628 pp $249, looseleaf
Baby Er
Authors: Pettit Karen S.
Published: August 2006

Baby Er, Edward Humes 2000. 320 pp $25 hardback
Surgical Management of Vesicoureteral Reflux
Authors: Ellsworth Pamela I. , Cendron Marc , McCullough Maureen F.
Published: August 2006

Vesicoureteral reflux (VUR) is a urologic condition in which there is a retrograde flow of urine from the bladder through the ureter back up to the upper urinary tract. The condition may be classified as primary or secondary and is more often identified in Caucasian females. The primary goal in the management of VUR is the prevention of pyelonephritis and subsequent renal scarring. AORN J 71 (March 2000) 498–513.
Diagnosis, Treatment, and Lifestyle Changes of Interstitial Cystitis
Authors: Henderson Lesley J.
Published: August 2006

Interstitial cystitis (IC) is a chronic inflammation of all the layers of the bladder wall. As it is difficult to diagnose and it affects mostly women, many physicians misdiagnose it as a psychological problem. Almost half a million individuals in the United States suffer from this cureless disorder. This article will review the anatomy, physiology, etiology, diagnosis, treatments, and current research foci of IC, along with the effects of the disease on lifestyle and personal issues from the patient's perspective. AORN J 71 (March 2000) 525–538.
Structural Data Elements—Standardized Terms and Definitions
Authors: Beyea Suzanne C.
Published: August 2006

Perioperative nurses must have an organized approach to collect, organize, classify, and capture clinical nursing data to communicate nursing practice. Standardized nursing language provides a systematic method of collecting basic elements of perioperative nursing care. This article examines how structural elements were developed and validated for this standardized language. AORN J 71 (March 2000) 541–549.
Surgical Treatment of Nonmelanoma Skin Cancer
Authors: Anthony Margaret L.
Published: August 2006

Nonmelanoma skin cancer is the most common human malignancy. An estimated 2.75 million patients worldwide are diagnosed with skin cancer each year, with more than one million in the United States alone. Treatment for skin cancer includes methods such as cryosurgery, curettage and electrodessication, local excision, and Mohs micrographic surgery. Regardless of the method used, the goal is to provide the patient with the safest, most cost‐effective and curative treatment. AORN J 71 (March 2000) 552–564.
Reducing Blood Exposures During Orthopedic Surgical Procedures
Authors: Folin Ann , Nyberg Björn , Nordström Gun
Published: August 2006

Surgical team members constantly are exposed to blood during procedures. Inadvertent injuries (eg, needle sticks, cuts) and contaminations expose team members and patients to the risk of transmission of bloodborne pathogens. Injuries and contaminations can be decreased significantly for scrub people and first assistants, however, by introducing new working methods (ie, no‐touch instrument passing technique, instrument neutral zone). AORN J 71 (March 2000) 573–582.
Moisturizing Alcohol Hand Gels for Surgical Hand Preparation
Authors: Jones Rhonda D. , Jampani Hanuman , Mulberry Gayle , Rizer Ronald L.
Published: August 2006

With the use of novel formulary technology, unique moisturizing hand gels have been developed that offer significant advantages in perioperative and other health care settings. These advantages include the time‐saving capabilities of a waterless formulation, the persistence and effectiveness of a surgical scrub, and the moisturization and protective properties of a lotion. Extensive laboratory and clinical studies, involving in vivo antimicrobial activity against resident and transient flora, skin moisturization on normal and dry skin, and compatibility with latex gloves, have supported these advantages. Nondrying alcohol hand gels can be used for antiseptic hand washing, hand scrubs between procedures (ie, reentry scrubs), brushless surgical scrubs, moisturizers, and glove‐donning aids. AORN J 71 (March 2000) 584–599.
A Historical Review of the AORN Journal
Authors: Riese Sharon
Published: August 2006

The purpose of this project was to critically review 35 years of AORN Journal content from 1963 to 1998 to determine if the original mission and goal of the Journal were being met. Content analysis revealed a diverse mixture of feature articles and regular columns that typically targeted perioperative nurses. Feature articles addressed multiple perioperative specialty areas, along with other areas of interest to perioperative nurses. Regular columns provided a means of keeping AORN members informed of educational offerings, policy changes, AORN business, and clinical practice issues. AORN J 71 (March 2000) 6060–619.
Pediatric Day Surgery Outcomes Management: The Role of Preoperative Anxiety and Home Pain Management Protocol
Authors: Lee Calvin Rosie
Published: August 2006

Pediatric Day Surgery Outcomes Management: The Role of Preoperative Anxiety and Home Pain Management Protocol, M Seid, JW Varni, Journal of Clinical Outcomes Management, Vol 6, February 1999, 24–30
The Technology Spectrum and Its Application to Orthopedic Technologies
Authors: McConnell Edwina A.
Published: August 2006

The Technology Spectrum and Its Application to Orthopedic Technologies, O Mikhail, International Journal of Technology Assessment in Health Care, Vol 15, Winter 1999, 254–263
Majoring in Nursing From Prerequisites to Postgraduate Study and Beyond
Authors: Barton Ann
Published: August 2006

Majoring in Nursing From Prerequisites to Postgraduate Study and Beyond, Janet R. Katz, 1999, paperback, 130 pp $11
Preferences in Surgical Waiting Area Amenities
Authors: Carmichael Julie M. , Agre Patricia
Published: August 2006

The purpose of this needs assessment was to determine which waiting area amenities family members deem important to make them comfortable when waiting for news about surgical patients. A literature review was conducted, perioperative staff members were interviewed and surveyed, and family members were interviewed and surveyed. The findings indicate that family members have preferences for specific amenities. Items of highest importance include the service of a surgical nurse coordinator and a private room for consulting with physicians. Items of average importance include beepers and educational materials about the procedure. Items of least importance include a food cart and soft music. AORN J 75 (June 2002) 1077‐1083.
Managing Change During an Information Systems Transition
Authors: Barr Barbara J.
Published: August 2006

This article examines the social forces underlying computer technology diffusion into nursing. It also explores the benefits of computerized perioperative patient documentation and suggests methods that can used to persuade nurses to embrace and master computer technology as a tool of their trade. Options are examined that offer nurses opportunities to overcome their reluctance to accept responsibility for accurate computer documentation and appreciate the added value offered by information technology. Implementing an adequate computer technical skills training program affects nurses' acceptance of computerized documentation, but having the best training program available does not replace the need to ensure that organizational and individual practitioners are receptive to change. AORN J 75 (June 2002) 1085‐1092.
Reprocessing Single‐use Devices—the Equipment Connection
Authors: Dunn Debra
Published: August 2006

This is the second in a series of three articles about reprocessing medical devices labeled as “single use” by the manufacturer. The goal of reprocessing single‐use devices (SUDs) is to save money and decrease environmental pollution. Reprocessing can be performed on SUDs that have been used on other patients or opened but not used. In this article, the procedures for reprocessing (eg, cleaning, inspecting, sterilizing, tracking, testing, validating) and establishing a reuse program are discussed. The first article of the series, published in the May 2002 issue of the Journal, discussed the ethical component of reusing SUDs. The third article, to be published in the July 2002 issue, will discuss the roles of the involved regulatory agencies and organizations guiding the process. AORN J 75 (June 2002) 1143‐1158.
The Quality of Perioperative Care: Development of a Tool for the Perceptions of Patients
Authors: Weemering Mary Lynne
Published: August 2006

The Quality of Perioperative Care. Development of a Tool for the Perceptions of Patients, T Leinonen et al, Journal of Advanced Nursing, Vol 35 July 2001, 294‐306
Infection Prevention in Surgical Settings
Authors: Campbell Sheila
Published: August 2006

Infection Prevention in Surgical Settings, Barbara J. Gruendemann, Sandra Stonehocker Mangum, 2001, paperback, 387pp $36
Nursing as a Spiritual Practice
Authors: Connelly Cynthia
Published: August 2006

Nursing as a Spiritual Practice, Janet A. Macrae, 2001, hardback, 144 pp $29.95
Bernese Periacetabular Osteotomy for Hip Dysplasia in Young Adults
Authors: Gillett Craig A.
Published: August 2006

Hip dysplasia is one of the most common disorders of the hip, presenting in the first three years of life. Literature has shown that an association exists between developmental dysplasia of the hip and the development of secondary hip osteoarthritis in early adulthood. Treatment options are directed toward relieving symptoms and delaying or preventing the onset of arthritis in the affected hip. Total hip arthroplasty is a surgical option, but has been associated with a high rate of failure in younger, physically active patients. This article discusses the Bernese periacetabular osteotomy procedure as a treatment modality, which restores coverage of the femoral head with the acetabulum. Changing the anatomy allows the surgeon to increase the surface area of the femoral head that bears the patient's weight. Increasing the weight‐bearing surface may prevent further damage to the hip's cartilage and delay the onset of osteoarthritis. AORN J 75 (April 2002) 737‐751.
Laparoscopic Radical Prostatectomy
Authors: Bickert Denise , Frickel Deborah
Published: August 2006

Prostate cancer is the second leading cause of cancer deaths among men, after lung cancer. Traditionally, the traumatic open radical prostatectomy procedure was the only treatment option available. Although nerve‐sparing techniques have evolved, the development of laparoscopic radical prostatectomy (LRP) has been one of the most significant changes in surgical treatment of the disease. Like many minimally invasive abdominal procedures, LRP reduces trauma, resulting in less postoperative pain, reduced length of hospital stay, and more rapid return to normal activity when compared to open radical prostatectomy. This article describes the preoperative, Intraoperative, and postoperative care of a patient undergoing LRP. It is anticipated that LRP will be the future standard for treatment of prostate cancer that requires radical surgery. AORN J75 (April 2002) 762‐782.
Responding to a Fire at a Pediatric Hospital
Authors: Hogan Catherine
Published: August 2006

Disaster preparedness in health care organizations facilitates a formalized response to major incidents or disasters. This article reviews a man‐made disaster, a fire at a large pediatric hospital. How the fire started, patient evacuation, redirecting services, timing of events, key players, geographic factors, communications, and recovery and restoration of care are discussed. Lessons learned and information on disaster preparedness also are presented. AORN J 75 (April 2002) 793‐800
Instructional Bias—Awareness and Reduction in Perioperative Education
Authors: Byrne Michelle M.
Published: August 2006

Through the use of instructional materials, perioperative educators provide education to staff members, physicians, patients, and family members. Although accrediting bodies and scholars have addressed the importance of diversity in patient assessment and nursing care, there has been little discussion regarding how instructional materials incorporate cultural, age, and gender diversity. This article defines bias and explores six forms of instructional bias. Suggestions are offered on ways to reduce or eliminate bias in instructional materials. AORN J 75 (April 2002) 808‐816.
Ethics in Perioperative Practice—Principles and Applications
Authors: Schroeter Kathryn
Published: August 2006

Though often difficult, ethical decision making is necessary when caring for surgical patients. Perioperative nurses have to recognize ethical dilemmas and be prepared to take action based on the ethical code outlined in the American Nurses Association's (ANA's) Code of Ethics for Nurses with Interpretive Statements. In this first of a nine‐part series that will help perioperative nurses relate the ANA code to their own area of practice, the author looks at the first statement, which emphasizes respect for people. AORN J 75 (April 2002) 818‐824.
Certified Registered Nurses: Results of the Study of the Certified Workforce
Authors: Schroeter Kathryn
Published: August 2006

Certified Registered Nurses: Results Of The Study Of The Certified Workforce, AH Cary, 101, January 2001, American Journal of Nursing, 44‐52
Revision Total Hip Arthroplasty
Authors: Drake Cynthia , Ace Marcia , Maale Gerhard E.
Published: August 2006

Endoscopic visualization and pneumatically‐powered ballistic chisels that can be used to remove cement and cementless prostheses are recent developmental improvements for revision total hip arthroplasty (THA). Use of these new tools facilitates the revision procedure, reduces tissue trauma, and may reduce surgical time. Understanding the anatomy of the hip joint, pathophysiology that leads to the need for joint replacement, and the implant selection process can assist perioperative nurses in caring for and teaching patients who require revision THA and their family members. This article describes implant choices based on the type of bone deformity present and the use of the ballistic chiseling system during revision THA. Potential postoperative complications also are described. AORN J 76 (Sept 2002) 414–427.
Designing and Implementing a Patient Safety Program for the OR
Authors: Bower Janet O.
Published: August 2006

Surgery has a high potential for adverse outcomes. An error involving a retained retractor caused perioperative nurses at the University of Washington Medical Center, Seattle, to take another look at their department's patient safety practices and risk management procedures. Using another department's successful program as a model, the nurses considered the frameworks of risk management, quality improvement, and OR culture to develop a new patient safety quality improvement program for the OR. This article details the process of designing and implementing the program, which has energized staff members, enhanced teamwork, and resulted in improved patient outcomes. AORN J 76 (Sept 2002) 452–456.
Obstructive Sleep Apnea Syndrome in Ambulatory Surgical Patients
Authors: Mull Yvonne , Bedder Marshall
Published: August 2006

Obstructive sleep apnea in the ambulatory surgery setting has become a more significant concern in recent years because its identification and recognition are a critical part of preoperative patients' risk assessment. The types of surgeries that can be performed on an outpatient basis have increased and include many specialty procedures that previously were performed on an inpatient basis only. Ambulatory surgery has proven to be a cost‐effective alternative for patients and physicians; however, patients in this setting often have complex surgical histories. Perioperative nurses must provide a more integrated approach to patient assessment to recognize, identify, plan, and implement a course of safe care for patients with obstructive sleep apnea. Reviewing patients' histories can help nurses identify symptoms of obstructive sleep apnea, allowing them to alert the surgical team of special requirements. Ambulatory patients with identified obstructive steep apnea will require a planned course of care. Ambulatory care facilities should have a policy in place to ensure that safe care will be provided to patients for the entire perioperative course. AORN J 76 (Sept 2002) 458–464.