bluuebunny/crossref_metadata_2025_split huggingface dataset:
Surveyed Use of Fetal and Uterine Monitoring During Maternal Surgery
Authors: Kendrick Jo M. , Woodard Carla B. , Cross Stephanie B. 
Published: August 2006

ABSTRACTThe goal of this study was to determine the frequency and methods of intraoperative fetal and uterine monitoring during maternal surgery in the United States. Maternal surgery was defined as nonobstetric surgery during pregnancy that required general or regional anesthesia. We mailed a 21‐item questionnaire to the perioperative nurse managers of US hospitals at which more than 2,000 babies are delivered annually (n = 579). Nearly 60% of responding hospitals routinely used some form of fetal monitoring during maternal surgery; more than 40% of responding hospitals did not use intraoperative fetal and uterine monitoring routinely during maternal surgery. AORN J 62 (Sept 1995) 386‐392.
Nurses' Educational Preparation and Attitudes Toward Cost Containment
Authors: Robinson Barbara J. Hemsley , Miller Mary Ann 
Published: August 2006

ABSTRACTThis study examined attitudes toward cost‐effectiveness among nurses who were stratified according to their highest educational nursing preparation (ie, diploma, associate degree, bachelor's degree). A convenience sample of 65 staff nurses from OR and intensive care settings participated. Descriptive statistics and one‐way and two‐way analyses of variance were used to analyze the data. Mean scores on the Blaney/Hobson Nursing Attitude Scale for the associate degree nurse (ADN), diploma, and bachelor of science in nursing (BSN) groups were 69.90, 76.65, and 81.27, respectively. The diploma‐ and BSN‐prepared staff nurses had significantly more favorable attitudes toward cost‐containment issues in nursing practice than did the ADN group (p = .05). AORN J 62 (Sept 1995) 404–410.
A Nurse's Right to Refuse a Patient Care Assignment
Authors: Kuhn Jane E. 
Published: August 2006

ABSTRACTEthics is a set of moral principles or values—a guiding philosophy for behavior. Ethical dilemmas in the health care setting occur daily. Perioperative nurse managers need to consider basic ethical Principles when resolving these dilemmas, and they must keep in mind that solutions need to serve the best interests of all people involved in given situations. This article discusses criteria by which a nurse can refuse a patient care assignment and those by which a nurse manager can require that a nurse perform a patient care assignment. AORN J 62 (Sept 1995) 412–418.
Video‐Assisted Thoracoscopic Ligation of Patent Ductus Arteriosus in Children
Authors: Valdes Mary Pennelli , Boundreau Susan A. 
Published: August 2006

ABSTRACTVideo‐assisted thoraco‐scopic surgery is a new approach that offers an alternative to open surgical ligation of the patent ductus arteriosus. Advanced video technology, precise pediatric instrumentation, and innovative surgical techniques have facilitated the development of this approach. From April 1993 to February 1995, this procedure was performed at a large pediatric medical center on more than 100 pediatric patients with a wide range of ages and weights. There was a collaborative effort among all disciplines, and peri‐operative nurses on the cardiac OR team were challenged to become proficient with this new procedure through inservice sessions, ongoing education, and hands‐on experience. AORN J 64 (Oct 1996) 526‐535.
Pediatric Dental Rehabilitation Procedures in the OR
Authors: Haskins Diane R. 
Published: August 2006

ABSTRACTChildren with significant baby bottle tooth decay and children who are challenged by significant physical and emotional limitations are candidates for dental rehabilitation procedures with general anesthesia. Rehabilitation of children's primary teeth is important to prevent pain, infection, and tooth loss. To provide skilled care for children undergoing dental rehabilitation procedures, perioperative nurses must understand normal dentition, tooth anatomy, and caries prevention and formation and be able to meet children's developmental and emotional needs. Perioperative nurses also must collaborate with dentists to maintain appropriate supply inventories that are unique to dental rehabilitation procedures. AORN J 64 (Oct 1996) 573–579.
Overhead Transparency Skills for Perioperative Nurse Educators
Authors: Beitz Janice M. 
Published: August 2006

ABSTRACTSuccessful design of creative overhead transparencies should be part of the instructional repertoire of perioperative educators. Personal computers and user‐friendly software have revolutionized overhead transparencies' dynamic, imaginative production. This article reviews the advantages and disadvantages of overhead projection, presents practical suggestions for generating and using transparencies, and displays computer designed examples. AORN J 64 (Oct 1996) 580–587.
Scalp Replantation After Traumatic Injury
Authors: Rivera Mary Lou , Gross John E. 
Published: August 2006

ABSTRACTA 30‐year‐old female patient lost her scalp in an industrial accident. Surgeons used a microscope to reconnect the arteries and veins in her scalp and to reattach the scalp to the patient's cranium. The patient tolerated the procedure without complications, although she developed venous congestion in her right ear while she was in the neuroscience intensive care unit. After several days of leech therapy, the patient experienced an uneventful postoperative course. One month after discharge from the hospital, the patient's hair was growing back in and her incision lines were fading. AORN J 62 (Aug 1995) 175–184.
Dental Restorations Using Titanium Osseointegrated Dental Implants
Authors: McEwen Donna R. , Sanchez Maria M. , Goode Pearl M. 
Published: August 2006

ABSTRACTDental implantology (ie, the science of replacing teeth) has evolved from the use of crude, unstable, natural materials to the use of titanium osseointegrated dental implants and sophisticated prosthetic appliances. Dental prosthetics are used in an increasing number of routine dental restorations. Postoperative patients who have undergone dental restorations using titanium osseointegrated dental implants enjoy results that approximate the look and feel of natural teeth. Optimal patient outcomes are best accomplished through a multidisciplinary team approach, and perioperative goals of patient commitment and compliance are achieved through comprehensive education. AORN J 62 (Aug 1995) 189‐205.
Dental Surgery Standards for Perioperative Nurses
Authors: Sanders Ruby Annette , Daniel Irvene Q. , Fuhrmann Pamela Bridget 
Published: August 2006

ABSTRACTPractice standards for dental surgery are necessary to maintain quality care for dental patients. Specific standards or recommended practices for dental surgery have not been addressed by AORN, and none are available from the American Dental Association or the Georgia Dental Association. We incorporated the Centers for Disease Control and Prevention guidelines, and Occupational Safety and Health Administration regulations had to be incorporated into existing perioperative standards to institute dental surgery standards for our facility. The standards for dental surgery at the Medical Center of Central Georgia, Macon, evolved with the leadership of perioperative nurses. AORN J 62 (Aug 1995) 227–233.
A Surgical Services Learning Needs Assessment
Authors: Piatkowski Carol A. 
Published: August 2006

ABSTRACTStaff development educators are challenged to meet the learning needs of a variety of subspecialties within surgical services departments. A formal learning needs assessment survey, based on the individual self‐fulfillment model, provides a means to identify the educational needs of staff members. Using questionnaires constructed for various types of staff members within a surgical services department, the author assessed staff members' clinical, interpersonal, and sociopolitical learning needs. The response rate was 56%, and the identified needs were legal issues, research, equipment (eg, ultrasonic aspirators, pressure monitors), and procedures (eg, cerebral aneurysm repairs, arteriovenous malformation corrections). Limitations included self‐identification of needs and a low response rate from one subspecialty; however, the author concludes that the survey format provides an effective means of identifying staff members' learning needs. AORN J 62 (Aug 1995) 251‐254.
Residual Organic Debris on Processed Surgical Instruments
Authors: DesCôteaux Jean‐Gaston , Poulin Eric C. , Julien Maryse , Guidoin Robert 
Published: August 2006

ABSTRACTThis preliminary study describes the degree of cleanliness of three categories of surgical instruments after processing (ie, decontamination, inspection, sterilization). The three categories were reusable laparoscopic, reused disposable laparoscopic, and conventional surgical instruments. The objective of the study was to identify from visual inspection and microscopic examination residual particles, stains, or liquid on processed instruments. The investigators studied 32 instruments selected at random from a hospital's supply of processed surgical instruments. On visual inspection, 90.6% (29–32) of the instruments appeared clean. Microscopic examination with a photomicrographic system, however, revealed residual debris on 84.3% (27/32) of the instruments. The quantity of residual debris on both types of laparoscopic instruments (ie, reusable, reused disposable) was equivalent. The conventional instruments contained less residual debris than the laparoscopic instruments. Sites that contained residual debris included junctions between insulating sheaths and activating mechanisms of laparoscopic instruments and articulations and grooves of forceps. More research is needed to determine the prevalence and clinical significance of these findings. AORN J 62 (July 1995) 23–29.
Cleanability of Hybrid Laparoscopic Instruments
Authors: Marlow Scott C. , Petruschke Haans K. 
Published: August 2006

ABSTRACTAn experiment was conducted to determine if hybrid laparoscopic instruments could be cleaned effectively before sterilization. A cleaning protocol that used materials readily available to perioperative cleaning personnel was established and implemented. Test instruments were soiled under pressure with defibrinated sheep's blood to simulate an abdominal laparoscopic surgical procedure (ie, by creating a pneumoperitoneum). After being cleaned according to the protocol, visual and optical inspections of the instruments indicated that all were free of visible soil. It was concluded that a hybrid laparoscopic instrument system can be cleaned satisfactorily before sterilization. AORN J 62 (July 1995) 32–36.
Estimating the True Costs of Disposable and Reusable Instruments
Authors: Mancuso Rudy , Bickham Margaret J. 
Published: August 2006

ABSTRACTThe real issue in the debate about reusable versus disposable surgical instruments is the true cost and efficacy of specific instruments. Each device needs to be scrutinized on its own merits and analytically compared to other instruments. The goal of this case study was not to promote one type of instrument over the other but to focus on some of the data elements and complex issues involved in determining true costs, cost‐effectiveness, and efficacy of the reusable and disposable instruments. AORN J 62 (July 1995) 39–48.
Laparoscopic Electrosurgical Complications and Their Prevention
Authors: Tucker Robert D. , Voyles C. Randle 
Published: August 2006

ABSTRACTInsulation failures, direct coupling, and capacitive coupling around active electrodes may cause serious burns and tissue damage to patients undergoing laparoscopic procedures. A coordinated team effort between perioperative nurses and surgeons can prevent life‐threatening complications from laparoscopic electrosurgical procedures. Knowledge of the biophysics of electrosurgery, the mechanisms of electrosurgery complications, and prevention of patient injuries will empower surgical team members to provide quality outcomes for patients undergoing laparoscopic procedures. AORN J 62 (July 1995) 51–71.
Talc Poudrage for Treatment of Pleural Effusion in Selected Patients
Authors: Tampinco‐Golos Isabelita C. 
Published: August 2006

ABSTRACTRecurring pleural effusions are a significant cause of patient morbidity. Treatment goals are to relieve distressing symptoms (eg, dyspnea, pain) caused by the effusion, to prevent further extracellular fluid accumulation in the pleural space, and to restore the patient to a functional pulmonary status. Talc poudrage is a therapy that instills iodized talc through a tube thoracostomy to cover opposing pleural surfaces with an irritating powder. Talc stimulates adhesion formation that obliterates the pleural space. Recent study results indicate that intrapleural instillation of iodized talc is an adequate and effective treatment for control of neoplastic or benign pleural effusion. AORN J 62 (July 1995) 83–91.
Absorbable Gelatin Powder Injection for Transient Vocal Cord Paralysis
Authors: Miller Marsha A. , Saltvoll Brita 
Published: August 2006

ABSTRACTIn the early 1900s, glottic insufficiency in patients with vocal cord paralysis was corrected by injecting paraffin intralaryngeally. Since then, injecting absorbable gelatin powder into the vocal cord has become an acceptable short‐term solution for transient paralysis of a single vocal cord. Although relatively uncommon, this procedure has few complications and is an option for patients when vocal cord function is expected to return within one year. AORN J 61 (May 1995) 821–826.
Thermal Regulation of Patients During the Perioperative Period
Authors: Dennison Donna 
Published: August 2006

ABSTRACTSurgery patients often become hypothermic during surgical procedures. The body's thermostat, the hypothalamus, strives to maintain a normal temperature; however, when a patient's temperature drops too low, the thermoregulatory processes are suppressed, and hypothermia occurs. Cardiopulmonary bypass procedures use induced hypothermia; however, inadvertent hypothermia may occur in many other surgical procedures during which the body temperature is not systematically monitored and regulated. Hypothermia may cause complications such as protein catabolism, hypokalemia, and changes in glucose metabolism and glomerular filtration. Nursing interventions used intraoperatively to maintain a normothermic state include applying warm and temperature regulating blankets, decreasing the amount of skin exposure, and warming operating rooms. AORN J 61 (May 1995) 827–832.
A Project Alpha Program for Smaller Chapters
Authors: Henderson Lesley , Davis Lisa 
Published: August 2006

ABSTRACTSmaller chapters cannot easily adapt to their groups the projects of larger chapters or programs at the national level. To address this problem, the Coosa Valley chapter of AORN, Rome, Ga, developed a program that offers perioperative experience to nursing students at a local college. Members of the chapter act as preceptors for the students and educate them before the students' preceptorships in the OR. This education seems to relieve some of the intimidation and fear related to the OR, and students in the program are more willing to participate in the program. AORN J 61 (May 1995) 845–851.
Perioperative Nurses' Attitudes Toward Continuing Education
Authors: Small Becky 
Published: August 2006

ABSTRACTThe primary purpose of this study was to determine perioperative nurses' attitudes toward continuing education (CE) and selected demographic variables. The researcher developed and administered a Likert‐type questionnaire to perioperative nurses. The first part of the questionnaire related to demographic variables, length of service at the facility as a registered nurse, and certification status. The second part of the questionnaire was a 30‐item attitude scale related to perioperative nurses and CE. The null hypothesis was analyzed using a t‐test at a .05 level of significance. Study findings revealed no differences in attitudes toward CE between certified perioperative nurses and noncertified perioperative nurses. AORN J 61 (May 1995) 852–857.
Laparoscopic Nissen Fundoplication to Treat Gastroesophageal Reflux
Authors: Stengel Joyce M. , DiRado Ralph 
Published: August 2006

ABSTRACTLaparoscopic Nissen fundoplication is an effective treatment for gastroesophageal reflux. The procedure involves wrapping the gastric fundus around the lower end of the esophagus to augment the lower esophageal sphincter. The procedure offers several advantages over open laparotomy, including smaller abdominal incisions, reduced postoperative discomfort, and shortened postoperative recovery and hospital stays. The laparoscopic approach also reduces the length of time a patient has an ileus. AORN J 61 (March 1995) 483–489.
Selective Dorsal Rhizotomy to Decrease Spasticity in Cerebral Palsy
Authors: Hendricks‐Ferguson Verna L. , Ortman Madeleine Rush 
Published: August 2006

ABSTRACTUntil recently, treatment of muscle spasticity in children with cerebral palsy has consisted of physical therapy, bracing, and surgery to release and lengthen tight tendons of contracted muscles and correct muscle contractures. Selective dorsal rhizotomy is a surgical intervention that selectively cuts the spinal sensory nerve rootlets carrying the most abnormal signals, thereby reducing spasticity in all muscle groups of the affected extremities. It is not a cure for spastic cerebral palsy. Children who have this procedure can gain significant increases in knee and thigh ranges of motion and increased strength and muscle control if they have good family support and follow through with intensive postoperative physical therapy. AORN J 61 (March 1995) 514–525.
Laser Ablation of Recurrent Laryngeal Papillomas in Children
Authors: Andrews Scarlett E. 
Published: August 2006

ABSTRACTPapillomas are the most common laryngeal tumors in childhood, and their etiology is thought to be viral. Papillomatosis (ie, widespread, multiple papillomas) may involve a child's airway from the epiglottis to the bronchi. Hoarseness is an early sign of juvenile laryngeal papillomas (JLP), and airway obstruction is a later, life‐threatening sign. The recurrence and spread of JLP is common. An otorhinolaryngologist may perform a tracheostomy on a child with JLP; however, this procedure is avoided if possible, because a tracheostomy predisposes the trachea to papilloma seeding. Laser ablation of papillomas through the use of rigid endoscopic equipment and a carbon dioxide laser is the mainstay of therapy. AORN J 61 (March 1995) 532–544.
Implementation of a Regional Pediatric Trauma Center
Authors: Schweer Lynn , Ose Marijo B. 
Published: August 2006

ABSTRACTToday's hospitals face unique challenges in the treatment of pediatric trauma patients. With the advent of more sophisticated regional trauma systems, there is a growing awareness that children are not “little adults,” but are a special component of the trauma patient population. As few communities can provide pediatric health care facilities committed to trauma care, regional pediatric trauma centers need to be developed and implemented so hospitals can provide pediatric trauma patients with comprehensive and age‐appropriate care. This article describes the steps taken by the Children's Hospital Medical Center, Cincinnati, to develop a regional pediatric trauma center according to the guidelines set forth by the American College of Surgeons committee on trauma. AORN Journal 61 (March 1995) 558–571.
Angioplasty with Stent Placement in Peripheral Arterial Occlusive Disease
Authors: Henderson Lesley J. , Kirkland John S. 
Published: August 2006

ABSTRACTPercutaneous transluminal balloon angioplasty (PTBA) is a minimally invasive and effective adjunct treatment for patients with atherosclerotic peripheral vascular disease. This surgical technique involves placing an intraarterial balloon within an obstructing arterial lesion and forcibly dilating the balloon under fluoroscopy. The PTBA technique has become an accepted interventional therapy for iliac artery stenoses.In selected patients with stenotic lesions of the iliac artery, percutaneous transluminal angioplasty (PTA) with the use of an intravascular stent may be an alternative to traditional aortofemoral bypass surgery. The PTA procedure involves only a needle entry site in one or both groins as opposed to an incision exposing the entire abdomen. The hospital stay for the average patient undergoing PTA of the iliac artery is three days as opposed to seven days for the patient undergoing aortofemoral bypass, and the patient may return to normal activity in a much shorter period of time after a PTA procedure. AORN J 61 (April 1995) 671‐685.
Perioperative Nursing Interventions for Intravascular Stent Placements
Authors: Allen Sheila L. 
Published: August 2006

ABSTRACTKeeping abreast of changing surgcal technologies is among the more challenging aspects of perioperaive nursing. Because peripheral vascular disease is a leading cause of lower extremity disabilities that require surgical interventions, new procedures and techniques are being developed continually. These procedures involve the insertion of intraluminal structural supports into patients who have had mixed or unsuccessful results from arrioplasty. Perioperative nurses are an integral part of vascular surgery teams performing the insertion of intravascular stents. To function effectively, perioperative nurses must understand the concepts of ntravascular stent procedures, nursing diagnoses, and nursing interventions that promote optimal patient outcomes.AORN J61 (April 1995) 689‐698.
The Challenge of Performing Three Heart Transplantations in One Day
Authors: Sedlacek Jo Ann , Huffman Mariece 
Published: August 2006

ABSTRACTHeart transplantation procedures, which present a number of challenges not generally seen in perioperative nursing practice, provide important knowledge for perioperative nurses because they demonstrate the importance of organization, communication, collaboration, and resourcefulness among surgical team members. On Friday, Aug 13, 1993, the Virginia Heart Center at Fairfax Hospital, Falls Church, implanted donor hearts in three adult recipients in a single day. The day was even more challenging because of elective coronary artery bypass graft procedures performed on three other patients. Successful response to the demands of Aug 13 was facilitated by the presence of skilled, versatile, cardiovascular OR staff members. AORN J (April 1995) 712‐721.
Competency‐based Orientation for Perioperative Cardiovascular Nurses
Authors: Huffman Mariece 
Published: August 2006

ABSTRACTNurses working in cardiovascular surgery must be responsible and highly competent to meet the demands of their profession. Hospitals that hire nurses for cardiovascular surgery also must assume responsibility for the competency of nurses hired. The Virginia Heart Center at Fairfax Hospital, Falls Church, uses a competency‐based orientation plan to train newly hired cardiovascular surgery nurses in providing quality care. Competency‐based orientation is an effective approach to incorporating new members of the team into the work environment. The benefits of this approach include the development of teamwork and esprit de corps, skill and knowledge enhancement, and possible increased staff retention. AORN J 61 (April 1995) 722‐729.
Developing an Instrument for Measuring Patient Satisfaction
Authors: Forbes Marita L. , Brown Hazel N. 
Published: August 2006

ABSTRACTWe developed a 21‐item questionnaire to evaluate the effectiveness of nursing care provided in an outpatient surgery center. The four constructs of the instrument for measuring patient satisfaction are caring, continuity of care, competence of nurses, and education of patients and family members. Content validity and test‐retest reliability have been established. Using this tool to analyze patients' responses to nursing care can help perioperative nurses improve patient care and patient satisfaction. AORN J 61 (April 1995) 737–743.