bluuebunny/crossref_metadata_2025_split huggingface dataset:
Panniculectomy—An Option for People who are Morbidly Obese
Authors: Payer Marilyn , Youngberg Barbara , Pfister Shirley 
Published: August 2006

ABSTRACTObesity is becoming a major health issue across the nation. Surgical procedures to alleviate problems of severely limited ambulation, development of open wounds, and overeating may be an option for people who are morbidly obese. A gastric bypass procedure and panniculectomy are among the surgical options available. In this article, the preoperative, intraoperative, and postoperative care of a patient undergoing a panniculectomy are presented. A safe, complication‐free procedure can be performed with preplanning; a precise, detailed team effort; and an informed, motivated patient. AORN J 77 (April 2003) 782–794
Perioperative Care of the Patient with Morbid Obesity
Authors: Graling Paula , Elariny Hazem 
Published: August 2006

ABSTRACTObesity recently has been called an epidemic. In the United States, more than 60% of adults are overweight. Although obesity and morbid obesity share numerous etiological factors (eg, genetic, environmental, psychosocial, economic), accepted treatment options differ. Morbid obesity requires urgent and definitive correction to treat both current and possible future complications and to help prevent a probable shortened lifespan. Generally, it is accepted that nonsurgical approaches to weight loss for a person who is morbidly obese are unsuccessful. This Home Study describes the major surgical procedures currently available to treat morbid obesity and discusses the information that nurses need to know about perioperative care of patients who are morbidly obese. AORN J 77 (April 2003) 802–819.
Optimizing Second Shift OR Staffing
Authors: Dexter Franklin , Epstein Richard H. 
Published: August 2006

ABSTRACTIn surgical suites when ORs sometimes run late, nurse anesthetists or perioperative nurses may be scheduled to work a second shift to cover procedures. Nurse anesthetists' OR workload in the afternoons can differ from that of perioperative nurses. At the end of long procedures, times to transport and stabilize patients can be considerable. This article shows that optimal second‐shift OR staffing is the same for nurse anesthetists and perioperative nurses when assessed using anesthesia billing data and OR information systems data respectively. Managers do not need hospital information systems staff members to provide data from both anesthesia billing and OR information systems to make second‐shift staffing decisions. One or the other is adequate. AORN J 77 (April 2003) 825–830.
Trauma in Patients Who are Morbidly Obese
Authors: Bushard Susan 
Published: August 2006

ABSTRACTTrauma is the fifth leading cause of death in the United States. There is an eight‐fold increase in mortality rates among victims of blunt trauma who are morbidly obese. Airway, circulation, and breathing mechanisms are altered in patients who are morbidly obese, which makes assessment and treatment difficult. Normal diagnostic and treatment procedures performed in the field and hospital must be modified. Some treatments or diagnostic procedures cannot be performed in the average hospital setting on patients who are obese; therefore, perioperative nurses must modify OR routines to provide care. AORN J 76 (Oct 2002) 585–589.
Roux‐en‐Y Gastric Bypass for Morbid Obesity
Authors: Barrow Cynthia J. 
Published: August 2006

ABSTRACTObesity among adults has increased 60% since 1991, and 25% of children are over weight or obese. Direct and indirect costs of obesity represent almost 17% of total health care costs. People who are morbidly obese are far more likely to develop diabetes, hypertension, sleep apnea, osteoarthritis, and some forms of cancer, as well as depression and anxiety disorders than people who are not obese. Medical treatment of obesity only has long‐term success rates of approximately 5%. Stidues have validated that bariatric surgery, on the other hand, has greater success rates for weight loss maintenance. Of current surgical options, Roux‐en‐Y gastric bypass offers the best results: complications ratio and us seen as the “gold standard” in bariatric surgery. AORN J 76 (Oct 2002) 593‐604.
Hamstring Tendon Graft for Anterior Cruciate Ligament Reconstruction
Authors: Boni Deborah M. , Herriott George E. 
Published: August 2006

ABSTRACTIn an age of increasing emphasis on sports, the most common contact injury of the lower extremity is anterior cruciate ligament (ACL) rupture. The classic history of an ACL injury is a sudden twisting of the knee accompanied by a popping or snapping sound. The patient usually complains of a feeling of hesitation, instability, or giving way of the knee. By the end of the day, the patient's knee will be swollen and unstable. There are many ways that the ACL can rupture, but a common method is a contact injury in which a valgus force is applied to the flexed, rotated externally knee. This can produce tears to the ACL, medial collateral ligament, and menisci. Noncontact injuries, such as those incurred while skiing or jumping, occur when the knee is extended and the tibia is internally rotated on the femur. There are several methods of repairing a ruptured ACL, such as using an allograft or autograft of the patella tendon or a hamstring tendon graft for the repair. This article focuses on the use of a hamstring tendon graft for ACL reconstruction and how to care for patients undergoing this procedure. AORN J 76 (Oct 2002) 612–624.
Invitational Theory and Perioperative Nursing Preceptorships
Authors: Finger Susan D. , Pape Tess M. 
Published: August 2006

ABSTRACTThe role of perioperative nurses is unique in that they must be able to maintain clinical expertise in nursing practice and develop technical surgical skills. Even experienced perioperative nurses who transfer to the OR from other hospital settings or change employment to another facility require a certain amount of preceptor orientation. The current shortage of experienced perioperative nurses calls for the development of strategies to increase their number. “Inviting” OR preceptorship experiences may increase the recruitment, retention, and, subsequently, number of perioperative nurses. Nurse preceptors may be either personally or professionally “inviting” or “disinviting” when sharing knowledge and techniques with less experienced nurses. This article includes findings from a research study of perioperative nurse preceptees. The intent of the study was to identify whether the invitational operating room teaching survey could be used as a reliable tool in the OR. Survey items evaluate preceptees' attitudes toward preceptors and characteristics of effective preceptors. Cronbach's α reliability analysis revealed reliability of the tool. AORN J 76 (Oct 2002) 630–642.
Benchmarking in Ambulatory Surgery
Authors: Copp Nancy A. 
Published: August 2006

ABSTRACTThe health care industry is relatively new to benchmarking. More clinical benchmarking is needed because little is known about which practices and processes lead to which outcomes. Benchmarking is a valuable quality improvement tool that can be used to improve practices and performances when instituted properly. This article describes the benchmarking process, its usefulness, and how ambulatory surgery centers can improve performance by using benchmarking. AORN J 76 (Oct 2002) 643–647.
Ethics in Perioperative Practice—Advancing the Profession
Authors: King Cecil A. 
Published: August 2006

ABSTRACTThough often difficult, ethical decision making is necessary when caring for surgical patients. Perioperative nurses have to recognize ethical dilemmas and should 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 seventh of a nine‐part series that is designed to help perioperative nurses relate the ANA code to their own area of practice, the author looks at the seventh statement, which emphasizes commitment to the profession. AORN J 76 (Oct 2002) 654–656.
Environmental Accountability in Perioperative Settings
Authors: Melamed Ann 
Published: August 2006

ABSTRACTGlobal environmental problems are connected to patient care issues. The amount and toxicity of medical waste have increased in recent decades. Certain medical products contribute significantly to pollution and contamination of the food chain with persistent, bioac‐cumulative toxins, including mercury and dioxins. Perioperative nurses need to understand how best to segregate waste and take advantage of opportunities for reuse and recycling. There are many ways nurses can contribute to pollution prevention in health care, some of which are detailed in this article. AORN J 77 (June 2003) 1157‐1168.
Treatment of Cholelithiasis in Children with Sickle Cell Disease
Authors: Hendricks‐Ferguson Verna , Nelson Martha A. 
Published: August 2006

ABSTRACTMedical and surgical advances have improved the treatment of cholelithiasis (ie, gallstones) in children with sickle cell disease (SCD). Children with SCD have an increased risk of developing pigment gallstones that initially may be asymptomatic but that can lead to acute symptoms of cholelithiasis. An elective laparoscopic cholecystectomy procedure is recommended for pediatric patients with SCD to prevent the risk of requiring an emergency cholecystectomy procedure. The primary benefits of this approach include a shorter hospital stay after surgery, decreased postoperative discomfort, decreased risk of complications, and a quicker return to normal activities. AORN J 77 (June 2003) 1170‐1182.
The Silent Dragon—Hepatitis C
Authors: Walker Beverly , Howard Linda 
Published: August 2006

ABSTRACTThe hepatitis C virus is the most common bloodborne pathogen in the world. A disease with no cure or vaccine, it kills between 8,000 and 10,000 people annually in the United States. Only recently have experts begun to understand the virus, its natural progression, and how it differs from other hepatitis viruses. Most transmission is a result of direct percutaneous exposure, and the disease is more common among minority groups. Alpha interferon and ribavirin are the currently approved first‐line treatment medications. Evolving medication therapies, full liver transplantation from nonliving donors, and split liver transplantation from living donors hold promise for the 170 million people who are thought to carry the virus. AORN J17 (June 2003) 1191‐1204.
Preoperative Teaching and Hysterectomy Outcomes
Authors: Oetker‐Black Sharon L. , Jones Susan , Estok Patricia , Ryan Marian , Gale Nancy , Parker Carla 
Published: August 2006

ABSTRACTThis study used a theoretical model to determine whether an efficacy‐enhancing teaching protocol was effective in improving immediate postoperative behaviors and selected short‐ and long‐term health outcomes in women who underwent abdominal hysterectomies. The model used was the self‐efficacy theory of Albert Bandura, PhD. One hundred eight patients in a 486‐bed teaching hospital in the Midwest who underwent hysterectomies participated. The participation rate was 85%, and the attrition rate was 17% during the six‐month study. The major finding was that participants in the efficacy‐enhancing teaching group ambulated significantly longer than participants in the usual care group. This is an important finding because the most prevalent postoperative complications after hysterectomy are atelectasis, pneumonia, paralytic ileus, and deep vein thrombosis, and postoperative ambulation has been shown to decrease or prevent all of these complications. This finding could affect the overall health status of women undergoing hysterectomies. AORN J 77 (June 2003) 1215‐1231.
Experiential Learning as Service for Others
Authors: Canales Mary K. , French Helen 
Published: August 2006

ABSTRACTExperiential learning provides an avenue for educating oneself, others, and communities and can lead to involvement in efforts designed to change social systems and improve conditions that affect a nation as a whole. This article provides an overview of experiential learning related to service and presents an example of one nurse's efforts to contribute to her community through the MERCI: Medical Equipment Recovery of Clean Inventory program at the University of Virginia Health System, Charlottesville. AORN J 77 (June 2003) 1232‐1239.
Treating Varicose Veins with Transilluminated Powered Phlebectomy
Authors: Zotto Lisa M. 
Published: August 2006

ABSTRACTIn the past, patients endured hours of surgery, many incisions, and multiple scars to manually remove painful, unsightly, swollen varicose veins. Patients now have a new treatment option. Endoscopic resection and ablation of superficial varicosities is possible using a powered vein resector, irrigated illuminator, and tumescent anesthesia. This article describes this new technique, called transilluminated powered phlebectomy, and explains how the procedure reduces the number of incisions and provides direct visualization of the veins as they are resected. AORN J 76 (Dec 22002) 981–990.
Anterior Cervical Discectomy and Fusion for Cervical Disc Disease
Authors: Cherry Cecile 
Published: August 2006

ABSTRACTAnterior cervical discectomy and fusion (ACDF) is a surgical procedure proven successful in the treatment of symptoms caused by cervical degenerative disc disease that is unresponsive to conservative therapy. Retrospective studies of patients who have undergone ACDF indicate that this procedure has a high rate of success for relieving symptoms and a low rate of associated complications. This article discusses normal cervical spine anatomy, the pathology of degenerative cervical disc disease, and perioperative nursing care for patients undergoing ACDF. Cortical ring allograft bone grafting and internal fixation with cervical locking plates also is discussed. AORN J 76 (Dec 2002) 998–1008.
Complementary and Alternative Medicine Use by Surgical Patients
Authors: Norred Carol L. 
Published: August 2006

ABSTRACTThis national multisite study examined complementary and alternative medicine (CAM) use by surgical patients during the two weeks preceding their surgery. A simple descriptive design consisting of anonymous self‐report questionnaires was used to measure CAM use and determine participant demographics. A purposive sample of adult, English‐speaking, elective outpatients from 16 hospitals representing seven US regions was used. Data were collected randomly at each site. Sixty‐seven percent of participants disclosed use of all types of CAM; 27% consumed herbs, 39% used dietary supplements, 54% took vitamins, and 1% reported use of homeopathics. Thirty‐four percent of participants reported using CAMs that potentially can interact with anesthetics and inhibit coagulation. The results of this study suggest that perioperative nurses should encourage patients to disclose CAM use and should educate patients about anesthetic interactions that may contribute to bleeding. AORN J 76 (Dec 2002) 1013–1021.
Nursing School Curricula and Hospital‐based Training Programs
Authors: Ward Rick P. , Saylor Coleen 
Published: August 2006

ABSTRACTPerioperative nursing is at the threshold of an unprecedented shortage that may affect the profession for years to come as the existing workforce ages and nursing schools continue to marginalize perioperative curricula. The purpose of this study is to investigate perioperative staffing issues, preceptorship training programs, and nursing school curricula in the metropolitan area surrounding the city of San Jose, Calif. Results show that 77% of the ORs surveyed had vacant positions and experienced moderate to severe difficulty in filling these vacancies. Results for the schools of nursing show that 83% do not offer preceptorships or clinical internships in the perioperative setting. Recommendations regarding the development of professional, community, and academic partnerships to help address the perioperative nursing shortage are presented. AORN J 76 (Dec 2002) 1022–1031.
A Precepted Perioperative Elective for Baccalaureate Nursing Students
Authors: McCausland Linda L. 
Published: August 2006

ABSTRACTA major factor contributing to the recruitment crisis in perioperative nursing is the lack of perioperative experiences offered to nursing students. A clinical elective designed to provide interested baccalaureate nursing students with OR experience was implemented at one university. A faculty member collaborated with perioperative nurses from area hospitals to provide a 36‐hour, precepted perioperative experience. The course allows students to learn about the perioperative nursing role and helps them develop nursing skills. Students acknowledged that this brief experience was adequate to meet their learning needs and help them decide whether they wanted to pursue further a career in perioperative nursing. AORN J 76 (Dec 2002) 1032–1040.
Ensuring Correct Site Surgery
Authors: Scheidt Rita C. 
Published: August 2006

ABSTRACTIn 2000, a report was published that focused on the high rate of medical errors in the United States. Wrong site surgery is defined as any surgery performed on the wrong site or patient or performing the wrong procedure. Since January 1995, 197 wrong site surgeries have been reported through the Joint Commission on Accreditation of Healthcare Organization s sentinel event reporting system. Incidents of wrong site surgery should not happen. The perioperative health care team composed of nurses, physicians, anesthesia care providers, unlicensed assistive personnel, admission workers, clerks, and other ancillary staff members must make patient safety an uncompromising goal. This article describes the problem and identifies potential causes for incidences of wrong site surgery. The article also describes steps to act on AORN s patient safety initiative, which includes five suggestions for the development of any surgical site verification policy. Using these suggestions as guidelines for developing a policy and procedure will help decrease the risk of avoidable errors. AORN J 76 (Nov 2002) 770–777.
Ovarian Mass—Benign or Malignant?
Authors: Schrecengost Ann 
Published: August 2006

ABSTRACTOvarian cancer strikes 23,000 American women every year, accounting for 52% of all gynecological cancer deaths. The death of comedienne Gilda Radner from ovarian cancer in 1991 brought the disease to the forefront for the American public. Unfortunately, since that time, there has been an absence of publicity about this dreadful disease. Seventy‐five percent of ovarian cancers are not diagnosed until the cancer has advanced to stage III or IV for several reasons. Clinical guidelines for the diagnostic screening of ovarian cancer have not been developed, which markedly hinders the diagnosis of ovarian cancer until it is in later stages. The tumor marker CA‐125 is not specific and, therefore, is an inadequate screening tool. This article discusses the epidemiology of ovarian cancer, the components of diagnostic screening, and treatment options. Nursing care of the patient undergoing surgical treatment for ovarian cancer also is discussed. AORN J 76 (Nov 2002) 792–806.
Optimizing Perioperative Pain Management
Authors: Arnstein Paul 
Published: August 2006

ABSTRACTAll nurses, regardless of specialty or practice setting, must provide effective measures to relieve their patients' pain. Uncontrolled pain can result in negative consequences, such as impaired cardiac functioning and neuroplastic changes in the spine and brain. This article discusses the problem of uncontrolled pain and perioperative nurses' role in relieving pain, including assessing pain and providing pharmacological and nonpharmacological relief.AORN J76 (Nov 2002) 812–818.
Preoperative Skin Preparation of Cardiac Patients
Authors: Segal Cynthia G. , Anderson Jacqueline J. 
Published: August 2006

ABSTRACTNurses at a large southwestern hospital undertook an initiative to optimize the preoperative skin preparation of patients undergoing open heart surgery. After an extensive review of the literature, a proposal was submitted to and accepted by the surgeons and internal review board of the hospital. High‐risk patients were identified before surgery and randomized into groups to receive one of four different skin preps. The incidence of infection was lower in the two groups of patients who were prepped with insoluble iodine, indicating that the type of surgical skin prep could affect whether patients develop surgical site infections. The clinical practice of skin preparation in this hospital changed based on the results. AORN J 16 (Nov 2002) 821–828.
Bloodless Medicine and Surgery in the OR and Beyond
Authors: Cogliano Janet , Kisner Debbie 
Published: August 2006

ABSTRACTIdeas about bloodless surgery are changing. It now is more than transfusion‐free surgery for Jehovah's Witnesses. Technological advances and concerns about the safety and availability of blood have led to interest in bloodless surgery among non‐Witnesses. Perioperative nurses need to be aware of bloodless surgery technology, which typically incorporates the use of recombinant human erythropoietin and special surgical techniques and equipment. They must have a proper attitude toward blood conservation and respect patient autonomy. Bloodless surgery care extends across specialties and inpatient areas. A knowledge of bloodless surgery will facilitate clear communication between staff members, patients, and patients' family members. AORN J 76 (Nov 2002) 830–841.
Establishing a Collaborative Relationship with a College of Nursing
Authors: Mitchell Laurie , Stevens Darlena , Goodman Jennifer , Brown Mary 
Published: August 2006

ABSTRACTPerioperative nursing typically is a small part of nursing school curricula, which makes it difficult to recruit new graduates into the perioperative field. St Luke's Episcopal Hospital, Houston, has taken a unique approach to addressing this problem by establishing a collaborative relationship with Prairie View A&M University, Houston. This collaborative relationship introduces perioperative nursing to nursing students who may never have considered the OR as an area of practice. In addition, it provides an opportunity for students to network with perioperative nurses, and it serves as a method for recruiting new graduates to St Luke's Episcopal Hospital. AORN J 76 (Nov 2002) 842–850.
Using Ductoscopy to Detect Breast Mass at an Early Stage
Authors: Sparks Carol A. 
Published: August 2006

ABSTRACTUsing a new procedure termed fiberoptic ductoscopy, a surgeon can visualize a patient's breast mammary ducts directly with a 0.9‐mm scope. Eighty‐five percent of breast cancers are thought to originate in the epithelial lining of the mammary ducts. The hope is that this new technique will allow surgeons to detect breast cancer in high‐risk patients before a mass is felt or seen via mammography. AORN J 76 (Nov 2002) 851–854.
Perioperative Nurses and Sexual Harassment
Authors: Hamlin Lois , Hoffman Anita 
Published: August 2006

ABSTRACTSexual harassment is widespread in health care. Recent Australian research reveals this type of abuse is a significant cause of stress among perioperative nurses. This article investigates the nature and effects of sexual harassment of RNs in the OR. Specifically it explores the nature of sexual harassment, its occurrence in nursing generally and among perioperative nurses in particular, gender issues, effects, costs, and legal aspects. The article concludes with strategies that can be employed by individual nurses and organizations to combat sexual harassment. AORN J 76 (Nov 2002) 855–860.