bluuebunny/crossref_metadata_2025_split huggingface dataset:
Bioterrorism—Are You Ready for the Silent Killer?
Authors: Stillsmoking Kristina 
Published: August 2006

ABSTRACTCurrent biological threats to the United States have generated fear and panic among many, but nursing professionals who are educated about bioterrorism and its effects can answer questions confidently and calm fears when peers, family members, and friends ask about this issue. Perioperative nurses can become ambassadors of confidence via their ability to project calm and thus stem the tide of panic and fear. This article explains the definition of bioterrorism, its history, biological agents and their transmission, treatment options, and what nurses can do to facilitate preventive measures and help avert panic. AORN J 76 (Sept 2002) 434–446.
A New Approach to Intraoperative Radiation Therapy
Authors: Beddar A. Sam , Kubu Mary Lou , Domanovic Mary Ann , Ellis Rod J. , Kinsella Timothy J. , Sibata Claudio H. 
Published: August 2006

ABSTRACTIntraoperative radiation therapy (IORT) is an adjuvant treatment in which a large single dose of radiation is delivered during a surgical procedure to resected tumor beds or to an unresectable tumor. This article discusses the implementation of an IORT program and highlights the successful collaboration needed between the OR and radiation oncology departments. A better understanding of IORT in the OR setting will contribute to smooth program implementation. AORN J 74 (Oct 2001) 500–505.
A Process for Improving Flash Sterilization
Authors: Huggins Karen A. , Mood Robert , Koch Fran 
Published: August 2006

ABSTRACTIn reviewing OR policies and procedures for flash sterilization, staff members at Presbyterian Hospital of Dallas discovered that their process of biological monitoring and flash sterilization needed improvement, and they implemented changes to correct the process. These changes led to questions regarding biological indicators and the flash sterilization container systems being used. As a result, the overall time required for flash sterilization was increased to validate the sterilization process. AORN J 75 (Jan 2002) 127–133.
Transurethral Resection Syndrome—It Does Not Have to be a Mystery
Authors: Chambers Ann 
Published: August 2006

ABSTRACTTransurethral resection of the prostate (TURP) has been the standard treatment for moderate to severe benign prostatic hypertrophy since the 1930s. Transurethral resection (TUR) syndrome, one complication that can occur during a TURP procedure, is water intoxication of the body that results in hyponatremia and other acid‐base imbalances. This complication is infrequent, occurring in approximately 2% of all patients undergoing TURP procedures; therefore, it may not be recognized by caregivers unfamiliar with the syndrome. The consequences are increased intravascular volume, cellular edema, and hypothermia. Although improvements in surgical technique have lessened the occurrence of TUR syndrome, perioperative staff members still need to remain alert for signs of this complication. A team approach and early recognition can ensure a smooth postoperative course for the patient. Knowing how and why TUR syndrome occurs can enable perioperative nurses to devise a plan of care to help prevent its occurrence. AORN J 75 (Jan 2002) 156–170.
Use of a Deployable Medical System During the Remodeling of an OR
Authors: Etchells Joyce L. 
Published: August 2006

ABSTRACTHow can a five‐suite OR be remodeled while providing continuous, cost‐effective surgical procedures without decreasing workload? Such a question was met with an innovative answer at the Veterans Affairs Medical Center, Fresno, Calif. Deployable Medical System units were selected to provide surgical support. The decision‐making process, challenges, and surgical capabilities will be reviewed. Methods of quality control are presented, and cost benefits are described. AORN J 73 (April 2001) 815–821.
Operating Room Nurse Managers—Competence and Beyond
Authors: Kondrat Brian K. 
Published: August 2006

ABSTRACTOperating room nurse managers supervise and direct a complex, highly technical, and expensive organization. To be successful, they must possess certain competencies or skills that have not been studied extensively. A replication of one study was conducted to determine which competencies characterize OR nurse managers who are considered competent and superior. The randomly selected, national sample comprised OR nurse managers who completed an Operating Room Nurse Manager Questionnaire. Analysis of 120 use‐able questionnaires revealed that human and leadership competencies were valued most and conceptual and technical competencies were valued least in OR nurse managers. AORN J 73 (June 2001) 1116–1130.
Quantifying and Reducing the Risk of Bloodborne Pathogen Exposure
Authors: Stringer Bernadette , Infante‐Rivard Claire , Hanley James 
Published: August 2006

ABSTRACTThe risk of becoming infected with bloodborne pathogens (eg, hepatitis B, hepatitis C, HIV) during surgery is real. The degree of risk for perioperative personnel is related to factors that include participating in large numbers of surgical procedures each year; the nature of perioperative work (eg, use of different types of sharp instruments); exposure to large amounts of blood and body fluids; the prevalence of bloodborne pathogens in the surgical population; the variation in different organisms' ability to be transmitted; the existence of vaccines and the level of vaccination; the availability of postexposure treatment; and the consequences of acquiring the disease. Controlling risks to perioperative personnel can be accomplished by using the Occupational Safety and Health Administration's three methods of control—redesigning surgical equipment and procedures, changing work practices, and enhancing the personal protection equipment of perioperative personnel.AORN J73 (June 2001) 1135–1146.
Microvascular Reconstruction of the Head and Neck After Tumor Ablation
Authors: Johnson Perry J. , Lydiatt Daniel D. , Baxter Janice K. , Hollins Ronald R. , Lydiatt William M. 
Published: August 2006

ABSTRACTMicrovascular reconstruction of the head and neck in cancer patients after surgical ablation has significantly improved the quality of life of these patients from both a functional and cosmetic standpoint. Successful management and reconstruction of these patients requires a well‐coordinated team approach. Operating room times and hospital stays have significantly decreased with coordination and experience of the team members. AORN J 70 (July 1999) 30‐33.
Assessing the Force Generated With Application of Cricoid Pressure
Authors: Koziol Carol A. , Cuddeford James D. , Moos Dan D. 
Published: August 2006

ABSTRACTThe application of cricoid pressure is a common technique used to decrease the risk of aspiration during anesthetic induction. Research recommends that 3 to 4 kg of cricoid force be applied to achieve effective esophageal occlusion. The purpose of this study was to assess perioperative nurses' knowledge regarding the recommended amount of cricoid force that should be applied to the cricoid cartilage and to assess the amount of force generated when cricoid pressure was applied to a scale‐mounted model. A convenience sample of 102 perioperative nurses participated in the study. Five percent of participants identified the correct amount of force necessary. Applied force was significantly less than the recommended amount. Findings of this study suggest perioperative nurses lack both knowledge and clinical skill for generating effective amounts of cricoid force. AORN J 72 (Dec 2000) 1018–1030.
Evolution of the Perioperative Clinical Nurse Specialist Role
Authors: Morrison Janet D. 
Published: August 2006

ABSTRACTPerioperative nursing roles continue to rapidly change as we enter the twenty‐first century. The need for strong leadership skills, expert clinical skills, creative management, ongoing continuing education, and research continues to grow in every department of surgical services. The clinical nurse specialist plays an important role in addressing each of these needs. Great opportunities exist within the field of nursing for perioperative nurses to expand their practice using their creativity, ideas, and skills. Using the clinical nurse specialist in the perioperative setting can foster creativity, stimulate development of new methods based on research, and maximize the delivery of high quality care by the entire OR staff. AORN J 72 (Aug 2000) 227–232.
Minimizing Preoperative Anxiety With Alternative Caring‐Healing Therapies
Authors: Norred Carol L. 
Published: August 2006

ABSTRACTThis article reviews holistic caring‐healing therapies that may decrease preoperative anxiety for the surgical patient, based on the philosophy and science of caring developed by Jean Watson, RN, PhD, FAAN. Dr Watson reveals a new paradigm emerging in health care that blends the compassion and caring of nursing in harmony with the curative therapies of medicine. Hypnosis, aromatherapy, music, guided imagery, and massage are integrative caring‐healing therapies that may minimize preoperative anxiety. Alternative therapies offer a high‐touch balance when integrated with high‐tech conventional surgical treatments. AORN J 72 (Nov 2000) 838–843.
Latex Allergy in Health Care Personnel
Authors: de Moraes Lopes M.H. Baena , Mendes Lopes R. Aparecida 
Published: August 2006

ABSTRACTThis article presents a summary of literature published in recent years about latex allergy. The first article on allergic reactions associated with latex was published in Britain in 1979. Since then, the number of reported cases has increased. A wide variety of allergic reactions that range from contact dermatitis to anaphylactic shock are described in literature. Conclusions support that health care team members must be well informed about the implications of latex allergy to better help allergic individuals. AORN J 72 (July 2000) 42–46.
The Effects of Local Anesthetics on Postoperative Pain
Authors: Roberge Catherine W. , McEwen Melanie 
Published: August 2006

ABSTRACTThis study was performed to determine if intraoperative local anesthesia improved control of postoperative pain after inguinal herniorrhaphy and to compare the effects of two commonly used local anesthetics on pain management. The Gate Control Theory of Pain formed the theoretical basis for this study. A retrospective nonexperimental study in an ex post facto design was used. Data were collected from 1990 through 1997 on 120 patient charts. The use of local anesthetic intraoperatively significantly decreased patients' lengths of stay postoperatively (P = 0.00) and need for postoperative narcotics (P = 0.00). Bupivacaine was found to be superior to lidocaine in decreasing the need for postoperative narcotic analgesia. Researchers concluded that many patients would benefit from intraoperative injection of local anesthesia. This information can affect patient care outcomes through decreasing recovery time, reducing postoperative pain, and reducing health care costs.
Nonmetallic Fixation in Elective Maxillofacial Surgery
Authors: Abernathy W. , McDaniel M. , Edwards R. , Kiely K. , Frazier D. 
Published: August 2006

ABSTRACTResorbable fixation technology offers several benefits, including easily cut and shaped plates, strong and predictable resorption qualities, and improved patient acceptance and expectations. Moreover, resorbable fixation implants can be completely reabsorbed into the body, eliminating the need for subsequent removal. This article describes the use of this innovative technology in orthognathic surgery, including preoperative and postoperative patient needs, intraoperative patient care, and potential complications. AORN J 70 (Jan 2000) 193–198.
Evaluating and Selecting Video Equipment for the OR
Authors: Workman Jean , Vrabel Cheryl 
Published: August 2006

ABSTRACTPurchasing video equipment for minimally invasive procedures can present a huge challenge. Standardization offers obvious advantages; however, it often is dismissed as an unattainable goal when dealing with physicians of multiple specialties. Standardization of video equipment throughout all specialties, however, is attainable. The keys to evaluating and selecting one product or vendor are clearly defined goals, the proper tools, and education. Although it might seem like an overwhelming task, it is possible to stay in control throughout this process and achieve the facility's goals. AORN J 70 (Dec 1999) 1025–1034.
Mad Cow Disease—the OR Connection
Authors: Hansel Patricia A. 
Published: August 2006

ABSTRACTCreutzfeldt‐Jakob disease (CJD) is one of the transmissible spongiform encephalopathies, a group of fatal, neurodegenerative disorders affecting both humans and animals. The causative agent is the prion, which is still being researched and is controversial. In the 1980s, bovine spongiform encephalopathy brought much media attention to these diseases. Bovine spongiform encephalopathy is the result of faulty industrial practices that produced cattle feed contaminated by prions. In the 1990s, a new variant of CJD (ie, nvCJD) appeared in Britain. Researchers believe that nvCJD was passed to humans through oral consumption of contaminated beef. This article describes the history, causative agent, mode of transmission, clinical features and course, diagnosis, treatment, and decontamination and sterilization guidelines for this baffling disease. AORN J 70 (Aug 1999) 224–238.
Laparoscopic Splenectomy for Splenic Sequestration Crisis
Authors: Hendricks‐Ferguson Verna L. , Nelson Martha A. 
Published: August 2006

ABSTRACTMedical and surgical advances have improved the treatment of splenic sequestration crises in pediatric patients with sickle cell disease (SCD). Rapid enlargement of the spleen can result from sickled blood cells being trapped in the spleen, which can be life threatening. The laparoscopic splenectomy procedure using the lateral approach has been adapted successfully for the pediatric patient since 1993. Children with SCD who have a history of a splenic sequestration crisis usually are scheduled for an elective splenectomy procedure after the first documented crisis to reduce the risk of death. Some key benefits of this new surgical approach include a shortened hospital stay, decreased postoperative pain, and faster recovery and return to normal activities for the child with SCD. AORN J 71 (April 2000) 820–834.
Life in the Fast Lane—Helpful Tips for OR Charge Nurses
Authors: Sonnenberg Debra 
Published: August 2006

ABSTRACTToday's ORs are fast‐paced. Generally, charge nurses are given little training to be effective in their role and are expected to keep the OR running smoothly. This article examines ways in which charge nurses can satisfy the needs of surgeons and staff members and offers suggestions for dealing with delays and disgruntled surgeons, fostering good working relationships, demonstrating responsibility, and maintaining a financial perspective in decision making. AORN J 69 (May 1999) 941–944.
Enhancing Perioperative Nursing Effectiveness Through Informatics
Authors: Gilder Richard E. , Koch Fran , McBride Susan 
Published: August 2006

ABSTRACTThe science of nursing informatics is becoming increasingly important to delivering quality nursing care to all patient populations. Perioperative nursing informatics skills are practiced within the context of powerful and complex information systems that enhance nurses' ability to view and report clinical data in a manner that has never before been possible. This article explores how the analysis of several examples of two typical system indicators (ie, the unplanned returns to surgiry rate within the same admission event surgical site infection rate) can result in improved patient outcomes. Nursing informatics is an invaluable tool for identifying trends and communicating them to perioperative nurses in a way that can positively influence the delivery of perioperative care and patient outcomes. AORNJ69 (May 1999) 978–990.
Lost Gallstones—a Small but Real Complication
Authors: Cafarella Linda A. 
Published: August 2006

ABSTRACTRetained gallstones are considered a complication of cholecystectomies. If stones can be removed using minimally invasive procedures (ie, laparoscopically), patients' recovery time may decrease and satisfaction may increase. Correct and immediate diagnosis of this complication at the time of the procedure often is the determining factor between patients' full recovery and their potential chronic illness. This article describes diagnostic tests and techniques used to surgically correct this complication and presents two case studies depicting patients' experiences from a few months to nine years postoperatively. AORM J 70 (Sept 1999) 392‐405.
Entrepreneurship—Transforming a Perioperative Problem into a Product Solution
Authors: Hoftman Mike 
Published: August 2006

ABSTRACTNo one is more capable of identifying problems related to health care than health care practitioners. Identifying a problem is the first step to every new product or invention. This article provides step‐by‐step information to help health care practitioners identify problems and possible solutions, look for a creative company to bring the solution to the marketplace, and present the product idea to potential industry partners. The author also discusses the legal aspects of product development and the advantages and disadvantages of licensing a new product or starting a business to develop a product. AORN J 70 (Sept 1999) 414–426.
Lymphatic Mapping and Sentinel Lymph Node Biopsy
Authors: Focht Sandra L. 
Published: August 2006

ABSTRACTMalignant melanoma—cancer of the pigment cells—has the highest mortality rate of all skin cancers. With early detection and treatment, however, malignant melanoma is highly curable. Recently, diagnostic modalities for nodal involvement have been perfected, reducing the morbidity of elective lymph node dissections and rendering them unnecessary in many cases. Total lymphadenectomy procedures are being replaced by intraoperative lymphatic mapping and sentinel lymph node biopsy using gamma detector probes. This article reviews lymphatic drainage from the primary site to possible lymph node basins and selective lymph node dissection using lymphoscintigraphy and intraoperative mapping as guides. This article also includes a case study, beginning with a diagnosis of malignant melanoma and following a successful postoperative course. AORN J 69 (April 1999) 802–809.
A Multidisciplinary Approach to Breast Biopsy
Authors: Collette Camille 
Published: August 2006

ABSTRACTThe explosion in technological advances has provided physicians and patients more options in the diagnostic breast biopsy arena. Successful collaborative relationships between nurses, physicians, and all health care workers and detailed patient education are essential to provide optimum patient care. Survival in health care today mandates that perioperative nurses and their colleagues move outside traditional environments to provide quality, cost‐effective care to patients and their family members. The aim of this collaborative approach to breast biopsy is to provide patients with the most expedient, accurate, cost‐effective diagnoses with the least amount of physical and psychological trauma. AORN J 69 (April 1999) 810–821.
Electrosurgical Safety
Authors: Hutchisson Bettyann , Baird M. Ginny , Wagner Schelley 
Published: August 2006

ABSTRACTTechnological advances in safety and the performance of electrosurgical units (ESUs) have made the ESU the most common piece of electrical equipment in the OR. The constant presence of the ESU in the OR increases the potential for patient injury that is associated with the use of any piece of electrical equipment. To prevent injuries related to the use of an ESU, the perioperative nurse must understand the types of current used, types of ESUs available, and potential complications and have a working knowledge of safe practices for using this equipment in the perioperative setting. AORN J 68 (Nov 1998) 830‐837.
Redesigning Medication Distribution Systems in the OR
Authors: Rebidas Donna , Smith Stephen T. , Denomme Patti 
Published: August 2006

ABSTRACTDetroit Riverview Hospital's surgery suite recently converted to an automated medication distribution system. Focusing on control, access, documentation, and charging, the redesign has benefited pharmacists, nurse anesthetists, and OR nurses. Automation reduced nursing labor associated with ordering and restocking medications, counting narcotics, and investigating discrepancies. Storage and dispensing options, including innovative anesthesia trays, facilitate caregiver productivity, quality initiatives, and clinical pathways. System documentation pinpoints questionable events and patterns to ensure that all medications dispensed were administered to patients. Charges are captured and posted automatically. Overall, automated medication distribution has helped the OR improve clinical care quality and patient service. AORN J 69 (Jan 1999) 184–192.
Ovarian Masses in the Pediatric Patient
Authors: Lovvorn Harold N. , Tucci Lisa Ann , Stafford Perry W. 
Published: August 2006

ABSTRACTOvarian masses in the pediatric patient are uncommon. Children with ovarian tumors, however, pose diagnostic and therapeutic challenges because their presentation can mimic other more common intraabdominal disorders and their tumor histology varies widely. The refinement of surgical techniques and the advent of more effective chemotherapy in the past 25 years has increased overall survival rates from approximately 20% to 70%, thus improving the outcome for girls with malignant tumors. This article summarizes the current evaluation and management at ovarian masses in childhood and reviews pertinent pathology. AORN J 67 (March 1998) 568–576.
Parliamentary Procedure Promotes Order Out of Chaos
Authors: Denholm Bonnie G. 
Published: August 2006

ABSTRACTIt may seem difficult to strike a balance between formal proceedings, which can be perceived as stiff and cold, and informal proceedings, which attempt to be friendly and warm but may result in unfocused discussions. Using parliamentary procedure during business proceedings can expedite business, ensure justice and equality, and maintain order. Information about and knowledge of parliamentary procedure should help businesses and be a learning experience for all members, with ordered discussion and accomplishment of the ultimate goal. AORN J 67 (March 1998) 590–605.
A Military‐Civilian Resource‐Sharing Agreement
Authors: Duffy Rosemarie , Baker Ann M. 
Published: August 2006

ABSTRACTA first‐of‐its‐kind resource‐sharing agreement between the US Department of Defense and a civilian hospital was undertaken with resounding success. This article discusses how Sacred Heart Medical Center, Spokane, Wash, and the 92nd Medical Group at Fairchild Air Force Base, Spokane, Wash, developed the project and accomplished the integration, which continues to benefit each organization. AORN J 67 (Feb 1998) 429–432.
Cognitive behaviour therapy and its application with adolescents
Authors: McAdam Elspeth K. 
Published: August 2006

Cognitive Behaviour Therapy is traditionally seen as a treatment for emotional disorders in adults. The paper argues that the technique can also be used with emotionally disturbed adolescents and younger children provided there is an awareness of cognitive and moral developmental processes and that these are taken into consideration.The paper discusses some of the advantages and excitement of using this technique with adolescents.