There is Magic in Collaboration
Publication date: July 2017 Source:AORN Journal, Volume 106, Issue 1 Author(s): Terri Goodman (Source: AORN Journal)
Source: AORN Journal - June 27, 2017 Category: Nursing Source Type: research

Embrace Action: Advocate for Perioperative Nursing
Publication date: July 2017 Source:AORN Journal, Volume 106, Issue 1 Author(s): Nathalie Walker (Source: AORN Journal)
Source: AORN Journal - June 27, 2017 Category: Nursing Source Type: research

Amphotericin Toxicity
A 42-year-old woman who had undergone left pneumonectomy for aspergilloma was discharged with oral posaconazole for residual fungal disease. She later presented to the outpatient infectious disease (ID) clinic after two weeks of pain, erythema, and purulent drainage around her sternotomy site. She was diagnosed with sternal osteomyelitis with multiple areas of fluid collection, which was thought to be a result of contiguous spread of aspergilloma. After surgical debridement, tissue cultures revealed Aspergillus fumigatus. (Source: AORN Journal)
Source: AORN Journal - May 27, 2017 Category: Nursing Tags: Column Source Type: research

Educational Opportunities
The AORN Guidelines for Perioperative Practice will come to life through the 2017 Guidelines Implementation Workshops. These workshops will cover important evidence-based concepts from the AORN guidelines. Each session will be a dynamic and interactive learning experience taught by AORN ’s guideline authors. Attendees will have the opportunity to hear lectures, ask questions about real life experiences, and participate in hands-on activities in a fun and relaxed environment. As a result, attendees will have a more thorough understanding of these key topics, resulting in more conf idence in their daily practice and better...
Source: AORN Journal - May 27, 2017 Category: Nursing Tags: Column Source Type: research

Enhanced Time Out: An Improved Communication Process
An enhanced time out is an improved communication process initiated to prevent such surgical errors as wrong-site, wrong-procedure, or wrong-patient surgery. The enhanced time out at my facility mandates participation from all members of the surgical team and requires designated members to respond to specified time out elements on the surgical safety checklist. The enhanced time out incorporated at my facility expands upon the safety measures from the World Health Organization ’s surgical safety checklist and ensures that all personnel involved in a surgical intervention perform a final check of relevant information. (Source: AORN Journal)
Source: AORN Journal - May 27, 2017 Category: Nursing Authors: Patricia E. Nelson Tags: Featured article Source Type: research

2017 Conference Poster Winners
AORN Global Surgical Conference& Expo 2017 attendees had the opportunity to earn up to 34 contact hours by reviewing and evaluating 53 research and 36 evidence-based practice posters in 10 poster sessions, and 227 clinical improvement/innovation posters in 24 poster sessions. If you were unable to view the posters in person, you can view the virtual posters of those poster authors who agreed to share their posters online. Go to http://www.eventscribe.com/2017/posters/aorn/home.asp or download the AORN Posters app. (Source: AORN Journal)
Source: AORN Journal - May 27, 2017 Category: Nursing Tags: AORN global surgical conference & expo 2017 Source Type: research

Accuracy of Children ’s Perioperative Memories
Children ’s declarative memories of medical procedures can influence their responses to subsequent events. No previous study has examined the accuracy of children’s declarative memories after surgery. We tested the memory of 34 anesthesia-naïve five- to nine-year-old children undergoing ambulatory surge ry for accuracy of contextual details, pain, and fear two weeks postoperatively. Parents were not present during induction, and we did not use sedative premedication. Children had a mean contextual recall accuracy of 64.5%. (Source: AORN Journal)
Source: AORN Journal - May 27, 2017 Category: Nursing Authors: Thomas Hackmann, Rebecca A. Haworth, Paul Hong, Joanne Gillespie, Jill Chorney Tags: Featured article Source Type: research

Implementing Skin-to-Skin Contact for Cesarean Birth
Early skin-to-skin (STS) contact in the OR facilitates the development of mothering behaviors, breastfeeding success, and newborn adaptation to extrauterine life. A team at my institution performed a quality improvement project to implement a standard of care for STS contact in the OR during and after cesarean birth. Thirty-seven of 50 mother-infant dyads experienced STS contact in the OR or in the postanesthesia care unit. Twenty-five mothers and newborns who experienced STS contact did so on the OR bed. (Source: AORN Journal)
Source: AORN Journal - May 27, 2017 Category: Nursing Authors: Margaret M. Boyd Tags: Featured article Source Type: research

Radioactive Seed Localization Program for Patients With Nonpalpable Breast Lesions
Without early diagnosis and treatment, many lives are lost to breast cancer. Increased breast cancer awareness has facilitated research to guide health care providers toward improving patient outcomes. Research in diagnostic and treatment modalities has expanded to focus on improving the quality of  life for patients with breast cancer who are living longer than expected. Providers can offer patients with nonpalpable breast lesions new screening techniques and improved treatment options, including radioactive seed localization lumpectomy. (Source: AORN Journal)
Source: AORN Journal - May 27, 2017 Category: Nursing Authors: Judy Burroughs, Jennifer L. Fencl, Matthew C. Wakefield Tags: Featured article Source Type: research

2017 Conference Awards
(Source: AORN Journal)
Source: AORN Journal - May 27, 2017 Category: Nursing Tags: AORN global surgical conference & expo 2017 Source Type: research

Association Between Acute Pain and Hemodynamic Parameters in a Postoperative Surgical Intensive Care Unit
I conducted a prospective repeated-measure study in the general surgery intensive care unit to investigate the associations among acute postoperative pain, analgesic therapy, and hemodynamic parameters. I selected 33 patients and recorded 84 episodes of pain. I measured intensity of pain and hemodynamic parameters after patients were transferred from the postanesthesia care unit to the general surgery intensive care unit, immediately before analgesic therapy and at 15, 30, and 45  minutes after analgesic therapy. (Source: AORN Journal)
Source: AORN Journal - May 27, 2017 Category: Nursing Authors: Hossein Asgar Pour Tags: Featured article Source Type: research

Embrace Action: Protect the Future of Nursing
For as long as I can remember, the nursing community has recognized that the nursing shortage continuously ebbs and flows in size, scope, and even location. Although the nursing shortage has negatively affected the health care community —shortages create difficulties for health care providers and patients alike when a lack of nurses leads to understaffed units and delayed surgical procedures—the upcoming shortage is projected to be the most significant one we have faced because of an increasing demand for health care. (Source: AORN Journal)
Source: AORN Journal - May 27, 2017 Category: Nursing Authors: Nathalie Walker Tags: Column Source Type: research

Understanding and Improving Surgical Hand Hygiene Compliance
Hand hygiene compliance rates are commonly absent from health care facilities ’ compliance statistics because an accurate depiction of hand hygiene performance is difficult to determine. Data collection is influenced by the observers’ presence (if recognized) and whether the observer documents all misses and completions appropriately. The Centers for Disease Control and P revention reports that the average rate of health care worker compliance with hand hygiene guidelines ranges from 40% to 60%.1 Many facilities report perfect performance, however. (Source: AORN Journal)
Source: AORN Journal - May 27, 2017 Category: Nursing Authors: Polly Padgette Tags: Column Source Type: research

2017 Conference Poster Collection
The AORN Journal is pleased to include this special collection of surgical smoke evacuation posters that were presented at the 2017 AORN Global Surgical Conference& Expo. The decision to reprint this particular collection in the Journal was based on advertiser support. (Source: AORN Journal)
Source: AORN Journal - May 27, 2017 Category: Nursing Tags: AORN global surgical conference & expo 2017 Source Type: research

2017 Conference Highlights
(Source: AORN Journal)
Source: AORN Journal - May 27, 2017 Category: Nursing Tags: AORN global surgical conference & expo 2017 Source Type: research