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- Operating room nurses cannot avoid receiving the emergency patient directly from the ambulance, for the policy of critical surgical emergencies going di- rectly to the operating room is rapidly becoming routine.
aornjournal.onlinelibrary.wiley.com/doi/pdf/10.1016/S0001-2092(07)62443-0
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Jul 13, 2023 · Patient safety involves decreasing the danger of superfluous harm including anticipation of errors and avoidable adverse events to shield patients from injury (Ingvarsdottir & Halldorsdottir, 2018). Major complications emerge in 3%–22% of surgeries, and the mortality rate is reported as 0.4%–0.8%.
Operating room nurses cannot avoid receiving the emergency patient directly from the ambulance, for the policy of critical surgical emergencies going di- rectly to the operating room is rapidly becoming routine. Here the operating room nurse assumes the responsibilities of the emergency department nurse.
- J. Cuthbert Owens
- 1970
- Preconditions and Resources
- Planning For The Expected and Unexpected
- Adapting to The Unexpected
Coordinating and reaffirming information
Coordinating and reaffirming information was a sub-category that emerged as common to all three professions. If critical situations or changes in patient conditions occurred, communication was described as central to creating safe care. Having the same information was also considered essential for a well-functioning surgical teamwork. When a change of plans was called for, the ORNs often used communication with external support services such as coordinators at the OR department to convey info...
Creating a plan for the patient and undergoing mental preparation
An important sub-category common to all three professions emerged as creating a plan for the patient and undergoing mental preparation. In order to be mentally prepared, the professionals created a plan for the patient before the procedure. They read about the patient individually or together to create a mental model and a shared plan. From identified potential patient risks they planned what might be needed for that patient and procedure. The ORNs described how they planned and prepared for...
Prioritizing and solving upcoming problems
Adapt to the unexpected, by prioritizing and solving upcoming problems was the third sub-category that emerged as common to all three professions. When unexpected issues occurred during a surgical procedure, both RNAs and ORNs said that they assessed the risks against the benefits and adapted to the situation. The ORNs expressed that prioritizing the saving of life over ensuring sterility was an important strategy for safe care: When problems and issues occurred during surgery, the surgeons a...
- Camilla Göras, Ulrica Nilsson, Ulrica Nilsson, Mirjam Ekstedt, Mirjam Ekstedt, Maria Unbeck, Maria U...
- 2020
Apr 25, 2024 · The updated AORN “Guideline for a safe environment of care” provides perioperative nurses with recommendations for establishing a safe environment for both patients and personnel. This article provides an overview of the guideline and discusses recommendations for implementing fire safety protocols, using warming cabinets, and creating a ...
Jun 1, 2018 · The ACS Revised Statement on Patient Safety in the Operating Room focuses on a team care approach. Hospitals and health care organizations are strongly encouraged to develop guidelines to ensure optimal patient safety in the operating room.
Perioperative nursing is a complex specialty of nursing that encompasses care before, during, and after surgery. Reported case law helps identify potential physical risks to surgical patients and possible legal risks for operating room nurses.
Feb 23, 2024 · So in this chapter, we will discuss the importance of formation of the multidisciplinary team, efficiency improvements, identifying the need for emergency department (ED) to operating room (OR) Handoff Standardisation, and integration of ED nurses into the OR.
