Perioperative+Care

Greg Volz I apologize... Brian and I had the same video. Here is my new video based on a OR Nurse. He is a asset to the profession. Develops great patient relationships!!! Enjoy media type="youtube" key="nMpzQJeyFlk" height="390" width="480" []

__**Greg Volz - Perioperative Video Post **__

The video I posted below is a very superficial discussion about Perioperative services which entail Pre/Intra/Post operation procedures and assessments. I think this video would be a great over view or introduction to the week of Periop... I hope you enjoy! hahaha.... Throw anotha shrimp on the barbay!!!!

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Reference: Nurse TV: Perioperative Nursing; May 3, 2009. Retrieved January 29, 2011 from ﻿[]

AMERICAN SOCIETY OF REGISTERED NURSES website I initially found this website through an article on PCA use for post surgical patients but found it to be useful in many ways for us, as students. This website is a great resource for us both as students and future Registered Nurses. There are links to EBP news articles, journal articles and to the latest news and information related to our field. There is also information on this website regarding fields of study, fellowships and research grants – all of which may be useful to us both now and in the future. There is, of course, a membership fee if one joins the society. Membership entitles one to full access and benefits of the society. The society provides the significant benefit of lobbying for nursing interests and rights in state and national legislatures. You can also complete many of your CME requirements through the ASRN. They furnish you with opportunities to learn, to publish, to blog, to be interviewed, or to even lead a peer seminar. The possibilities are endless and limited only by one’s own imagination. If you have questions regarding preop or postop care there are many informative articles and research-based EBP resources available here.

I trust this website as it is peer-reviewed and updated regularly. Check out the listing of resources and reviews on the journal articles, they are impressive and useful.

I would highly recommend this website for each one of us. The professional organization represented here and references offered can assist us as we seek to achieve and conquer our dreams and goals for the future. We can also use this website as students for information on journal articles and evidence based practice information. What’s not to like?

Marjorie McGowen

PASRN®, j. (2008, April 1). American Society of Registered Nurses - Official Site. //American Society of Registered Nurses - Official Site//. Retrieved January 29, 2011, from [|http://www.asrn.org]

__**Brian Kofke / Peri-Operative Website Evaluation **__

The website I would like to share and evaluate is [|www.AORN.org], the Association of Peri-Operative Registered Nurses. This is an excellent site with tools for students, as well as the experienced nurse. Most of the information is free; however, to become an actual member, there is a cost. Members receive exclusive discounts to partner products & services, AORN periodicals and books, standards and recommended practices, confidence-based learning, library literature search services, and face-to-face registrations such as Congress (Membership FAQ, 2011).

The ample resources (even if not a member) this site contains proves beneficial as to keeping up to date with peri-operative care, while also being an excellent networking tool amongst professionals and also serving as a job hunting mechanism. There is also a store selling books, videos, publication, etc. to help keep the nurse well-informed and knowledgeable regarding peri-operative care. I feel this site allows the nurse to be alerted as to what’s going on in his field, what sort of controversy, policy changes, congressional debates, enhancement and innovations, and many other important topics directly affiliated with this care.

This is also an excellent research tool for students to develop a better understanding of this field of expertise,due to priceless knowledge one can only get from experienced well-informed peri-operative nurses and excellent resources. Lastly, if you want to “stay on your game” and constantly know the latest information in this field, I highly recommend checking this site out.

Reference Membership FAQ. (2011). //AORN//. Retrieved January 28, 2011 from http://www.aorn.org/Membership/MembershipDuesFAQ/


 * Brian Kofke / Peri-Operative video post**

Below is a link to a You Tube video; it can be viewed at the following site: []

This video is actually from Nurse TV based in Australia. It discusses how the Victorian Perioperative Nurses Group has a yearly educational conference in which they debate issues, show research, discuss problems that perioperative nurses face, and network amongst themselves. They said the average age of the perioperative nurse is 47 and that there is a bit of concern as to the need for a younger generation to rise up.

Reference Nurse TV. (2008, July 31). //Nurse TV: Perioperative Nursing//. Retrieved January 28, 2011 from []

Brian Kofke



Submission due by Sunday 2400 1/30/00 This is a short video that presents what laparoscopic surgery looks like. I thought it would be a good idea for classmates to see this, especially if they had not yet saw this type of surgical procedure. The video gives the basic idea of laparoscopic surgery. media type="youtube" key="MAppEy9Umcg" width="425" height="350" Sasha Huber Reference: medicallegalart. (n.d.). YouTube - Laparoscopic Appendectomy Surgery for Appendicitis. //YouTube - Broadcast Yourself.//. Retrieved January 25, 2011, from []

This is a video demonstrating the World Health Orginization (WHO) surgical checklist being used in a surgical setting.

media type="youtube" key="6-myLENTBO4" width="425" height="350" James Earley References: HarvardPublicHealth. " YouTube - Surgical Checklists ." //YouTube - Broadcast Yourself.//. N.p., n.d. Web. 25 Jan. 2011. [].

Type the content of your reference here.

medicallegalart. (n.d.). YouTube - Laparoscopic Appendectomy Surgery for Appendicitis. //YouTube - Broadcast Yourself.//. Retrieved January 25, 2011, from []

James Earley References: HarvardPublicHealth. " YouTube - Surgical Checklists ." //YouTube - Broadcast Yourself.//. N.p., n.d. Web. 25 Jan. 2011. .

Brittany References:

1)Effects of Perioperative Administration of a Selective Cyclooxygenase 2 Inhibitor on Pain Management and Recovery of Function After Knee Replacement â JAMA . (2003, November 12). //JAMA, the Journal of the American Medical Association, a weekly peer-reviewed medical journal published by AMA — JAMA// . Retrieved January 25, 2011, from http://jama.ama-assn.org/content/290/18/2411.full.pdf+

2) Definition of Journal of the American Medical Association. (2004, October 17). //MedicineNet.com-We Bring Doctor's Knowledge to You.//. Retrieved January 25, 2011, from www.medterms.com/script/main/art.asp?articlekey=7134

__**Petero - The Boy with the New Head**__ __**Josie Dean**__ Following is a YouTube video - the fourth of a five part documentary about a little boy from Uganda who was born disfigured with a skull which was crushing his brain and threatening not only his vision, but his life. This particular video is long, but it is the first minute and 44 seconds which I found remarkable. The little boy, Petero, is in surgery and experiencing rapid blood loss and the doctors are unable to stop the bleeding. I was impressed with their calm demeanor despite the slippery slope they were on.

jijigren. " YouTube - Petero - The Boy with the New Head (Part 4) ." //YouTube - Broadcast Yourself.//. N.p., n.d. Web. 26 Jan. 2011. . []

I just thought this website was cute, brief and informative. It gives a description of what an operating nursing does"behind the scenes". It also has a link to AORN Association of periOperative Registered Nurses, whichan organization for nurses to obtain continueingeducation classes.

victorian.fortunecity.com/rubens/386/or**nursing**.html

Rhonda

I have provided a link to an article regarding The Evaluation of the Pediatric Surgical Patient. I found this article to be a great refresher from the ATI Pediatric evaluation. It breaks down the Head to Toe evaluation systematically and gives a short description of how the exam should be conducted according to the different age groups. It addresses well child exams, trauma, children with acute and chronic illnesses exams and what to do and expect in the pre-operative and post-operative phases. I have used this website in the past as a reference for articles and journals and I have found it to be a reliable source with current information.

=  [|Evaluation of the Pediatric Surgical Patient]   = emedicine. (2010, February 9). //emedicine from webmd//. Retrieved January 26, 2011, from emedicine: http://emedicine.medscape.com/article/936148-overview Audria

Since I have had personal experience with DVT's and now clinical experience I decided to read a journal article on it. Since surgery is one of the causes of developing DVT's I thought it would fit in perfectly with this category Evaluation of the article I read: The risk of developing a DVT following a general surgery is 15-40%, that risk doubles after hip or knee replacement surgery to 40-60%. Other things that put people at a higher risk for developing DVT's are being 50 years or older, having a history of varicose veins, myocardial infarctions, cancer, atrial fibrillation, ischemic stroke and diabetes mellitus. Other additional factors include prior DVT's, heart failure, obesity, and paralysis. Since DVT's can break loose and go to the lungs and cause PE's which can be fatal. Since the effects of DVT's can cause death doctors often put patients on some type of blood thinnig medication to prevent them from developing. Obviously surgerys that cause patients to be off their feet for long periods of time are at a higher risk so they are monitored more closely. Pharmalogical strategies to prevent DVT's include oral meds and injections, there are also nonpharmalogical strategies like early ambulation after surgery and certain exercises are usually for low risk patients. All in all DVT's are not something to be taken litely. They can be fatal and cause serious damage. [] Reference: Girish R Mood, M. M. (2009). Perioperative DVT Prophylaxis. //eMedicine//.

Jen Harris

This is an article from the Journal of Perioperative Practice. It discusses the different patient postions used in surgery along with the risks associated with the staff assisting in repositioning. It has some great insight that we can study up on as students to be prepared for some of our clinicals. It is a peer reviewed journal with evidence based principles used to establish the literature.

Patient care in the perioperative environment. | Goliath Business News." //Goliath: Business Knowledge On Demand//. N.p., n.d. Web. 29 Jan. 2011. []. Jodie

This is an article from the Mayo School of Health Sciences that gives a very informative overview of a prerioperative nursing careers. It includes job descriptions of the scrub nurse versus the circulating nurse, and how these nurses can go on to advance practice nursing as specialized perioperative nurses. Another interesting fact it presents is the average salaries for registered nurses based on different criteria. The professional organization this college of medicine recommends is the [|Association of periOperative Registered Nurses (www.aorn.org)] which is a site that several of my classmates have mentioned. Mayo Foundation for Medical Education and ResearchReference. ( 2011). //Perioperative Nursing Career Overview.// Retrieved January 30, 2011, from http://www.mayo.edu/mshs/pn-career.html Here is a link to a picture from the article. http://www.mayo.edu/mshs/images/perioperative_nursing.jpg Submission due by Sunday 2400 1/30/00
 * Perioperative Nursing Career submitted by Andrea Pedrosa **

_-_-_-_-_-_-_-_-_Brittany Robinson_-_-_-_-_-_-_-_-_-_-_-_ I am posting a link to a Journal The Topic for the Study is The Effects of Perioperative Administraion of Cyclooxygenase 2 Inhibitors on Pain Management and Recovery of Function following Knee Surgery [|JAMA- Perioperative] <-use this link to reach the Journal Article.

This Article/Journal is very interesting as it also shows aspects of inflammation which we just did. It was nice to see those bits of information learned put to use during a perioperative period when we discussed the effects of suppressing inflammation versus inflammation being beneficial to the healing process. The article was found in the Journal of the American Medical Association. It was a randomized control group. The co-workers involved in the study are all either have their MD or have their PhD. The study showed that those who recieved the COX-2 inhibitor requested less epidural analgesic and opioid consumption than those that recieved the placebo. Those who recieved the placebo also did not return function as fast as the patients who had taken the COX-2 inhibitor. Nausea and vomitting as well as sleep disturbances were increased with the placebo group. Cox-2 Inhibitor group -6% : Placebo group- 26% There is much more information in the journal than what I have included here. I posted this because i felt that it was relevant to other topics as well as the perioperative topic in the WIKI. The Journal of American Medicine Association began publishing in 1883. It is one of the two leading medical journals published in the United States. I believe that even though this article was done in 2003, that it is reliable information and also beneficial to our learning the inflammatory response and perioperative care in certain situations. I hope this is helpful and worthy of the wiki!! ;) Brittany

"JAMA carries original, generally well-documented, peer-reviewed medical articles on a diversity of clinical as well as laboratory topics. It has become a publication that is timely, credible and, as medical journals go, important."(2) REFERENCES 1)Effects of Perioperative Administration of a Selective Cyclooxygenase 2 Inhibitor on Pain Management and Recovery of Function After Knee Replacement â JAMA . (2003, November 12). JAMA, the Journal of the American Medical Association, a weekly peer-reviewed medical journal published by AMA — JAMA . Retrieved January 25, 2011, from http://jama.ama-assn.org/content/290/18/2411.full.pdf+

2) Definition of Journal of the American Medical Association. (2004, October 17). //MedicineNet.com-We Bring Doctor's Knowledge to You.//. Retrieved January 25, 2011, from www.medterms.com/script/main/art.asp?articlekey=7134

__**Trentin Moya - CoANA Website Evaluation**__

In our reading this week, we were introduced to the nursing field of anesthesiology. The website I will be evaluating is the Colorado Association of Nurse Anesthetists (CoANA). This is an area that interests me, and utilizing nurses as anesthetists is one way to fill the gap in underserved areas like our rural community. The Memorial Hospital uses a certified registered nurse anesthetist (CRNA). The CoANA website contains recent news and events which as of January 29, 2011, include updated licensing and registration requirements passed by the Colorado legislature (CoANA, 2010). The website provides information for more than just members. It includes resources for patients and students interested in the field of anesthesiology (CoANA, n.d.). Information is provided on the requirements for becoming a CRNA (CoANA, 2009a). This information was last updated September 18, 2009. Current accredited programs (by state) are also provided (CoANA, 2011). There are no accredited programs available in Colorado, but there are some in the surrounding states of Arizona, Utah, Kansas, and Nebraska.

This website is a .org site. This is the Colorado's state association, and it has links to other state associations. It also has links to the national association--American Association of Nurse Anesthetists (AANA). Links are available to other healthcare agencies and organizations (CoANA, 2009b). This site would be considered a credible site. It provides reputable, up-to-date information.

// References (T Moya)

Colorado Association of Nurse Anesthetists. (2009a, September 18). Becoming a CRNA //. Retrieved from http://www.coana.org/for-students/becoming-a-crna.

Colorado Association of Nurse Anesthetists. (2011, January 29). //Council on accreditation of nurse anesthesia educational programs//. Retrieved from http://webapps.aana.com/AccreditedPrograms/accreditedprograms.asp.

Colorado Association of Nurse Anesthetists. (2009b, September 18). //CRNA resources//. Retrieved from http://www.coana.org/for-members/member-resources.

Colorado Association of Nurse Anesthetists. (2010, November 26). //DORA public information session//. Retrieved from http://www.coana.org/news/news/24-dora-public-information-session.

Colorado Association of Nurse Anesthetists. (n.d.a). //Homepage//. Retrieved from [].

Below is a link regarding information on Preioperative Pulmonary Management. [|eMedicine from WebMD] The detail this article offered includes the background, preioperative pulmonary physiology, patient and procedure related risk factors, preoperative risk assessment, preoperative evaluation, intraoperative stratigies, postoperative stratigies, plus lots more information. This article gives very detailed information but is also written so that the lay person can understand. I would trust this website due to it's peer-reviewed material, over 8,000 physicians contribute to the information, it is updated regularly. It is considered the most authoratative and accessible information available to physicians.

References: Yoder, MD, Mark, and Sat Sharma MD, FRCPC. "Perioperative Pulmonary Management." //EMedicine from WebMD//. Mar. 2009. Web. 30 Jan. 2011. []. Wendy

[] This is a link to a video which shows how the nurse explains what the patient should expect when they have their pre op interview whether it be in office, over the phone, or emailed. Catherine Andrews, R. (2009, April 21). (NHS) Retrieved January 30, 2011, from YouTube: http://www.youtube.com/watch?v=wl7Td5ehgI4&feature=related Becky Meek

Below I have added a link with information on the importance of the client and doctor preoperative evaluation.

enjoy, Joe Trujillo [|Preoperative Evaluation] "Ping" A Monty Python Hospital Sketch

[]

Refernece:

(2006, June 21). //Hospital Sketch//. Retrieved February 02, 2011, from [] L.Tompkins

References

Colorado Association of Nurse Anesthetists. (2009a, September 18). //Becoming a CRNA//. Retrieved from http://www.coana.org/for-students/becoming-a-crna. Colorado Association of Nurse Anesthetists. (2011, January 29). //Council on accreditation of nurse anesthesia educational programs//. Retrieved from http://webapps.aana.com/AccreditedPrograms/accreditedprograms.asp. Colorado Association of Nurse Anesthetists. (2009b, September 18). //CRNA resources//. Retrieved from http://www.coana.org/for-members/member-resources. Colorado Association of Nurse Anesthetists. (2010, November 26). //DORA public information session//. Retrieved from http://www.coana.org/news/news/24-dora-public-information-session. Colorado Association of Nurse Anesthetists. (n.d.a). //Homepage//. Retrieved from http://www.coana.org/.

Trentin Moya