O.R. Table Pads Have Two Big Jobs To Do

Thursday, October 17, 2019 2:30:59 PM America/New_York

Every professional working in an operating room has an important job to do, but you might say that O.R. table pads have two important jobs to do:

  1. Infection control
  2. Pressure injury prevention
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Pressure Injury Prevention Takes Prior Assessment - Plus a Pause

Tuesday, September 24, 2019 9:31:19 AM America/New_York

With pressure injury on the rise, it’s going to take collaboration among leadership, the front line, and industry to tackle the problem on several fronts, Cassendra Munro, PhDc, MSN, RN, RNFA, CNOR asserts.

Preoperative risk assessment

Pressure injury prevention begins with a focus on preoperative risk assessment, Munro points out, with the results of this assessment documented and clearly communicated throughout the continuum of care. Munro, care experience manager at the Saint John’s Health Center in Santa Monica, California, is the creator of the Munro Pressure Ulcer Risk Assessment Scale for Perioperative Patients©.   Preoperative risk factors measured by Munro include mobility, nutritional state, Body Mass Index, weight loss, and age. Some of the warning signs include smoking, hypertension, renal failure, cardiovascular disease, pulmonary /respiratory disease, diabetes, and prior history of pressure ulcers.

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Geriatrics Requires Compassionate, Consistent, and Creative Nursing

Friday, September 20, 2019 3:46:34 PM America/New_York

“The primary function of a gerontology nurse is to collaborate with patients, the local community and families in order to deliver the highest possible quality of life to the elderly,” explains bestmasterofscienceinnursing.com, naming five specific characteristics needed for nurses to succeed in the field of gerontology, including:

  • patience
  • compassion
  • attention to detail
  • creativeness
  • consistency
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Reducing Hypothermia in the OR

Monday, August 19, 2019 11:35:16 AM America/New_York

Hypothermia, defined as a core body temperature of less than 96.8 degrees Fahrenheit (36 degrees Centigrade), is “a relatively common occurrence in the unwarmed surgical patient”, an Ochsner Journal article explains, cautioning that even a mild degree of perioperative hypothermia “can be associated with significant morbidity and mortality”. 

Bordes, Hart, Corsino, and Harmon report, a threefold increase in the frequency of surgical site infections. Notwithstanding these statistics, hypothermia remains a common threat; the primary reason - anesthesia eliminates behavioral modification for the patients, altering their thermoregulatory mechanism.

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Monitoring Skin Temperature to Predict and Prevent Pressure Injuries

Thursday, August 8, 2019 11:55:38 AM America/New_York

Standard therapy for patients with Category 2 or 3 diabetic foot risk includes apeutic footwear, diabetic foot education, and regular evaluation by a podiatrist.  But a study reported in diabetesjournals.org, added the use of a handheld infrared skin thermometer to measure foot temperatures. The results showed that the enhanced therapy group had significantly fewer diabetic foot complications, suggesting that monitoring foot temperatures may help prevent complications in individuals at high risk for lower-extremity ulceration and amputation.

Among the 85 patients selected for the study, there were no significant differences in:

  • age
  • duration of diabetes
  • severity of neuropathy measured by VPT
  • diabetic foot risk category
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