Статті в журналах: "Nurse-surgeon"

1

Todkill, A. M. "The surgeon and the nurse." Canadian Medical Association Journal 173, no. 9 (October 25, 2005): 1075. http://dx.doi.org/10.1503/cmaj.051282.

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2

Martin, Kevin D., Trevor McBride, Jeffrey Wake, Jeffrey Preston Van Buren, and Cuyler Dewar. "Comparison of Visual Analog Pain Score Reported to Physician vs Nurse in Nonoperatively Treated Foot and Ankle Patients." Foot & Ankle International 39, no. 12 (July 27, 2018): 1444–48. http://dx.doi.org/10.1177/1071100718788507.

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Background: Patient-reported outcome measures (PROMs) are taking a more prominent role in orthopedics as health care seeks to define treatment outcomes. The visual analog scale (VAS) is considered a reliable measure of acute pain. A previous study found that operative candidates’ VAS pain score was significantly higher when reported to the surgeon compared to the nurse. This study’s aim is to examine whether this phenomenon occurs in patients that do not undergo an operative procedure. We hypothesized that patients’ VAS pain scores reported to the surgeon vs the nurse would be the same. Methods: This study is a retrospective cohort of 201 consecutive nonoperative foot and ankle patients treated by a single surgeon. Patients were asked to rate pain intensity by a nurse followed by the surgeon using a horizontal VAS, 0 “no pain” to 10 “worst pain.” Differences in reported pain levels were compared with data from the previous cohort of 201 consecutive operative foot and ankle patients. Results: The mean VAS score reported to the nurse was 3.2 whereas the mean VAS score reported to the surgeon was 4.2 ( P < .001). The mean difference in VAS scores reported for operative patients was 2.9, whereas the mean difference for nonoperative patients was 1.0 ( P < .001). Conclusion: This study found statistically significant differences between VAS pain scores reported to the surgeon vs the nurse in nonoperative patients. These results support the trend found in our previous study, where operative patients reported significantly higher pain scores to the surgeon vs the nurse. The mean difference between reported pain scores was significantly higher for operative patients compared to nonoperative patients. Level of Evidence: Level III, comparative study.

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3

McBride, Trevor J., Aaron Wilke, Jamie Chisholm, and Kevin D. Martin. "Visual Analog Pain Scores Reported to a Nurse and a Physician in a Postoperative Setting." Foot & Ankle Orthopaedics 5, no. 3 (July 1, 2020): 247301142094850. http://dx.doi.org/10.1177/2473011420948500.

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Background: The purpose of this study was to compare postoperative foot and ankle patient-reported visual analog pain scores (VAS) to nursing staff and the treating surgeon during a single encounter. Prior literature established preoperative patients reported higher pain scores to a surgeon as compared to nursing staff. We hypothesized that there will be no differences in postoperative patients’ pain scores when reporting to nursing staff vs a surgeon. Methods: This study was a retrospective cohort of 201 consecutive postoperative foot and ankle patients with 3 follow-up encounters treated by a single surgeon. The patients were asked to rate their pain intensity using the VAS with 0 “no pain” and 10 “worst pain” at 2, 6, and 12 weeks postoperatively by a nurse and surgeon. Results: At all time intervals, the mean pain score was significantly higher when reported to the surgeon, although these were not clinically relevant. The mean scores at 2 weeks were 2.8 reported to the surgeon and 2.5 reported to the nurse ( P < .001). The mean scores at 6 weeks were 2.0 reported to the surgeon and 1.8 reported to the nurse ( P = .002). The mean scores at 12 weeks were 2.3 reported to the surgeon and 2.0 reported to the nurse ( P = .005). Conclusion: This study found that postoperative foot and ankle patients did not overemphasize their VAS pain scores to the physician vs nursing staff. These findings contrast with our 2 previous studies that found preoperative and nonoperative patients reported clinically significant higher scores to the surgeon. Level of Evidence: Level III, comparative study.

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4

Tobin, Mitchell H. "Surgeon Liability and the Nurse Anesthetist." American Journal of Cosmetic Surgery 15, no. 1 (March 1998): 63–64. http://dx.doi.org/10.1177/074880689801500115.

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5

Bosch, X. "Surgeon accused of letting nurse operate." BMJ 317, no. 7168 (November 7, 1998): 1273. http://dx.doi.org/10.1136/bmj.317.7168.1273b.

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6

Costakos, Dennis T., Lynn Dahlen, Shawn W. Dunlap, Theresa Heise, Renee Muellenberg, Jennifer Richards, and Jennifer Walden. "The Neonatal Nurse Practitioner as Surgeon." Pediatrics 141, no. 1_MeetingAbstract (January 1, 2018): 566. http://dx.doi.org/10.1542/peds.141.1ma6.566.

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7

Martin, Kevin, Trevor McBride, Jeffrey Wake, Jeffrey Van Buren, and Cuyler Dewar. "Comparison of Visual Analog Pain Score Reported to Physician vs. Nurse, Part II." Foot & Ankle Orthopaedics 3, no. 3 (July 1, 2018): 2473011418S0033. http://dx.doi.org/10.1177/2473011418s00337.

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Category: Ankle Introduction/Purpose: Patient reported outcome measures (PROMs) are taking a more prominent role in Orthopedics as researchers and health care networks seek to define treatment outcomes. However, interpretation and clinical applications of PROMs are still under investigation. The visual analogue scale (VAS) is considered a reliable and validated measure of acute pain. In a previous study, it was found that in surgical candidates the VAS pain score was significantly higher when reporting to the surgeon as opposed to the nurse. The aim of this current study is to examine whether this phenomenon occurs in patients that do not ultimately go on to have a surgical procedure. We hypothesize that there will be no difference in patient reporting to the surgeon versus the nursing staff. Methods: This study is a retrospective cohort of 201 consecutive non-surgical foot and ankle patients treated by a single surgeon. The patients were asked to rate their pain intensity by the nursing staff and then by the surgeon using a standard horizontal VAS 0 to 10, from “no pain” to worst pain.” Differences in reported pain levels were analyzed. Results: The mean VAS score reported to the nurse was 3.2 whereas the mean VAS score reported to the Surgeon was 4.2 (p<.001). Contrary to our hypothesis, there was a statistically significant difference in pain scores reported to the surgeon compared to the nurse. We then analyzed the mean difference of pain scores reported to surgeon and nurse for surgical versus non-surgical patients. The mean difference in VAS scores reported to physician and nurse for surgical patients was 2.87 whereas the mean difference for non-surgical patients was 1.00 (p < .001). Conclusion: The current study found statistically significant differences between VAS pain scores reported to the surgeon versus the nurse in non-surgical patients. These results support the trend found in our previous study which demonstrated discrepancies in patient pain reporting, with surgical patients reporting significantly higher pain scores to the surgeon versus the nurse. However, the mean difference between reported pain scores, to the providers, is significantly higher for surgical patients as compared to non-surgical patients. The cause of this phenomenon remains unclear, however, this study provides more information regarding patient reported VAS pain scores in an outpatient clinical setting.

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8

Paterson, Sue. "Otitis externa: the role of the veterinary nurse." Veterinary Nurse 12, no. 7 (September 2, 2021): 306–10. http://dx.doi.org/10.12968/vetn.2021.12.7.306.

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Otitis externa is a common problem in primary care veterinary practice. While the diagnosis and treatment of disease is the responsibility of the attending veterinary surgeon, the veterinary nurse, as an integral part of the veterinary surgeon-led team, plays an important role in the investigation and management of disease. Veterinary nurses are more than capable of assessing the external ear canal both macroscopically and cytologically to help the veterinary surgeon to make a diagnosis. Client facing nurse communications can help with the administration of therapy, provide owner support during treatment to increase compliance and help with follow-up assessments.

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9

Meyer, Susan C., and Linda J. Miers. "Cardiovascular Surgeon and Acute Care Nurse Practitioner." AACN Clinical Issues: Advanced Practice in Acute and Critical Care 16, no. 2 (April 2005): 149–58. http://dx.doi.org/10.1097/00044067-200504000-00005.

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10

Muralidhar, Deutschland, Shiva Sirasala, Venkata Jammalamadaka, Moritz Spiller, Thomas Sühn, Alfredo Illanes, Axel Boese, and Michael Friebe. "Collaborative Robot as Scrub Nurse." Current Directions in Biomedical Engineering 7, no. 1 (August 1, 2021): 162–65. http://dx.doi.org/10.1515/cdbme-2021-1035.

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Abstract Under-staffing of nurses is a significant problem in most countries. It is expected to rise in the coming years, making it challenging to perform crucial tasks like assessing a patient's condition, assisting the surgeon in medical procedures, catheterization and Blood Transfusion etc., Automation of some essential tasks would be a viable idea to overcome this shortage of nurses. One such task intended to automate is the role of a 'Scrub Nurse' by using a robotic arm to hand over the surgical instruments. In this project, we propose to use a Collaborative Robotic-arm as a Scrub nurse that can be controlled with voice commands. The robotic arm was programmed to reach the specified position of the instruments placed on the table equipped with a voice recognition module to recognize the requested surgical instrument. When the Surgeon says "Pick Instrument", the arm picks up the instrument from the table and moves it over to the prior defined handover position. The Surgeon can take over the instrument by saying the command "Drop". Safe pathways for automatic movement of arm and handover position will be predefined by the Surgeon manually. This concept was developed considering the convenience of the Surgeon and the patient's safety, tested for collision, noisy environments, positioning failures and accuracy in grasping the instruments. Limitations that need to be considered in future work are the recognition of voice commands which as well as the returning of the instruments by the surgeon in a practical and safe way.

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11

Lee, Alex Ch, Helen P. Carter, Ian D. Sugarman, Mark D. Stringer, and David Crabbe. "Nurse-Assisted Peg in Children." British Journal of Perioperative Nursing (United Kingdom) 13, no. 8 (August 2003): 333–37. http://dx.doi.org/10.1177/175045890301300801.

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The first of these two articles, published in last month's BJPN, discussed percutaneous endoscopic gastrostomy (PEG) in practice. This second article reviews 122 paediatric PEG procedures performed between 1998 and 2002 with the nurse as surgeon's assistant to a surgeon endoscopist.

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12

Omojola, Akintayo, Michael Akpochafor, and Samuel Adeneye. "A Simulation Study With Electronic Dosimeter to Estimate Patient and Personnel Dose in Orthopedic Surgery." Journal of Research in Orthopedic Science 7, no. 2 (May 1, 2020): 61–66. http://dx.doi.org/10.32598/jrosj.7.2.667.1.

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Background: The use of mini C-arm is required in many orthopedic surgeries as an image-guided tool. Studies have shown an unnecessarily high dose to patients if exposures are not properly optimized. Also, scatter radiation to personnel may increase the risk of cancer if an appropriate protective device is not used. Objectives: This study aims to determine the patient’s dose and scatter radiation to the surgeon, anesthetist, and scrub nurse. Also, a comparison will be made with other studies on this topic. Methods: A phantom was designed to simulate a patient on the operating table to produce scatter radiation. In the same vein, a mobile mini C-arm unit was positioned with the x-ray tube beneath the head and the image receptor above the operating table. Measurements were made with a measuring tape from the central axis to the position of the surgeon, anesthetist, and scrub nurse. The Entrance Surface Dose (ESD) was determined by placing the electronic dosimeter at the surface of the phantom to estimate the patient dose. Similarly, each personnel dose/dose rate from the central axis was determined using a similar detector. Results: The total average time for most orthopedic surgeries in the studied facility was 3.3 minutes. The estimated ESD to the patient was 25.03 µSv and the scatter radiation per patient reaching the simulated anesthetist, scrub nurse, and surgeon was, 3.75, 3.59, and 7.72 µSv, respectively. The estimated dose values per year to anesthetist, scrub nurse, and surgeon were 390, 373.36, and 802 µSv, respectively. Conclusion: The personnel recommended limit dose rate was <20000 µSv/y. The technical factor used and total exposure time from this study could have affected the radiation dose. This study showed that personnel was safe even without the use of lead apron. Nevertheless, the use of an appropriate protective device should be encouraged to ensure safety.

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13

Dean, Erin. "Nurse who claimed he was a surgeon struck off." Nursing Standard 31, no. 47 (July 19, 2017): 9. http://dx.doi.org/10.7748/ns.31.47.9.s7.

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14

Rudman, Laurie A., and Julie E. Phelan. "The Effect of Priming Gender Roles on Women’s Implicit Gender Beliefs and Career Aspirations." Social Psychology 41, no. 3 (January 2010): 192–202. http://dx.doi.org/10.1027/1864-9335/a000027.

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We investigated the effect of priming gender roles on women’s implicit gender stereotypes, implicit leadership self-concept, and interest in masculine and feminine careers. Women primed with traditional gender roles (e.g., a male surgeon and a female nurse) showed increased automatic gender stereotypes relative to controls; this effect mediated their reduced interest in masculine occupations. By contrast, exposure to nontraditional roles (e.g., a female surgeon and a male nurse) decreased women’s leadership self-concept and lowered their interest in masculine occupations, suggesting that female vanguards (i.e., successful women in male-dominated careers) can provoke upward comparison threat, rather than inspire self-empowerment. Thus, priming either traditional or nontraditional gender roles can threaten progress toward gender equality, albeit through different mechanisms (stereotypes or self-concept, respectively).

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15

Godzik, Jakub, George M. Mastorakos, Gautam Nayar, William D. Hunter, and Luis M. Tumialán. "Surgeon and staff radiation exposure in minimally invasive spinal surgery: prospective series using a personal dosimeter." Journal of Neurosurgery: Spine 32, no. 6 (June 2020): 817–23. http://dx.doi.org/10.3171/2019.11.spine19448.

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OBJECTIVEThe level of radiation awareness by surgeons and residents in spinal surgery does not match the ubiquity of fluoroscopy in operating rooms in the United States. The present method of monitoring radiation exposure may contribute to the current deficiency in radiation awareness. Current dosimeters involve a considerable lag from the time that the surgical team is exposed to radiation to the time that they are provided with that exposure data. The objective of the current study was to assess the feasibility of monitoring radiation exposure in operating room personnel during lateral transpsoas lumbar interbody fusion (LLIF) and minimally invasive transforaminal lumbar interbody fusion (MI-TLIF) procedures by using a wearable personal device with real-time feedback.METHODSOperating room staff participating in minimally invasive surgical procedures under a single surgeon during a 6-month period were prospectively enrolled in this study. All radiation dose exposures were recorded for each member of the surgical team (surgeon, assistant surgeon, scrub nurse, and circulating nurse) using a personal dosimeter (DoseAware). Radiation doses were recorded in microsieverts (μSv). Comparisons between groups were made using ANOVA with the Tukey post hoc test and Student t-test.RESULTSThirty-nine patients underwent interbody fusions: 25 underwent LLIF procedures (14 LLIF alone, 11 LLIF with percutaneous screw placement [PSP]) and 14 underwent MI-TLIF. For each operative scenario per spinal level, the surgeon experienced significantly higher (p < 0.035) average radiation exposure (LLIF: 167.9 μSv, LLIF+PSP: 424.2 μSv, MI-TLIF: 397.9 μSv) than other members of the team, followed by the assistant surgeon (LLIF: 149.7 μSv, LLIF+PSP: 242.3 μSv, MI-TLIF: 274.9 μSv). The scrub nurse (LLIF: 15.4 μSv, LLIF+PSP: 125.7 μSv, MI-TLIF: 183.0 μSv) and circulating nurse (LLIF: 1.2 μSv, LLIF+PSP: 9.2 μSv, MI-TLIF: 102.3 μSv) experienced significantly lower exposures. Radiation exposure was not correlated with the patient’s body mass index (p ≥ 0.233); however, it was positively correlated with increasing patient age (p ≤ 0.004).CONCLUSIONSReal-time monitoring of radiation exposure is currently feasible and shortens the time between exposure and the availability of information regarding that exposure. A shortened feedback loop that offers more reliable and immediate data would conceivably raise the level of concern for radiation exposure in spinal surgeries and could alter patterns of behavior, leading to decreased exposures. Further studies are ongoing to determine the effect of real-time dosimetry in spinal surgery.

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16

Grota, Tenber, Vasiliki Betihavas, Adam Burston, and Elisabeth Jacob. "Current methods of nurse-surgeon training and education: Systematic review." International Journal of Nursing Studies Advances 3 (November 2021): 100048. http://dx.doi.org/10.1016/j.ijnsa.2021.100048.

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17

Nowicki, Cyathia R. "The Plastic Surgical Clinical Nurse Specialist and the Plastic Surgeon." Plastic Surgical Nursing 5, no. 2 (1985): 55–56. http://dx.doi.org/10.1097/00006527-198505020-00003.

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18

Espin, Sherry L., and Lorelei A. Lingard. "Time as a Catalyst for Tension in Nurse-Surgeon Communication." AORN Journal 74, no. 5 (November 2001): 672–82. http://dx.doi.org/10.1016/s0001-2092(06)61766-3.

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19

Koch, Bruce Evan. "Surgeon-Nurse Anesthetist Collaboration Advanced Surgery Between 1889 and 1950." Anesthesia & Analgesia 120, no. 3 (March 2015): 653–62. http://dx.doi.org/10.1213/ane.0000000000000618.

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20

Dombrowski, Meghan T. "Expectations of Perioperative Nurse and Surgeon Behavior in the OR." AORN Journal 105, no. 4 (April 2017): 353. http://dx.doi.org/10.1016/j.aorn.2017.02.005.

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21

Riyanto, Ontran Sumantri, Hetty W. A. Panggabean, Erik Adik Putra Bambang Kurniawan, and Monika Hitauruk. "Kedudukan Hukum Perawat Bedah Pasca Pembedahan dalam Sengketa Medis di Rumah Sakit." AL-MANHAJ: Jurnal Hukum dan Pranata Sosial Islam 4, no. 2 (August 31, 2022): 199–206. http://dx.doi.org/10.37680/almanhaj.v4i2.1784.

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Surgery is an effort to treat or help to treat a patient's disease. The increasing demand for health care is to increase, whether it is expected that a nurse improves her knowledge and skills, such as a surgical nurse specialist. This research uses normative juridical research methods, using secondary data sources including legislation, books, journals, court decisions, and other literature. The result of the study is that the surgical nurse while performing his duties both in the surgical room, before surgery, during surgery and after surgery must be based on SOPs and mandates from doctors made in writing. That way a surgical nurse if working is in accordance with the procedures and directions of the doctor, the surgical nurse cannot be sanctioned in the event of a medical dispute because his responsibility rests with the surgeon.

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22

Earnshaw, J. J., and Y. Stephenson. "First Two Years of a Follow-up Breast Clinic Led by a Nurse Practitioner." Journal of the Royal Society of Medicine 90, no. 5 (May 1997): 258–59. http://dx.doi.org/10.1177/014107689709000507.

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After special training a nurse practitioner ran an independent clinic for follow-up patients with breast disease. All patients referred to a single surgical firm with breast cancer and most patients with benign disease who required follow-up were included. In the first 2 years of the service 382 clinic visits were recorded (median 5/clinic, range 1–12). The nurse practitioner reviewed 236 (62%) patients alone but involved the consultant surgeon in the remainder. No significant lesion was missed in these patients. The nurse-led clinic is popular with patients and, subject to careful supervision, offers an attractive option for follow-up of patients with breast disease.

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23

Morrison, Cassie. "Never fear when a rabbit stasis patient is near." Veterinary Nurse 15, no. 1 (February 2, 2024): 18–22. http://dx.doi.org/10.12968/vetn.2024.15.1.18.

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Managing a gut stasis rabbit can be very challenging for a veterinary team. The goal should be to resolve the acute, potentially life-threatening condition, to then allow the veterinary surgeon to diagnose the cause of why the gastrointestinal stasis has occurred in the first place. Given the nature of these patients and how high maintenance they can be, a lot of the monitoring and care falls on the veterinary nurse. The veterinary nurse becomes the eyes and ears for the veterinary surgeon and the information that is passed on to them can impact the treatment plan of the patient. Some veterinary nurses may find this daunting and, certainly in the author's own practice, some nurses enjoy working with rabbits more than others. The aim, as a cohesive team, has been to create a protocol which everyone can use to standardise how stasis patients are treated and boost the confidence of less experienced team members.

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Pace, Charlotte. "The veterinary nurse's diagnostic assessment of the small animal cardiac patient." Companion Animal 28, no. 10 (October 2, 2023): 2–5. http://dx.doi.org/10.12968/coan.2023.0024.

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Veterinary nurses play an important role in small animal practice. This article covers the diagnostic assessment that a nurse may perform on a small animal cardiac patient, from the physical examination to blood tests and advanced imaging. Cardiac patients can present in a variety of situations, including chronic conditions and acute emergencies. The veterinary nurse must be able to work with these patients in a calm manner to prevent creating any additional stress, and must also know when they should refer to a veterinary surgeon.

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Charlotte, Pace. "Diagnostic assessment of the small animal cardiac patient." Veterinary Nurse 14, no. 8 (October 2, 2023): 339–43. http://dx.doi.org/10.12968/vetn.2023.14.8.339.

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Veterinary nurses play an important role in small animal practice. This article covers the diagnostic assessment that a veterinary nurse may perform on a small animal cardiac patient, from the physical examination to blood tests and advanced imaging. Cardiac patients can present in a variety of situations, including chronic conditions and acute emergencies. The veterinary nurse must be able to work with these patients in a calm manner to prevent creating any additional stress, and must also know when they should refer to a veterinary surgeon.

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Strand, E., I. Nygren, L. Bergkvist, and K. Smedh. "Nurse or surgeon follow-up after rectal cancer: a randomized trial." Colorectal Disease 13, no. 9 (May 17, 2010): 999–1003. http://dx.doi.org/10.1111/j.1463-1318.2010.02317.x.

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Schoormans, Dounya, Ellen M. A. Smets, Ronald Zwart, Mirjam A. G. Sprangers, Tonny H. M. Veelenturg, Bas A. J. M. de Mol, Mark G. Hazekamp, et al. "Peri-operative care in adults with congenital heart disease: room for improvement in after care." Cardiology in the Young 23, no. 4 (October 2, 2012): 540–45. http://dx.doi.org/10.1017/s1047951112001254.

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AbstractBackgroundPatient satisfaction with care has received little attention within the field of congenital heart disease. Our objective was to examine patient satisfaction with the care received when undergoing open-heart surgery in order to identify the best and worst aspects of peri-operative care. Moreover, we examined whether having contact with a specialised nurse in addition to usual care is associated with higher patient satisfaction levels.MethodsPatient satisfaction was measured by the Satisfaction with Hospital Care Questionnaire, evaluating nine aspects of care by answering individual items and giving overall grades. A top 10 of the best and worst items was selected. Linear regression analyses were used to examine the relationship between having contact with a specialised nurse and patient satisfaction (9 grades), independent of patient characteristics – sex, age, educational level, and health status.ResultsData were available for 75 patients. Grades ranged from 6.74 for “discharge and after care” to 8.18 for “medical care”. In all, 21% of patients were dissatisfied with the clarity of the information about lifestyle adjustments given by the surgeon. However, patients who had contact with a specialised nurse were more satisfied with the provided information (B-coefficient is 0.497, p-value is 0.038), independent of patient characteristics.ConclusionsPatients were satisfied with the received care, although there is room for improvement, especially in discharge and after care and the clarity of the information provided by the surgeon. This gap in care can be compensated for by specialised nurses, as patients who were counselled by a specialised nurse were more satisfied with the provided information.

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Joseph, Anjali, David Neyens, Sahar Mihandoust, Kevin Taaffe, David Allison, Vishnunarayan Prabhu, and Scott Reeves. "Impact of Surgical Table Orientation on Flow Disruptions and Movement Patterns during Pediatric Outpatient Surgeries." International Journal of Environmental Research and Public Health 18, no. 15 (July 31, 2021): 8114. http://dx.doi.org/10.3390/ijerph18158114.

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(1) Background: The surgical table within a typical ambulatory surgery operating room is frequently rotated and placed in different orientations to facilitate surgery or in response to surgeon preferences. However, different surgical table orientations can impact access to different work zones, areas and equipment in the OR, potentially impacting workflow of surgical team members and creating patient safety risks; (2) Methods: This quantitative observational study used a convenience sample of 38 video recordings of the intraoperative phase of pediatric outpatient surgeries to study the impacts of surgical table orientation on flow disruptions (FDs), number of contacts between team members and distance traveled; (3) Results: This study found that the orientation of the surgical table significantly influenced staff workflow and movement in the OR with an angled surgical table orientation being least disruptive to surgical work. The anesthesia provider, scrub nurse and circulating nurse experienced more FDs compared to the surgeon; (4) Conclusions: The orientation of the surgical table matters, and clinicians and architects must consider different design and operational strategies to support optimal table orientation in the OR.

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Summerfield, Natasha, and Charlotte Pace. "Emergency cardiac pharmacology for nurses." Veterinary Nurse 12, no. 3 (April 2, 2021): 146–51. http://dx.doi.org/10.12968/vetn.2021.12.3.146.

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Cardiac emergencies are a relatively common occurrence in emergency practice, and cardiac drugs are essential in the management of these patients. Knowledge and understanding of the pharmacology of these drugs is important for the veterinary nurse, so that they can support the veterinary surgeon and give the best care to their patient, by being prepared and organised. Each medication needs to be carefully considered by the veterinary surgeon before use and each patient assessed accordingly. These medications have the potential to do great good, but as with most drugs, can cause harm. This article will discuss some of the more commonly used cardiac drugs in the emergency room.

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30

Raahave, Dennis. "Operative Precautions in HIV and Other Bloodborne Virus Diseases." Infection Control & Hospital Epidemiology 17, no. 8 (August 1996): 529–31. http://dx.doi.org/10.1017/s0195941700004744.

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AbstractMathematical means have suggested that the surgical team is at particular risk of acquiring HIV (or other bloodborne viruses) from a source patient. To reduce this risk, it is mandatory to avoid accidental injuries during operative procedures. The surgeon must handle tissues with instruments and must minimize finger use. Sharp instruments should be passed through a neutral zone to ensure that the surgeon and nurse do not touch the same instrument at the same time. Instruments should not be handled blindly, but instead should be accompanied by eye and verbal contact. We find these changes in surgical technique are necessary for present and future generations of surgeons.

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Courtnay Bennett, J. D., and J. Riddington Young. "Draffin and his rods." Journal of Laryngology & Otology 106, no. 12 (December 1992): 1035–36. http://dx.doi.org/10.1017/s0022215100121711.

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AbstractDraffin's rods or bipods are now a well-known, internationally accepted ENT instrument. Before their invention in 1951, the attendant anaesthetist or nurse was obliged to support the mouthgag during tonsillectomy.Research into the life of their originator, David Alexander Draffin, reveals that in addition to his evident design skills, he was a surgeon of courage, wit and great charm.

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Jette, Diane U., Stephen J. Hunter, Lynn Burkett, Bud Langham, David S. Logerstedt, Nicolas S. Piuzzi, Noreen M. Poirier, et al. "Physical Therapist Management of Total Knee Arthroplasty." Physical Therapy 100, no. 9 (June 16, 2020): 1603–31. http://dx.doi.org/10.1093/ptj/pzaa099.

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Abstract A clinical practice guideline on total knee arthroplasty was developed by an American Physical Therapy (APTA) volunteer guideline development group that consisted of physical therapists, an orthopedic surgeon, a nurse, and a consumer. The guideline was based on systematic reviews of current scientific and clinical information and accepted approaches to management of total knee arthroplasty.

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Santanelli di Pompeo, F., M. Sorotos, V. Amorosi, B. Scognamiglio, S. Baghaki, L. Di Martino, B. Longo, and AL Dellon. "EURAPS Editorial 2019: “Bisturi, please” said the surgeon to the scrub nurse." Journal of Plastic, Reconstructive & Aesthetic Surgery 72, no. 12 (December 2019): 1875–79. http://dx.doi.org/10.1016/j.bjps.2019.08.010.

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Braun, Hillary J., Patricia S. O'Sullivan, Marie N. Dusch, Sheila Antrum, and Nancy L. Ascher. "Improving interprofessional collaboration: Evaluation of implicit attitudes in the surgeon–nurse relationship." International Journal of Surgery 13 (January 2015): 175–79. http://dx.doi.org/10.1016/j.ijsu.2014.11.032.

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Mistry, Krishna, and Evelyn O'Byrne. "Nursing a patient with feline urethral obstruction." Veterinary Nurse 15, no. 1 (February 2, 2024): 23–28. http://dx.doi.org/10.12968/vetn.2024.15.1.23.

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Feline urethral obstruction is a potentially life-threatening condition. The maintenance and monitoring of the patient's electrolyte levels and fluid balance, and urinary catheter management, as well as an individual nursing care plan is vital for a positive patient outcome. The communication between the veterinary surgeon, veterinary nurse and client can create a well-rounded holistic approach to each patient.

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Van Berkel, Brecht, Gwendolien Smets, Gertjan Van Schelverghem, Elien Houben, Dieter Peuskens, Thomas Daenekindt, Eveleen Buelens, et al. "Comparison of Radiation Exposure of AIRO Intraoperative CT with C-Arm Fluoroscopy during Posterior Lumbar Interbody Fusion." Applied Sciences 11, no. 21 (November 3, 2021): 10326. http://dx.doi.org/10.3390/app112110326.

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Navigation systems used during minimally invasive spine procedures have evolved from uniplanar, two-dimensional C-arm fluoroscopy to multiplanar, 3D intraoperative computed tomography (iCT). In this study, the radiation exposure to the patient and operating room staff in posterior intervertebral lumbar fusion procedures is compared between iCT and C-arm fluoroscopy. The effective dose of the surgeon, operating nurse, and anesthesiologist was measured during surgery with personal dosimeters, and the effective dose of the patient was measured with GafchromicTM films. The time efficiency of the procedure was evaluated by recording the duration of pedicle screw fixation and the duration of the total surgery time. A total of 75 patients participated in the study; 30 patients had surgery guided by iCT and 45 by C-arm fluoroscopy. The radiation dose of the surgeon, the operating nurse, and the anesthesiologist was thirteen fold lower with surgeries assisted by iCT compared to C-arm fluoroscopy. In contrast, the effective dose of the patient significantly increased with iCT. Using iCT, radiation exposure of the operating room staff can be significantly reduced. iCT increases the effective dose of the patient and prolongs the operative time.

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Wittayanupakorn, Natsana, and Maliwan Oofuvong. "Effectiveness and Satisfaction of Using Hand Block to Protect Venous Access Line and Arterial Line in Anesthesia." Songklanagarind Medical Journal 35, no. 4 (December 28, 2017): 293. http://dx.doi.org/10.31584/smj.2017.35.4.745.

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Objective: To determine the effectiveness and the satisfaction of hand block to protect intravenous access line and arterial line in anesthesiaMeterial and Method: This descriptive study was conducted in patients aged ≥18 years old who received general anesthesia, patient’s arms with the intravenous or the arterial line attached to the body. Hand block as used to protect the press from surgeon or equipments during the operation. The nurse anesthetists were asked to evaluate the effectiveness and the satisfaction of hand block to protect the intravenous line and the arterial line. The evaluating scales included the followings: 4=very good, 3=good, 2=fair, 1=poor.Results: Fifty three patients were recruited in the study. The mean scores of the effectiveness of using hand block to protect venous access and arterial line were good (>3.2-3.6). The items of the satisfaction were very good (≥3.6) that using reused materials, convenience to use, low surgeon disturbance, easily keeping, avoid pressure sore injury and durability. The overall satisfaction score of using hand block was very good (=3.8).Conclusion: The satisfaction of using hand block among nurse anesthetists was very good. Hand block is effective for protecting intravenous access line and arterial line.

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Turkmen, Seray, and Mehmet Mutlu. "Comparison of patient and surgeon satisfaction in patients undergoing knee arthroscopy with peripheral nerve block versus spinal anesthesia." Journal of Clinical and Investigative Surgery 6, no. 2 (November 15, 2021): 148–52. http://dx.doi.org/10.25083/2559.5555/6.2.10.

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Objective. This study aims to compare two different methods of regional anesthesia applied for knee arthroscopy in terms of patient and surgeon satisfaction. Materials and Methods. Eighty patients who underwent knee arthroscopy either with spinal anesthesia (SA) or unilateral sciatic and femoral nerve block (SFNB) were included in the study. A nurse conducted a blind study questionnaire to assess the surgeon and patient satisfaction from anesthesia performed at the end of the surgery. Pain score, demographical data, duration of surgery, motor and sensory block duration, time of first rescue analgesia were recorded and analyzed statistically. Results. A statistically significant difference was found between the patient (p = 0.001; p <0.01) and surgeon (p = 0.022; p <0.05) satisfaction rates, these being lower in the group with SFNB comparable to patients with spinal anesthesia. There was a statistically significant difference between the first analgesic requirements of the patients according to the groups (p = 0.001; p <0.01). The first analgesic requirement of the patients who received SFNB was later than in the case of patients who received spinal anesthesia. Conclusions. Patient and surgeon satisfaction with SA was significantly higher than SFNB. The peripheral nerve blocks are inadequate for patient and surgeon satisfaction for knee arthroscopy compared to SA.

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Sasaki, Hiromi, Tomoyo Nishiobino, Hiroyuki Tominaga, Akihiro Tokushige, Naohiro Shinohara, Satoshi Nagano, and Noboru Taniguchi. "Benefits of Collaboration Between the Wound, Ostomy, and Continence Nurse and Orthopedic Surgeon When Treating Skin Defects After Soft Tissue Sarcoma Resection." Journal of Wound, Ostomy & Continence Nursing 51, no. 2 (March 2024): 107–10. http://dx.doi.org/10.1097/won.0000000000001060.

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PURPOSE: The purpose of this study was to evaluate the benefits of collaborative management between orthopedic surgery and WOC nurses in patients undergoing resection of subcutaneous sarcomas. DESIGN: Retrospective case-control study. SUBJECTS AND SETTING: The sample comprised 25 patients who underwent wide resection for soft tissue sarcoma, followed by 2-stage split-thickness skin grafting. Data collection occurred between January 2015 and April 2021 in a university hospital based in Kagoshima, Japan. For comparison, we categorized these patients into 2 groups: intervention group participants were managed by an orthopedic surgeon and a WOC nurse; nonintervention group members were managed without WOC nurse participation. METHODS: Patient background and treatment-related information was retrospectively collected from medical records and compared between the WOC nurse intervention group and the nonintervention group, including maximum tumor diameter, surgical time, maximum skin defect diameter, length of hospital stay, and time from surgery to complete wound healing. RESULTS: The average length of hospital stay was significantly shorter in the WOC nurse intervention group compared with the nonintervention group (38.3 days, SD = 8.0 vs 47.1 days, SD = 10.2; P = .023). CONCLUSION: Collaborative wound management with a WOC nurse resulted in a shorter hospital length of stay when compared to traditional management with WOC nurse involvement. Based on these findings, we assert that WOC nurses provide an important bridge between postoperative wound management in patients undergoing resection of subcutaneous sarcomas.

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Bi, Yang, Tomáš Fečer, Runar Lundøy, Tina Kazemitalachi, Liv Inger Stenstad, Sara Edvardsen, and Guangyu Cao. "Do room air temperature and human activity affect the particle concentration under real surgical procedures in operating rooms with mixing ventilation? - An experimental study at St. Olavs hospital." E3S Web of Conferences 356 (2022): 05005. http://dx.doi.org/10.1051/e3sconf/202235605005.

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The objective of this study is to explore the effects of different room temperatures and different types of activities on the indoor air quality in the operating room during surgery. Three mock-up surgeries were performed at 21 °C, 23 °C, and 25 °C at St. Olavs hospital in Norway. The effects of the surgeon’s activity and nurse's movement on the concentration of particulate matter at the surgical site and instrument table were compared. The results show that the concentrations of particles at both the surgical site and the instrument table are the lowest at room temperature of 23 °C. The activity of the surgeon was the main factor leading to the increase in the concentration of particulate matter with the size 0.3-0.5 μm at the surgical site, while the nurse movement led to the increase in the concentration of particulate matter with the larger size. At all room temperatures, the movement of the distribution nurse had a greater effect than the activity of the surgeon on the increase of the concentration of particles at the instrument table. In addition, the intensity of the particulate source may be factors affecting the concentration of particulate matter. Therefore, it is recommended that distribution nurses should avoid unnecessary activities during the operation.

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Harris, Adrienne, Rosemary Lane, and Melinda Higgins. "Improving perceptions of communication, collaboration, and teamwork using structured nurse-surgeon bedside rounds." Nursing 52, no. 2 (February 2022): 56–59. http://dx.doi.org/10.1097/01.nurse.0000806180.71822.99.

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Barberis Canonico, Lorenzo, Nathan J. McNeese, and Marissa L. Shuffler. "Stable Teamwork Marriages in Healthcare: Applying Machine Learning to Surgeon-Nurse-Patient Matching." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 62, no. 1 (September 2018): 1202–6. http://dx.doi.org/10.1177/1541931218621276.

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Hospitals are plagued with a multitude of logistical challenges amplified by a time-sensitive and high intensity environment. These conditions have resulted in burnout among both doctors and nurses as they work tirelessly to provide critical care to patients in need. We propose a new machine-learning-powered matching mechanism that manages the surgeon-nurse-patient assignment process in an efficient way that saves time and energy for hospitals, enabling them to focus almost entirely on delivering effective care. Through this design, we show how incorporating artificial intelligence into management systems enables teams of all sizes to meaningfully coordinate in highly chaotic and complex environments.

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Dudzinski, Denise M. "Nurse—Surgeon Conflicts in the OR: Ethical Analysis Using the Four Box Method." Perioperative Nursing Clinics 3, no. 3 (September 2008): 205–12. http://dx.doi.org/10.1016/j.cpen.2008.04.013.

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Cahan, Eli M., Henry C. Cousins, Joshua T. Steere, Nicole A. Segovia, Matthew D. Miller, and Derek F. Amanatullah. "Influence of team composition on turnover and efficiency of total hip and knee arthroplasty." Bone & Joint Journal 103-B, no. 2 (February 1, 2021): 347–52. http://dx.doi.org/10.1302/0301-620x.103b2.bjj-2020-0170.r2.

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Aims Surgical costs are a major component of healthcare expenditures in the USA. Intraoperative communication is a key factor contributing to patient outcomes. However, the effectiveness of communication is only partially determined by the surgeon, and understanding how non-surgeon personnel affect intraoperative communication is critical for the development of safe and cost-effective staffing guidelines. Operative efficiency is also dependent on high-functioning teams and can offer a proxy for effective communication in highly standardized procedures like primary total hip and knee arthroplasty. We aimed to evaluate how the composition and dynamics of surgical teams impact operative efficiency during arthroplasty. Methods We performed a retrospective review of staff characteristics and operating times for 112 surgeries (70 primary total hip arthroplasties (THAs) and 42 primary total knee arthroplasties (TKAs)) conducted by a single surgeon over a one-year period. Each surgery was evaluated in terms of operative duration, presence of surgeon-preferred staff, and turnover of trainees, nurses, and other non-surgical personnel, controlling cases for body mass index, presence of osteoarthritis, and American Society of Anesthesiologists (ASA) score. Results Turnover among specific types of operating room staff, including the anaesthesiologist (p = 0.011), circulating nurse (p = 0.027), and scrub nurse (p = 0.006), was significantly associated with increased operative duration. Furthermore, the presence of medical students and nursing students were associated with improved intraoperative efficiency in TKA (p = 0.048) and THA (p = 0.015), respectively. The presence of surgical fellows (p > 0.05), vendor representatives (p > 0.05), and physician assistants (p > 0.05) had no effect on intraoperative efficiency. Finally, the presence of the surgeon’s 'preferred' staff did not significantly shorten operative duration, except in the case of residents (p = 0.043). Conclusion Our findings suggest that active management of surgical team turnover and composition may provide a means of improving intraoperative efficiency during THA and TKA. Cite this article: Bone Joint J 2021;103-B(2):347–352.

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Avgerinos, Emmanouil, Ioannis Fragkos, and Yufei Huang. "Team familiarity in cardiac surgery operations: The effects of hierarchy and failure on team productivity." Human Relations 73, no. 9 (October 1, 2019): 1278–307. http://dx.doi.org/10.1177/0018726719857122.

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Project teams are regularly assembled by a variety of organizations in order to perform knowledge-intensive tasks. Previous shared experiences among their members can have a significant impact on team performance. In this study, we use a unique and detailed dataset of 6206 cardiac surgeries from a private hospital in Europe, property of an American non-profit organization, in order to examine how past shared experiences of individuals affect future team productivity. Using transactive memory system as theoretical framework, we first decompose overall team familiarity into horizontal familiarity (e.g. surgeon to surgeon) and hierarchical familiarity (e.g. surgeon to nurse) and find that the former one is more beneficial for team productivity than the latter one. Next, we observe that horizontal familiarity of high-power, high-status individuals has a higher impact on team productivity than the one among subordinate individuals. Finally, we investigate how past failure experiences of individuals in the same team can increase future team productivity more than past shared successes. Our results provide useful insights for managers who aim to increase team productivity via better team allocation strategies.

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Slaven, Sean E., Benjamin M. Wheatley, Daniel L. Christensen, Sameer K. Saxena, and Robert J. McGill. "Repeated Noise Exposure Does Not Reach Hazardous Levels During Total Joint Arthroplasty." Military Medicine 185, no. 9-10 (June 9, 2020): e1551-e1555. http://dx.doi.org/10.1093/milmed/usaa102.

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Abstract Introduction Noise exposure is an occupational health concern for certain professions, especially military servicemembers and those using power tools on a regular basis. The purpose of this study was to quantify noise exposure during total hip arthroplasty (THA) and total knee arthroplasty (TKA) cases compared to the recommended standard for occupational noise exposure. Materials and Methods A sound level meter was used to record cumulative and peak noise exposure levels in 10 primary THA and 10 primary TKA surgeries, as well as 10 arthroscopy cases as controls. Measurements at the distance of the surgeon were taken in all cases. In TKA cases, measurements were taken at 3 feet and 8 feet from the surgeon, to simulate the position of the anesthetist and circulating nurse, respectively. Results Time-weighted average was significantly higher in THA (64.7 ± 5.2 dB) and TKA (64.5 ± 6.8 dB) as compared to arthroscopic cases (51.1 ± 7.5 dB, P < 0.001) and higher at the distance of the surgeon (64.5 ± 6.8 dB) compared to the anesthetist (52.9 ± 3.8 dB) and the circulating nurse (54.8 ± 11.2 dB, P = 0.006). However, time-weighted average was below the recommended exposure level of 85 dB for all arthroplasty cases. Peak levels did not differ significantly between surgery type or staff role, and no values above the ceiling limit of 140 dB were recorded. Surgeon’s daily noise dose percentage per case was 1.78% for THA and 2.04% for TKA. Conclusion Noise exposure in THA and TKA was higher than arthroscopic cases but did not exceed occupational standards. A daily dose percentage of approximately 2% per case indicates that repeated noise exposure likely does not reach hazardous levels in modern arthroplasty practice.

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Umman, Philip, Clyde R. Menezes, Ashish Bosco, and Nandakumar Menon. "An ergonomic modification of the American position for laparoscopic cholecystectomy in a rural setting." International Surgery Journal 6, no. 8 (July 25, 2019): 2982. http://dx.doi.org/10.18203/2349-2902.isj20193354.

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Laparoscopic cholecystectomy (LC) is the gold standard for the treatment of symptomatic gallstone disease. As a result of the significant investments in setting up a laparoscopy unit and training nursing staff in laparoscopic techniques, the cost of laparoscopic surgery is higher. However, the urban poor and rural population of India stand to benefit most from laparoscopy, owing to the shorter recovery times and reduced post-operative pain. The American and French positions have been described for laparoscopic cholecystectomy. Studies on ergonomics in laparoscopy deal mainly with issues related to the operating surgeon. There is not much literature on the issues faced by the team members during laparoscopy, especially in resource constrained settings. The authors propose a modification of the American position for LC, which enhances comfort and vision for the scrub nurse and also helps the surgeon guide the novice staff in LC.

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Kumar, Vaibhav, Tenzin Singhay Bhotia, Vaibhav Kumar, and Tanmoy Chakraborty. "Nurse is Closer to Woman than Surgeon? Mitigating Gender-Biased Proximities in Word Embeddings." Transactions of the Association for Computational Linguistics 8 (August 2020): 486–503. http://dx.doi.org/10.1162/tacl_a_00327.

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Word embeddings are the standard model for semantic and syntactic representations of words. Unfortunately, these models have been shown to exhibit undesirable word associations resulting from gender, racial, and religious biases. Existing post-processing methods for debiasing word embeddings are unable to mitigate gender bias hidden in the spatial arrangement of word vectors. In this paper, we propose RAN-Debias, a novel gender debiasing methodology that not only eliminates the bias present in a word vector but also alters the spatial distribution of its neighboring vectors, achieving a bias-free setting while maintaining minimal semantic offset. We also propose a new bias evaluation metric, Gender-based Illicit Proximity Estimate (GIPE), which measures the extent of undue proximity in word vectors resulting from the presence of gender-based predilections. Experiments based on a suite of evaluation metrics show that RAN-Debias significantly outperforms the state-of-the-art in reducing proximity bias (GIPE) by at least 42.02%. It also reduces direct bias, adding minimal semantic disturbance, and achieves the best performance in a downstream application task (coreference resolution).

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Bernthal, Elizabeth. "The Nurse as First Assistant to the Surgeon: Is This a Perioperative Nursing Role?" British Journal of Theatre Nursing (United Kingdom) 9, no. 2 (February 1999): 74–77. http://dx.doi.org/10.1177/175045899900900204.

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Bernthal, Elizabeth. "The Nurse as First Assistant to the Surgeon: Is This a Perioperative Nursing Role?" British Journal of Theatre Nursing (United Kingdom) 9, no. 3 (March 1999): 74–77. http://dx.doi.org/10.1177/175045899900900304.

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