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Biomedical subjects

V M Hoshowsky

Publications and source records attributed to V M Hoshowsky.

8 recordsLinked to original sources
PubMed1995

Developing competency-based perioperative orientation programs.

Ensuring the competency of staff members at all levels of practice is an ongoing challenge for perioperative clinical educators. The authors developed a competency-based orientation program using AORN's perioperative nursing competency statements as a conceptual framework. The model also incorporates requirements from external regulatory agencies (e.g., the Joints Commission on Accreditation of Healthcare Organizations) that influence the direction of health care institutions seeking accreditation. The model provides the components necessary to validate the orientation of perioperative staff members and the delivery of comprehensive nursing care in perioperative settings.

Competency-Based Education↗
PubMed1994

Intraoperative pressure sore prevention: an analysis of bedding materials.

The relationship between operating room (OR) table surfaces and skin integrity was examined. Preoperatively, patients (N = 505) were rated for pressure sore potential (Hemphill); postoperatively, skin condition was assessed. Skin changes were more likely with a standard mattress only or with surgery longer than 2.5 hr. The overlay was more effective than the foam and gel or standard foam mattresses for preventing pressure sore formation. Factors predictive of pressure sore development included surgery of 2.5+ hr, 40+ years, vascular disease, and a preoperative Hemphill value of 4+. Patient characteristics, surgical experience variables, and OR table surfaces are determinants in pressure sore development.

Adolescent↗
PubMedDate not supplied

Surgical positioning.

Surgical positioning is a very important aspect of caring for the patient intraoperatively. All surgical team members must work together to safely move and secure the patient to adequately expose the surgical site. The type of surgical position, anesthesia used and the patient's health status continue to be factors which contribute to optimizing the patient's outcome and preventing complications. It is imperative that perioperative nurses understand and are competent in utilizing principles of anatomy and physiology, knowledge of effects of medications and anesthetics, critical assessment skills and appropriate positioning techniques and equipment used during orthopaedic surgical procedures to render quality intraoperative care.

Beds↗