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Results for “Postanesthesia Nursing”

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PubMed1992

The use of temperature as a discharge criterion for ambulatory surgery patients.

Evaluating each patient's return to an acceptable state after surgical and anesthetic intervention is the responsibility of the postanesthesia nurse. Postanesthesia nurses use criteria to determine ambulatory surgical patient readiness to be discharged from phase I recovery to phase II recovery and from phase II recovery to home. Temperature is one indicator of postanesthesia recovery. Temperature discharge criteria from phase I postanesthesia recovery have been reported. However, temperature discharge criteria for phase II postanesthesia recovery have been adapted from phase I standards and nursing traditions. This study sought to describe the postoperative temperatures of ambulatory surgical patients from admission to phase II postanesthesia recovery to discharge home. A convenience sample of 101 adult patients undergoing surgery at a hospital-based ambulatory surgical unit (ASU) participated. Tympanic temperature was measured preoperatively on admission to the ASU, postoperatively, at the beginning of phase II postanesthesia recovery, and at the end of phase II postanesthesia recovery immediately before discharge home. All subjects were normothermic during phase II postanesthesia recovery, with temperatures ranging from 36.0 degrees C (96.8 degrees F) to 38.3 degrees C (101 degrees F). Paired Student's t Test showed significant differences (P < .0001) between temperature means. There was a 0.38 degrees C (0.7 degree F) decrease between preoperative admission temperature and temperature on admission to phase II postanesthesia recovery. During phase II postanesthesia recovery the mean temperature increased 0.16 degree C (0.3 degree F) before discharge home. However, the clinical and practical implications of these findings is questionable.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗
PubMed1993

Establishing clinical competence in postanesthesia care nursing.

Today the manager in postanesthesia care is faced with the reality that basic nursing education and general nursing practice do not provide the specific body of knowledge required to prepare nurses to deliver competent nursing care for patients in the PACU phase I. This, in addition to the growing shortage of critical care nurses, the diminishing dollars available for education, and the massive amounts of knowledge being added almost daily to the basic knowledge base specific to the postanesthesia care area, requires the successful PACU manager to develop methods to select personnel with the highest success potential and to establish a competency-based, unit-specific education program to ensure individual success.

Accreditation↗
PubMed1992

Establishing the role of the clinical nurse specialist in postanesthesia care.

The postanesthesia clinical nurse specialist (CNS) is a relatively new and developed role, one that is needed and that can be justified in the specialty of postanesthesia care nursing. This article describes a model with components of expert practitioner, educator, researcher, consultant, and liaison. The sub-role of change agent pervades all other roles of the postanesthesia CNS. Establishment of the role is examined using change theory. Fitting this specialty CNS into the organization is briefly examined through systems theory. Integrating the role into the system requires role making, role taking, and steps to reduce the stress associated with establishing a new role. Communication with involved subsystems, such as postanesthesia staff nurses, management, anesthesia staff, and physicians, is vital to the success of the role. Through education and interaction, significance of the role can be demonstrated to establish the postanesthesia CNS as a vital partner in postanesthesia nursing practice.

Consultants↗
PubMed1993

Criteria for critiquing clinical nursing research reports.

The primary goal of nursing research is to develop a scientific knowledge base for practice. Postanesthesia nurses are expected to critique nursing research before applying findings to clinical practice. As consumers of research, postanesthesia nurses must be able to employ critical evaluation skills to judge the merit and relevance of research to their clinical practice. This article presents criteria for critiquing clinical nursing research reports to determine their relevance to practice.

Evaluation Studies as Topic↗
PubMed1990

Exploring nursing interventions for acute pain in the postanesthesia care unit.

The postanesthesia nurse encounters patients with pain daily in nursing practice. The intensity of patients' acute postsurgical pain varies from mild to very severe. Currently, the treatment of choice for postsurgical pain is administration of a narcotic, usually in titrated intravenous doses. When the pain is mild and the patient is able to cope until the narcotic reduces the intensity of the pain, narcotics alone are satisfactory. However, the patient with severe pain may not be able to cope with the length of time required for the narcotic administered to produce pain relief. For those patients additional measures are needed to assist them in coping with the pain. Nursing interventions may benefit the adult postanesthesia patient who is experiencing acute pain upon emergence from anesthesia. Physiology of pain transmission and nursing research in the area of acute pain control are the basis for interventions. Preoperative education and sensory preparation, distraction, deep breathing, and progressive muscle relaxation are additional interventions with potential to enhance acute pain control in the PACU.

Breathing Exercises↗
PubMed1992

Preparation for recertification.

Certification status in postanesthesia nursing continues for 3 years and may be renewed. Options to recertify include re-examination or completion of the Continuing Education Recognition Program. The certified postanesthesia nurse can participate in a wide range of educational opportunities to earn Continuing Education Recognition Points through this program.

Certification↗
PubMed1994

Managing sympathetic blockade in the postanesthesia care unit: a case report.

Based on the content of this article, the reader should be able to (1) discuss the significance of differential blockade on postanesthesia nursing assessment; (2) compare the zones of differential blockade between spinal and epidural anesthesia; (3) state the physiological response to preload caused by sympathetic blockade; (4) assess sympathetic blockade using a dermatome figure; and (5) state three interventions used to manage sympathetic blockade.

Humans↗
PubMed1993

Meta-analysis: strategies to strengthen postanesthesia care unit study results.

Meta-analysis is a research method used to synthesize findings across multiple studies that tested similar variables on similar subjects. An overview of meta-analysis is presented and defined in an eight-step approach. A meta-analysis of the effect of preoperative instruction on postoperative outcomes is applied to the eight defined steps. Implications for postanesthesia nurses include the usefulness of meta-analysis as a method of building knowledge by examining findings and drawing conclusions from multiple, single-institution studies conducted with small sample sizes.

Meta-Analysis as Topic↗
PubMed1995

Test-taking techniques.

This article discusses test-taking techniques that may be helpful to nurses scheduled to take the postanesthesia nurse certification examination or ambulatory perianesthesia nurse certification examination in November 1995.

Certification↗