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Guideline Quick View: Pneumatic Tourniquets. 指南快速浏览：气动止血带。
IF 1.1 4区 医学 Q4 NURSING
Aorn Journal
Pub Date : 2025-11-01 DOI: 10.1002/aorn.14442
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引用次数: 0
The Evolution of Perioperative Nurse Week. 围手术期护理周的演变。
IF 1.1 4区 医学 Q4 NURSING
Aorn Journal
Pub Date : 2025-11-01 DOI: 10.1002/aorn.14434
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引用次数: 0
The Time Is Now: AHRQ MRSA Prevention Toolkit. 时机就是现在：AHRQ MRSA预防工具包。
IF 1.1 4区 医学 Q4 NURSING
Aorn Journal
Pub Date : 2025-11-01 DOI: 10.1002/aorn.14435
Patrick S Gordon, Preeti Mehrotra
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引用次数: 0
Creating a Better Specimen-Handling Process. 创建更好的标本处理过程。
IF 1.1 4区 医学 Q4 NURSING
Aorn Journal
Pub Date : 2025-11-01 DOI: 10.1002/aorn.14430
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引用次数: 0
Guidelines in Practice: Pneumatic Tourniquet Safety. 实践指南：气动止血带安全。
IF 1.1 4区 医学 Q4 NURSING
Aorn Journal
Pub Date : 2025-11-01 DOI: 10.1002/aorn.14425
Melissa Kneisley

Establishing a safe environment for every perioperative patient, including those undergoing procedures that involve pneumatic tourniquet use, is essential to achieving positive outcomes. The recently updated AORN "Guideline for pneumatic tourniquet safety" provides perioperative team members with evidence-based recommendations on how to safely care for patients when using a pneumatic tourniquet. This article provides an overview of the guideline and discusses recommendations for performing a preoperative assessment, selecting and inflating tourniquets, monitoring the tourniquet during inflation, deflating tourniquets, and developing and implementing monitoring and reporting protocols as an integral component of the quality assurance program. A scenario related to the use of these processes focuses on calculating the limb occlusion pressure using an arterial occlusion pressure estimation formula. Perioperative nurses should review the guideline in its entirety and apply the recommendations to support the safe use of pneumatic tourniquets in the perioperative environment.

为每一位围手术期患者，包括那些需要使用气动止血带的患者，建立一个安全的环境对于取得积极的结果至关重要。最近更新的AORN“气动止血带安全指南”为围手术期团队成员提供了关于如何在使用气动止血带时安全护理患者的循证建议。这篇文章提供了指南的概述，并讨论了术前评估、选择和充气止血带、在充气期间监测止血带、放气止血带以及制定和实施监测和报告协议作为质量保证计划的组成部分的建议。与使用这些过程相关的一个场景侧重于使用动脉闭塞压力估计公式计算肢体闭塞压力。围手术期护士应全面审查指南，并应用建议，以支持在围手术期环境中安全使用气动止血带。
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引用次数: 0
Lighting the Pathway for Innovation. 点亮创新之路。
IF 1.1 4区 医学 Q4 NURSING
Aorn Journal
Pub Date : 2025-10-01 DOI: 10.1002/aorn.14423
Darlene B Murdock
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引用次数: 0
Preventing Lost Surgical Specimens. 防止手术标本丢失。
IF 1.1 4区 医学 Q4 NURSING
Aorn Journal
Pub Date : 2025-10-01 DOI: 10.1002/aorn.14419
Ray-An B Talatala
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引用次数: 0
Workplace Incivility Among OR Nurses: A Descriptive Phenomenological Study. 手术室护士的职场不文明行为：一项描述现象学研究。
IF 1.1 4区 医学 Q4 NURSING
Aorn Journal
Pub Date : 2025-10-01 DOI: 10.1002/aorn.14412
Louisa D Martin, Angela Bratton, Steven Weiss, Caroline McKinnon, Julie K Zadinsky

Workplace incivility (WPI) is a form of rude behavior involving a disregard for another individual that occurs in perioperative environments. Workplace incivility can cause burnout and negatively affect patient safety, job performance, professional productivity, and mental and physical health. The purpose of our study was to describe the essential structure of the lived experience of WPI among RN circulators in the southeastern United States during the COVID-19 pandemic. Fifteen nurses were interviewed, and descriptive phenomenological methods were used to code the interview transcripts and determine themes and subthemes. The three themes were enduring incivility as an individualized test; COVID-19 as an accelerant for WPI; and addressing WPI through accountability, communication, and education. There is an urgent need to address WPI in the OR. Perioperative health care professionals can use these findings to enhance the overall health of their work environment and begin to foster a culture of civility.

工作场所不文明（WPI）是一种粗鲁的行为，包括在围手术期环境中对另一个人的漠视。工作场所的不文明行为会导致倦怠，并对患者安全、工作表现、专业生产力以及身心健康产生负面影响。本研究的目的是描述COVID-19大流行期间美国东南部RN循环者WPI生活经验的基本结构。对15名护士进行访谈，采用描述现象学方法对访谈记录进行编码，确定主题和副主题。这三个主题是：忍受不礼貌作为一项个性化测试；2019冠状病毒病促进了世界和平行动；并通过问责制、沟通和教育来解决WPI问题。迫切需要解决手术室的WPI问题。围手术期的医疗保健专业人员可以利用这些发现来提高他们工作环境的整体健康水平，并开始培养一种文明的文化。
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引用次数: 0
Supporting Perioperative Personnel After a Medical Error: Addressing Trauma and Promoting Recovery With the AORN Second Victim Tool Kit. 医疗差错后围手术期人员的支持：用AORN第二受害者工具包处理创伤并促进康复。
IF 1.1 4区 医学 Q4 NURSING
Aorn Journal
Pub Date : 2025-10-01 DOI: 10.1002/aorn.14410
Julie Cahn, Jennifer L Zinn Fencl

The well-being of nurses is at risk, making it a national priority. Perioperative nurses are at high risk for traumatic psychological and physical symptoms after involvement in a medical error. These symptoms can result in workplace-related consequences, including lack of concentration; absenteeism; and leaving their position, facility, or profession. These consequences have implications for the health and safety of the nurse, the patients they care for, and the organization. Providing support to affected individuals is the most important step in reducing the severity and duration of their symptoms. The AORN Clinical Nursing Practice Committee developed an evidence-based tool kit for understanding what affected individuals may be experiencing, how to provide support, how to measure the scope of the issue, and how to set up an organizational support program. This article provides background information on this traumatic phenomenon and reviews the development process for the tool kit and the included resources.

护士的福祉受到威胁，这使其成为国家优先事项。围手术期护士在参与医疗差错后出现创伤性心理和身体症状的风险很高。这些症状可能导致与工作场所有关的后果，包括注意力不集中；旷工;离开他们的职位、设施或职业。这些后果对护士、他们所照顾的病人和组织的健康和安全都有影响。向受影响的个人提供支持是减轻其症状严重程度和持续时间的最重要步骤。AORN临床护理实践委员会开发了一个基于证据的工具包，以了解受影响的个人可能正在经历什么，如何提供支持，如何衡量问题的范围，以及如何建立一个组织支持计划。本文提供了关于这种创伤性现象的背景信息，并回顾了工具包的开发过程和包含的资源。
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引用次数: 0
Addressing Barriers to Good Ergonomic Practices in the OR. 解决手术室中良好人体工程学规范的障碍。
IF 1.1 4区 医学 Q4 NURSING
Aorn Journal
Pub Date : 2025-10-01 DOI: 10.1002/aorn.14417
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引用次数: 0
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