Canadian operating room nursing journal最新文献

There is little historical knowledge available about nurses' role in anaesthesia in Canada. It appears, from the few sources available, that nurses did administer anaesthesia in the early 20th century in Canada. The limited historiography reveals that nurses who worked in small rural hospitals across Canada were, due to the lack of physician specialty and coverage, involved in the administration of anaesthesia. To learn more about nurses' role in this area the authors explored the oral history collection from the British Columbia's History of Nursing group at the College of Registered Nurses of British Columbia Library. Several stories indicated that between 1917 and 1953 there were opportunities for Canadian nurses to administer anaesthesia. The oral histories identified that there was a need for the administration of anaesthesia, that nurses had the skill to provide it, and that flexibility in their nursing practice enabled them to fulfill this role. There was an increasing need for anaesthesia service that was not being filled by physicians. To further explore nurses' role the authors also examined nursing and medical journals from that time period. There is limited understanding of how this role ceased to exist in Canada while it became well established in the United States. Various legal cases from that time period, and the substantially different results between Canadian and America cases, provide some insight into the reasons why nurse anaesthetists were excluded from anaesthesia practice in Canada. As the Canadian healthcare environment continues to change, and the need for anaesthesia services increases, new questions have begun to arise about the potential for an advanced practice role in anaesthesia for Canadian nurses. The demand for anaesthesia services is increasing in-line with the aging Canadian population and the shortage of available services is most dramatic in small, rural hospitals. This article provides important historical background on the development of the role of nurse anaesthetists in Canada.

Improving patient satisfaction, communication, and the reduction of anxiety, is an important factor in perioperative care. The introduction of a surgical liaison nurse (SLN) will have significant impact. Through the SLN's ability to focus on the patient and to transition with the patient through all areas of the surgical experience, the resulting care will be less fragmented and the improvement will be evident.

Approximately one to three per cent of pregnant women undergo surgery that is unrelated to their pregnancy. In Canada this represents about 5,000 patients each year that present unique challenges to the perioperative nurse and the entire surgical team. Approximately five to ten per cent of these patients are involved in trauma, which causes 46.3% of maternal deaths. A small percentage of elective procedures are carried out in the first trimester, before the patient herself is aware of the procedure. The majority of procedures are required for urgent and emergent conditions that require surgery despite the risks to the mother and fetus. This article will discuss perioperative care of the non-obstetric pregnant patient and to introduce a nursing care guideline that can be used as a quick-reference tool. The care discussed in the appended Guideline focuses on the pregnant condition and is to be used in conjunction with routine perioperative care practices. Semi-elective and urgent surgery is not contraindicated by pregnancy, although anesthetic and surgical approaches must be modified to promote the safety of mother and her fetus. If possible, the surgery should be postponed to the second trimester. By this time major systems of the fetus are formed and the uterus does not yet infringe on abdominal structures and manipulation may be kept to a minimum. In the first trimester, spontaneous abortion is the greatest risk at 12%. This decreases to less than five per cent in the second and third trimesters. Pre-term labor presents the greatest risk in the second and third trimesters. The most common need for surgery in pregnancy is associated with appendicitis, biliary tract disease, intestinal obstruction, urinary calculi and trauma.

Over the past few decades human tissues and fluids have increasingly become of interest to health-oriented research due to their potential use in the development of new diagnostic tools, drugs and treatment modalities. They have also become valuable commodities that figure prominently in the recovery of hormones for cosmetic purposes, the production of proteins and in a whole range of uses in the biopharmacological industry. Unfortunately, current understanding of the ethical and legal status of human tissue and fluids, and of the conditions under which they may be recovered and used, is somewhat uneven. The aim of this presentation is to outline the ethical and legal considerations that must be met if a recovery and use protocol is to meet appropriate standards.

The objective of surgical scrubbing is to reduce the bioburden on the hands of the surgical team in hope that if gloves are punctured or torn, the number of bacteria released at the operation site will be minimal and therefore reduce the risk of site infection. Long procedures with scrubbing and soaping can, however, be counterproductive because with repetition they tend to cause skin abrasions, damages and injuries without further reducing the risk of bacterial release. Within a general review of OR processes, it was decided to substitute to the standard surgical scrub a "new" scrubless pre-op surgical hand rub procedure. This article summarizes the results.

This review of the literature considers the use of video as a pedagogic tool (teaching instrument) for the training of new perioperative nurses. The literature review seeks to address the question of which usage of the video medium can be integrated into the education of new OR nurses. Kolb's model of experiential learning, whereby knowledge is acquired by transforming experience into new ways of thinking and behaviours, is the theoretical framework used to analyze the pertinent literature. The selected articles were obtained from the following search engines: CINAHL, ERIC and PSYCH INFO. In addition, articles were obtained from experts in the clinical field. The reviewed literature can be classified into three main categories: the use of video to demonstrate content; the use of video for self-analysis; and the integration of video in to multimedia teaching programs.