ABSTRACT
Technological advances have changed how traditional surgical procedures are performed. New knowledge and surgical skills are required to effectively monitor the patient and manage fluids administered perioperatively. Today, selective fluids are used in a variety of surgical specialties. Complications of fluid therapy can occur that are intrinsic to each procedure within a specialty. This article provides perioperative nurses with the information needed to evaluate different fluid media and their applications and identify patient care considerations. Possible complications and important postanesthesia care concerns also are discussed.
Subject(s)
Fluid Therapy/methods , Minimally Invasive Surgical Procedures/nursing , Operating Room Nursing/methods , Perioperative Care/methods , Preoperative Care/methods , Arthroscopy/adverse effects , Arthroscopy/nursing , Fluid Therapy/adverse effects , Fluid Therapy/nursing , Gynecologic Surgical Procedures/adverse effects , Gynecologic Surgical Procedures/nursing , Health Services Needs and Demand , Humans , Lipectomy/adverse effects , Lipectomy/nursing , Minimally Invasive Surgical Procedures/adverse effects , Monitoring, Physiologic/methods , Monitoring, Physiologic/nursing , Nursing Assessment/methods , Osmolar Concentration , Patient Discharge , Patient Education as Topic , Patient Selection , Perioperative Care/adverse effects , Perioperative Care/nursing , Practice Guidelines as Topic , Preoperative Care/adverse effects , Preoperative Care/nursing , Urologic Surgical Procedures/adverse effects , Urologic Surgical Procedures/nursingABSTRACT
Consumers are driving outcomes in healthcare. In children's hospitals, the consumers are the parents and the patients. This article describes the process undertaken to respond to parents' requests to be present during the induction of anesthesia in their child. The process of changing long-standing practices in a complex organization undergoing major change in becoming a children's hospital is described in detail.
Subject(s)
Anesthesia/psychology , Parents/psychology , Patient Participation , Pediatrics/organization & administration , Visitors to Patients/psychology , Arizona , Child , Child, Hospitalized , Documentation , Forecasting , Hospitals, Community , Hospitals, Pediatric , Humans , Nursing Staff, Hospital/education , Organizational Innovation , Organizational Policy , Parents/education , Patient Participation/methods , Patient Participation/psychology , Pediatric Nursing/education , Pediatric Nursing/organization & administration , Preoperative Care/methods , Preoperative Care/psychology , Teaching Materials , Visitors to Patients/educationABSTRACT
Current regulatory review standards emphasize the hospital's role in providing continuum of care. Today, patient care staff must know more about the "continuum of care" concept so they can help patients more fully understand their treatment and take an active role in their own care. One of the challenges is finding creative and effective ways to get the message across to everyone on the staff. This article describes one approach to self-directed learning that takes into consideration individual learning styles and level of proficiency with a focus on the continuum of patient care.
