Postoperative care for the robotic surgery bowel resection patient.

A new surgical method is available for colon and rectal surgery. Robotic surgery, using the daVinci Si HD Surgical System, offers surgical advances compared with the traditional open or laparoscopic surgical methods. The potential advantages of robotic technology continue to be explored and its most appropriate functions are yet to be determined. In clinical experience, the use of this surgical method has resulted in changes to postoperative nursing care management. This article describes changes in the management of postoperative patient care including fluid and electrolyte balance, and patient and staff education. Modifications were instituted in the clinical pathway to facilitate an accelerated standard of care. New discharge strategies were implemented to ensure ongoing fluid and electrolyte balance by the patient. A true team effort from a multitude of disciplines was required for the changes in patient care routine to be effective. Outcomes including length of stay and patient satisfaction are presented.

The nurse's role in CMS quality indicators.

Quality patient care has always been of the highest priority for nurses. With the current government emphasis on reporting, improving care, and reimbursement, nurses and their institutions are more responsible than ever for assuring the delivery and documentation of excellent patient care. Our institution achieved improved compliance reports for the CMS quality indicators through a combined effort of collegial interdisciplinary delivery of care, a more responsive documentation system, real-time quality assurance, and ongoing education.