Orthopaedic nursing
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Rapid response team (RRT) is a patient care concept that has received nationwide attention as a resource for hospital staff nurses. Once nurses identify a patient who is clinically declining, they call upon the assistance of the RRT member. Within an 800-bed acute care hospital, a job satisfaction survey tool was developed to ask licensed staff on an orthopaedic unit what type of impact the RRT has on their job satisfaction. Survey results revealed that this approach to patient care is significantly important in the orthopaedic nurse job satisfaction and an effective recruitment and retention tool for nurses in the orthopaedic arena.
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Orthopaedic nursing · Jul 2008
Proactive patient rounding to increase customer service and satisfaction on an orthopaedic unit.
Customer service and patient satisfaction have become increasingly important in the healthcare industry. Given limited resources and a myriad of choices, on which facets of patient satisfaction should healthcare providers focus? An analysis of 40,000 observations across 4 hospitals found 1 important intervention: timely staff responsiveness. ⋯ The I Care Rounding model places the emphasis on proactively meeting patient needs through hourly rounding, rather than caregivers providing care in a reactionary mode. After full implementation, positive improvement was demonstrated.
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Postoperative nausea and vomiting (PONV) is a significant problem in the ambulatory surgical setting. PONV results in delayed discharge, increased cost, and decreased patient satisfaction. Treating patients at risk for PONV preemptively before surgery can minimize these negative outcomes. ⋯ There have been great advances in the treatment of this common postoperative complication with improved anesthesia techniques and newer antiemetic drugs. Future research is needed to determine optimal combinations and timing of medications. Effective prevention and treatment of PONV improve patient outcomes and provide a more pleasant postoperative experience for the patient.
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Orthopaedic nursing · Mar 2008
Randomized Controlled TrialA study of naloxone effect on urinary retention in the patient receiving morphine patient-controlled analgesia.
The purpose of the study was to compare urinary retention rates following orthopaedic surgery in patients who received low-dose intravenous naloxone while receiving morphine patient-controlled analgesia with patients who did not receive naloxone. ⋯ Postoperative urinary residuals were lower, patients voided more frequently, and fewer catheterizations were needed when given low-dose naloxone while receiving morphine patient-controlled analgesia. At the same time, naloxone in small doses was found to have negligible effect on overall patient pain control.