The American journal of nursing
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Inspired by a presentation at an educational conference, two operating room (OR) nurses at Children's Hospital Boston raised concerns at the hospital's perioperative evidence-based practice committee meeting about the potential hazards associated with exposure to surgical smoke and aerosols. The nurses initiated a safety project involving the use of smoke evacuation devices in ORs. The subsequent policy development took two years and involved a literature review, a survey of other institutions, and the support of numerous stakeholders. A utilization review and supportive educational initiatives are ongoing.
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Patients and family members often aren't aware that the use of life-support interventions at the end of life-when the body's systems and organs are failing-can have unintended consequences. Nurses need to be knowledgeable and able to communicate what they know about those consequences to patients, family members, and others on the health care team, leading to better decision making at this difficult time.