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Peripheral Artery Disease V: Postoperative Nursing Management01:23

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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Cardiomyopathy VII: Pre and Post Operative Nursing Management01:28

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Patients with hypertrophic cardiomyopathy (HCM) and left ventricular outflow tract (LVOT) obstruction who remain symptomatic despite optimal medical therapy may undergo a septal myectomy (Morrow procedure). This procedure involves excising a portion of the hypertrophied septum below the aortic valve using a heart-lung machine to improve blood flow through the LVOT. Effective preoperative and postoperative nursing management ensures successful patient outcomes, minimizes complications, and...
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The planning phase of the nursing process helps nurses set priorities, outline patient-centered goals and expected outcomes, and tailor nursing interventions to align with the aligned care plan. Through the planning phase, the nurse applies critical thinking skills to align and develop interventions according to the patient's needs. It provides continuity of care allowing patients to receive the maximum benefit from treatment. It serves as a pilot plan for allocating individual staff to a...
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Circadian rhythms are cyclic changes that are crucial in plasma drug concentrations. Various standard circadian parameters, including core body temperature, heart rate, and other cardiovascular factors, directly impact disease states and the therapeutic response to drug therapy.
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Vigilant monitoring for aneurysm rupture is essential for patients undergoing aortic surgery.Preoperative Nursing ManagementContinuously monitor the patient for manifestations of aneurysm rupture, such as pallor, weakness, tachycardia, hypotension, abdominal, back, groin, or periumbilical pain, changes in consciousness, and a pulsating abdominal mass. Regularly assess the patient's peripheral pulses.Instruct the patient to consume a clear liquid diet the day before surgery and administer...
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Implementation is the execution of the nursing care plan developed during the planning phase.
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Optimized Management of Endovascular Treatment for Acute Ischemic Stroke
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When Every Minute Counts: Implementing a Preoperative Time-Based Target for Perioperative Nurses to Decrease

Sherri Crumley, Audrey Klopp, William Duffy

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    Summary

    Implementing standard work documents for nurses significantly reduced operating room delays, improving first-case on-time starts (FCOTS) from 59% to 82% and saving costs. This quality improvement project enhanced perioperative efficiency.

    Keywords:
    delay driversfirst‐case on‐time starts (FCOTS)nursing workflowstandard worksurgical efficiency

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    Area of Science:

    • Perioperative Nursing
    • Healthcare Quality Improvement
    • Surgical Workflow Optimization

    Background:

    • Operating room (OR) first-case on-time starts (FCOTS) are critical for surgical center efficiency.
    • The organization struggled to meet its FCOTS adherence goal, averaging only 59% in 2023.
    • Delays in FCOTS impact patient flow and resource utilization.

    Purpose of the Study:

    • To implement a quality improvement project to decrease FCOTS delays.
    • To establish standard work documents for nursing preoperative tasks.
    • To improve FCOTS adherence to 80% or higher.

    Main Methods:

    • Development and adoption of standard work documents for nursing preoperative care.
    • Defined preoperative time frames for nursing components to prepare patients for the OR.
    • Comparison of baseline data with data collected after a three-month intervention period.

    Main Results:

    • Significant reduction in total minutes delayed, from 1,422 to 799 minutes (P < .001).
    • Improvement in FCOTS compliance from 59% to 82%.
    • Estimated cost savings of $35,111 during the three-month intervention.

    Conclusions:

    • Modifications to nursing workflows alone can significantly improve perioperative efficiencies.
    • Standardized nursing protocols are effective in reducing FCOTS delays.
    • The project successfully met and exceeded the FCOTS adherence goal of 80%.