To avoid seasonality that might bias the results, each OMS was randomly assigned to enter data for one month during the 12-month study period between June, 2011 and May, 2012. Participants were required to enter data for the all eligible patients during the month that they were assigned. To be eligible for study enrollment, the OMS participants had to: 1) be an AAOMS member and agree to participate in a P-BRN sponsored by AAOMS and submit required data to the AAOMS national data repository for all patients for whom they performed an operative procedure in an outpatient setting, 2) be in private practice based in the United States, 3) deliver anesthesia in the office-based ambulatory setting. Exclusion criteria for OMSs samples were: 1) full- or part-time…
Extensive evidence exists that the independent practice of CRNAs is not inferior to physician supervised models in safety or quality of care. The article by Negrusa, Haogan, Warner, Schroeder, and Pang (2016) deliberates on the results of the comparison of anesthesia related complications in different types of anesthesia provider models. Data was taken from the Optum research database and included 5,740,470 anesthesia related cases performed from the 2011-2012 period in different anesthesia settings. Five delivery models consisting of anesthesiologist only, CRNA only, and three different collaborative team models were reviewed. No statistical difference in anesthesia induced complications between the different anesthesia delivery models or scope of practice scenarios was shown.…
Identifying factors that contribute to broad Scope of Practice will be important to ensure that meeting the growing need for access to quality anesthesia care is achieved” (Greenwood J. , 2014)…
The anesthesia was administered by Dr. Craig Hutchinson. The patient was administered general anesthesia. This form of anesthesia blocks the patient’s ability to feel pain or any sensation. The patient is also given propofol (Diprivan), a muscle relaxer which would in turn require an endo tracheal tube to be placed as the patient was in able to breath on his own. Upon arrival, the nurse applied a few monitoring devices, oximetry, blood pressure cuff, intravenous line and electrocardiogram (EKG) to evaluate the patient throughout the course of surgery.…
After 3 months of monitoring the anesthesia pre-op evaluation done to patients with Acute Appendicitis. It was observed that the department had already reached the target rate of 100% compliance to pre-op evaluation. Their cooperation and compliance to pre-op evaluation resulted to zero findings of non-compliance to the Clinical Practice Guidelines of Acute Appendicitis. All patients were evaluated by the Anesthesiologists before they were sent to the operating room for Appendectomy. The QIPS have decided to close the project and endorsed to Anesthesia Department the continuous monitoring of the departments’ compliance to pre-op evaluation.…
This phase focuses on providing post anesthesia care for patient who had anesthesia for surgery. The highest priority of phase 1 is to monitor mandatory life sustaining needs of patient [4]. The last phase of…
(ACEP) sedation and analgesia guidelines, and the American College of Critical Care Medicine…
Neither the surgeon or the anesthesiologist who used sonography were aware of each other’s evaluation (Muslu et al.,…
The sample number was 150 females, American Society of Anesthesiologists (ASA) I and II, aged 20-65 years, and included only patients having elective gynecologic laparoscopic surgery and intravenous (IV) patient controlled analgesia (PCA)…
Conceptual model noted to be used in the studies include: Perioperative Patient Focused Model which is a mid-range theory. The core of this model is the patient and his or her family members. According to Nicholson (2013), this model was chosen because it delineates the distinct body of knowledge specifically designed for perioperative nurses to provide holistic care to the patient in the preoperative, intraoperative and postoperative settings. The model has four domains: safety, physiological responses, behavioral responses: family and individual, and health system. For the purpose of this study, the focus was on physiological responses since hypothermia falls under that domain.…
The sample for this study was 17,877 patients which were scheduled for ambulatory surgery. Two hundred thirty-nine patients were excluded as an effect of surgery cancellation or partial data; consequently, 17,638 patients were included. This study was conducted to all ambulatory surgical outpatients with ASA physical status I–III aged >12 year. This study aimed to identify if patient characteristics, surgical factors, or the development of adverse events had the most significant effect on time to discharge, as well as wanted to assess the impact of hypothetically eliminating intraoperative and postoperative adverse events on the mean length of postoperative stay among patients receiving general anesthesia (GA) and monitored anesthesia care…
The PSH model is a process that is a fairly new concept. It was developed in the early eighties. However, it has been seen being used more in the recent years. Originally the PSH model was introduced by The American Society of Anesthesiologists. However, in the last few years The American Society of Anesthesiologists or the ASA and a leading company in health care improvement Premier, Inc have partnered up to improve the PSH concept.…
Statistical analysis revealed no significant differences between groups as regards demographic data, duration of the operative procedure, duration of anesthesia, and ASA status of the patients. Hemodynamic profile, including MABP and HR, in the two groups were comparable as regards the preoperative and postintubation assessment values. There was a significant decrease in MABP and HR in group I compared with group II from 1 min after skin incision assessment value onwards. None of the patients in group I developed either hypotension (more than 20% drop in MABP than preanesthetic values) or bradycardia below 50 beats/min (Tables 3 and 4).…
I was very excited to come to Spartanburg Surgery Center because I want to be an OR nurse. I started out in PACU and learned a lot about what they look for in patients who have just come out of surgery. The PACU nurse monitor their patient for an average of 30 minutes. During this time they take vital signs every 5 minutes, monitor the patient’s level of consciousness, their color, and any other adverse effect. Before the patient can leave PACU they must receive a score of at least 8 out of 10.…
By analyzing outcomes of each patient’s surgery after three years, these authors brought a rare study to the field that will hopefully boost others to start researching on these less popular questions. Overall, the scope, fruitfulness, and experimental originality allowed Dr. Inge’s research article to have structure and makes for a valid argument.…