Journal of post anesthesia nursing (J Post Anesth Nurs)

Publisher: American Society of Post Anesthesia Nurses

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Other titles Journal of post anesthesia nursing
ISSN 0883-9433
OCLC 12257669
Material type Periodical
Document type Journal / Magazine / Newspaper

Publications in this journal

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    ABSTRACT: Most patients admitted to the PACU are closely observed for postoperative bleeding. Although some bleeding is to be expected, some patients may have alterations in the hemostatic process leading to excess blood loss. Hemostasis can be intentionally altered by drugs given preoperatively and/or intraoperatively. The effects of these drugs may contribute to the postoperative blood loss. This article reviews the normal hemostatic process as a foundation for discussing the commonly used drugs affecting hemostasis.
    Journal of post anesthesia nursing 05/1996; 11(2):90-6. DOI:10.1016/S1089-9472(06)80007-9
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    ABSTRACT: As the number of drugs used in the treatment of patients increases, nurses must be more knowledgeable about their activity and actions. This article reviews principles of pharmacokinetics, which is the study of how drugs attain their concentrations in the blood stream. The phases of absorption, distribution, biotransformation, and excretion are presented, and examples of common drugs are related to these phases.
    Journal of post anesthesia nursing 05/1996; 11(2):97-103. DOI:10.1016/S1089-9472(06)80008-0
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    ABSTRACT: The PACU is a high-risk environment for exposure to infectious diseases. A confluence of risk factors unique to the PACU increases the probability for exposure of personnel to both bloodborne and airborne pathogens. These risk factors include frequent coughing in the PACU, blood-contaminated saliva in the PACU, air mixing maximized in the PACU, high patient census and rapid patient turnover, inadequate patient histories, and the proximity of the postanesthesia nurse to the patient's face. Both the Occupational Safety and Health Administration and the Centers for Disease Control have issued recommended procedures for limiting occupational exposure of personnel to these hazards.
    Journal of post anesthesia nursing 05/1996; 11(2):66-70. DOI:10.1016/S1089-9472(06)80004-3

  • Journal of post anesthesia nursing 05/1996; 11(2):61-3.
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    ABSTRACT: This article presents issues to be considered when planning to conduct research, specifically ways to avoid critical errors in writing the research proposal. It concludes with an outline for writing research proposals.
    Journal of post anesthesia nursing 05/1996; 11(2):104-9. DOI:10.1016/S1089-9472(06)80009-2
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    ABSTRACT: The dramatic change in the work world of every industry including health care is creating anxiety and stress among workers. According to many authors, this is merely the tip of the iceberg in relation to what will come. The way we must do our work is changing at breakneck speed. Resisting it will not stop it, fearing it will not help. Learning to respond quickly and recognizing that technology will only replace the routine and systematic processes can restore the energy necessary to meet the challenges ahead.
    Journal of post anesthesia nursing 05/1996; 11(2):110-3. DOI:10.1016/S1089-9472(06)80010-9
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    ABSTRACT: Eye surgery is performed on patients of all ages, with most of these procedures performed on an outpatient basis. Common opthalmic terminology and anatomy are presented. In addition, the intraoperative procedures and postoperative care following surgery to correct strabismus, cataracts, glaucoma, and retinal detachment are described.
    Journal of post anesthesia nursing 05/1996; 11(2):78-89. DOI:10.1016/S1089-9472(06)80006-7
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    ABSTRACT: Identification of surgical delays in an ambulatory care setting is essential for providing consumer-sensitive nursing care. One method of identifying and documenting surgical delays is described. This method, a time-flow study, allowed a freestanding ambulatory surgical center to identify problem areas within its scope of operations, and to provide a factual basis for implementing solutions as part of a continuous quality improvement and cost analysis program.
    Journal of post anesthesia nursing 05/1996; 11(2):71-7. DOI:10.1016/S1089-9472(06)80005-5

  • Journal of post anesthesia nursing 03/1996; 11(1):59. DOI:10.1016/S1089-9472(96)80916-6
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    ABSTRACT: The purpose of this article is to identify indications for aortic aneurysm repair, review pathophysiology, and identify postoperative nursing priorities for patients following aortic aneurysm surgery.
    Journal of post anesthesia nursing 03/1996; 11(1):29-31. DOI:10.1016/S1089-9472(96)80909-9
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    ABSTRACT: The administration of intravenous conscious sedation for patients undergoing minor procedures has increased in many settings throughout health care. Recognizing this, managers are challenged to develop policies to standardize the quality of patient care delivery. Consumer interest and knowledge in health care has increased dramatically in the last few years. Their demands for decreased cost, increased technology, and quality of care have compelled health care organizations to adopt quality management models. Quality improvement teams were developed to look at processes crossing departmental boundaries. Teams facilitate dialogue, understanding, and knowledge, and use the scientific method to design, streamline, and improve processes. The authors share strategies for policy development using a 7-step quality improvement process with a multidisciplinary team approach.
    Journal of post anesthesia nursing 03/1996; 11(1):13-9. DOI:10.1016/S1089-9472(96)80907-5
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    ABSTRACT: The core culture of an organization is a major force to be recognized when trying to implement any type of change. Those changes that do not fit well with an existing culture will be strongly resisted. The very culture that may have to undergo change to survive the many paradigm shifts occurring in health care were the basis for past successes. The ability to recognize the core culture of an organization or unit will provide the manager with valuable information when the plan calls for implementing change.
    Journal of post anesthesia nursing 03/1996; 11(1):35-8. DOI:10.1016/S1089-9472(96)80911-7
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    ABSTRACT: Because more than 40,000 household and medical products now contain latex, it is difficult if not impossible to avoid. Repeated exposure to latex leads to increased sensitization in susceptible people, resulting in significant, sometimes life-threatening problems. Health care workers need to be aware of latex allergy for their patients' protection, as well as their own. Proper identification of a potential or known latex allergy, awareness and avoidance of products containing latex, and appropriate perioperative management can avert the tragedy of anaphylactic shock and death.
    Journal of post anesthesia nursing 03/1996; 11(1):6-12. DOI:10.1016/S1089-9472(96)80906-3
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    ABSTRACT: Ambulatory surgical care is an integral part of the health care spectrum. The advantages of such care are well documented. One benefit of outpatient care is the potential for cost savings for the patient, medical facility, and third party payers by dismissing the patient to a remote recovery location following surgery and intermediate anesthetic recovery. To realize this goal an essential component of patient management must be the safe and expedient postoperative care of the patient until they are discharged from the ambulatory facility. This article will review considerations for discharging the surgical patient from the ambulatory setting.
    Journal of post anesthesia nursing 03/1996; 11(1):39-49. DOI:10.1016/S1089-9472(96)80912-9

  • Journal of post anesthesia nursing 03/1996; 11(1):4-5.
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    ABSTRACT: Multiple regression is an analysis tool used much more frequently than bivariate regression analysis in the research we are reading. This article is designed to help the reader understand multiple regression analysis and confidence intervals.
    Journal of post anesthesia nursing 03/1996; 11(1):32-4. DOI:10.1016/S1089-9472(96)80910-5
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    ABSTRACT: Despite literature documenting ureteral obstruction associated with certain gynecological conditions, the occurrence of diuresis among posthysterectomy patients has not been examined. This nonexperimental exploratory study investigated whether diuresis was greater following hysterectomy for conditions that could potentially cause obstruction of the urinary tract than for other conditions requiring hysterectomy. Roy's adaptation model was used to emphasize the importance of expedient detection and intervention of the resultant fluid volume deficit. A retrospective chart review of 140 posthysterectomy patients was conducted. Four strata were used to divide the sample records into one nonobstructive and three potentially obstructive conditions for surgery. A ratio of total intake divided by total output was formulated for each patient and compared between the groups. Statistically significant differences were shown by one-way analysis of variance between two of the obstructive groups and the nonobstructive group (F = 5.182; P < .05). Results of this research showed that certain obstructive conditions--uterine prolapse/endometrial cancer and leiomyomas greater than 15 week size--were linked with substantially higher postoperative urine outputs, which increase the risk of hypovolemia.
    Journal of post anesthesia nursing 02/1996; 11(1):20-8. DOI:10.1016/S1089-9472(96)80908-7
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    ABSTRACT: The article presents information about the qualitative and quantitative differences in research approaches. A comparison of these research approaches is offered as an educational tool to increase understanding of why both approaches are needed to build a body of knowledge specific to perianesthesia nursing.
    Journal of post anesthesia nursing 01/1996; 10(6):329-31.
  • L Neff ·

    Journal of post anesthesia nursing 01/1996; 10(6):332-5.
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    ABSTRACT: Postoperative nausea and vomiting (PONV) are common side effects after surgery and have numerous patient factors and etiologies. Although self-limiting, PONV is not without risks and complications. In the past numerous antiemetics have been used successfully in the management of PONV; however, these drugs are associated with adverse effects. Ondansetron is a serotonin receptor antagonist that is effective in preventing and treating PONV. It is believed that ondansetron binds at the serotonin receptor both in the vagal afferents of the gastrointestinal tract and in the chemoreceptor trigger zone. The reported side effects from ondansetron are minor compared with those of the more commonly used antiemetics such as droperidol and metoclopramide and include headache, dizziness, musculoskeletal pain, drowsiness and sedation, and shivers.
    Journal of post anesthesia nursing 01/1996; 10(6):320-3.