OR Manager - November 2018 - 13
Patient safety
They designed nine survey questions
and sent them via email to staff nurses
on a small unit that received a large
number of postoperative patients (sidebar,
p 12).
" I was very proud of them, " says
Rose. " I thought the survey questions
were really good and reflected the care
unit nurses' knowledge of the different
aspects of positioning and pain as well
as potential injuries related to positioning. "
After
the care unit nurses took the
pre-education survey, informative posters
were hung on the unit showing different
positions of the surgical patient
as well as pressure points in those positions
(sidebar at right).
The posters were made using the
AORN positioning guidelines as a resource,
and they hung on the unit for 6
weeks.
A PowerPoint presentation on the positions,
pressure points, and potential
injuries in each position also was sent
via email to the nursing staff.
To determine the change in knowledge
on intraoperative positioning and
perioperative practices, a follow-up posteducation
survey was sent to the care
unit nurses that contained the same
questions used in the pre-education
survey.
Results
The post-education survey showed an
overall increase in the knowledge of risk
of pressure ulcer injuries, pain related
to surgical positioning, various types of
surgical positioning, and referred pain
from insufflation of CO2 gas.
The most significant increase in
knowledge was the recognition that a
patient may experience pain at a site
different than the surgical site following
a procedure.
After the care unit nurses received
education, the percentage of those who
responded that they were " not knowledgeable "
decreased from 23% to 2%,
indicating that 98% now had knowledge
www.ormanager.com
Source of both graphics: Temple University Hospital, Philadelphia. Used with permission.
of surgical positioning, insufflation,
pain, etc (sidebar above).
The change with the most significance
was the increase in nurses who
responded that they are " knowledgeable, "
which increased from 18% to
65%.
When asked for feedback, one nurse
said that learning about perioperative
practices helped her understand her patients'
level of pain and what the surgical
experience was like. Another said it
gave him a different perspective, and he
was better able to assess his patients
and their needs.
Continued on page 15
OR Manager | November 2018 13
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OR Manager - November 2018
Table of Contents for the Digital Edition of OR Manager - November 2018
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