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February 2017 Issue
This February issue includes featured CE articles on using an evidence-based clinical practice guideline to prevent unplanned hypothermia in children, ethical considerations involved in caring for children undergoing extracorporeal membrane oxygenation, and key points for successfully implementing the AORN “Guideline for hand hygiene.” In addition, the Clinical Issues column addresses surgical smoke evacuation practices, policies, and procedures; measuring compliance with surgical smoke evacuation practices; and patient safety and hand hygiene.
Featured CE Articles
Preventing Unplanned Perioperative Hypothermia in Children
Perioperative nurses at a Midwestern tertiary pediatric hospital developed an evidence-based clinical practice guideline (CPG) designed to maintain normothermia for the pediatric surgical population. This CPG outlined standard thermoregulation nursing interventions and required consistent temporal artery thermometer use. The study results demonstrated that the CPG, guiding research-based nursing practice, consistently prevented unplanned hypothermia in children.
Ethical Considerations for Care of the Child Undergoing Extracorporeal Membrane Oxygenation
Extracorporeal membrane oxygenation (ECMO) is a complex, highly technical surgical procedure that can offer hope for children born with congenital heart defects. Perioperative nurses play an important role in caring for the child who requires ECMO and they have a responsibility to consider the range of ethical issues associated with the procedure. By examining ethical concepts such as autonomy, justice, and moral distress, the perioperative nurse can better understand the dilemmas that can affect the care and outcome of the critically ill child who requires ECMO.
Guideline Implementation: Hand Hygiene
The updated “Guideline for hand hygiene” provides guidance on hand hygiene and surgical hand antisepsis, wearing fingernail polish and artificial nails, proper skin care to prevent dermatitis, wearing jewelry, hand hygiene product selection, and quality assurance and performance improvement considerations. The key points address keeping fingernails and skin healthy, not wearing jewelry on the hands or wrists in the perioperative area, properly performing hand hygiene and surgical hand antisepsis, and involving patients and visitors in hand hygiene initiatives.
Clinical Issues - February 2017
This month’s Q&A column addresses the following topics: implementing surgical smoke evacuation practices, surgical smoke evacuation policies and procedures, measuring compliance with surgical smoke evacuation practices, and patient safety and hand hygiene.