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Whether you're preparing for recertification, renewing your license, or just want to stay current, the AORN Journal Continuing Education (CE) articles address a variety of perioperative topics. From Guidelines implementation to perioperative safe practices, stay up-to-date and improve your own practice every day.

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November 2017 Issue

Special Focus Issue: Nursing Certification

This special November issue offers 11 CE contact hours and includes featured CE articles on identifying the signs and symptoms of local anesthetic systemic toxicity, perioperative APRNs’ role as evidence-based practice experts to assist with translating research and evidence into clinical practice, surgical interventions and perioperative nursing considerations for patients with epilepsy, strategies for perioperative team members to decrease their risk of harmful exposure to cleaning and disinfecting products, and more!

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AORN Journal November 2017 Issue

Featured CE Articles

Local Anesthetic Systemic Toxicity

The use of local anesthetics introduces the risk of complications resulting from local anesthetic systemic toxicity and of increased morbidity and mortality for the surgical patient. Systemic toxicity from the injection or overdose of local anesthetics is a rare but potentially fatal complication that occurs in less than 1 in 1,000 patients. This article provides the perioperative nurse with knowledge of local anesthetics, the signs and symptoms of local anesthetic systemic toxicity, and the information needed to manage a patient experiencing this complication.

Translating Evidence Into Practice: How APRNs Can Help Guide Best Practices

The APRN’s skills encompass understanding and implementing evidence-based practice (EBP), evaluating the organizational structure across the continuum of care, and facilitating collaboration between perioperative nurses and other interprofessional team members to sustain practice changes in the clinical setting. Perioperative APRNs play an important role as EBP experts to assist with translating research and evidence into clinical practice for safe, quality care in the perioperative setting.

Epilepsy: Clinical Review and Surgical Options

Current evidence supports the efficacy of early surgical intervention for patients with drug-resistant epilepsy, although this approach continues to be underused. The positive outcomes of epilepsy surgery are a result of multidisciplinary efforts, and perioperative nurses play a vital role in the continuum of care for this patient population. In the effort to optimize nursing care for patients with epilepsy, this article provides a clinical review of epilepsy as a neurologic disorder and specifically focuses on surgical interventions and perioperative nursing considerations.

Back to Basics: Environmental Cleaning Hazards

Cleaning and disinfecting the perioperative environment numerous times throughout the day exposes perioperative team members to chemicals that could be harmful to their health. Exposure to cleaning and disinfecting products has been associated with potential health problems such as skin irritation, burns, rashes, and difficulty breathing. This Back to Basics article offers strategies for perioperative team members to implement to decrease their risk of harmful exposure to these products.

Enhancing Pediatric Perioperative Patient Safety

The frequency of surgery for patients less than 18 years old is increasing, and pediatric procedures are being performed in all types of facilities. In 2006, an estimated 2.3 million ambulatory anesthesia episodes of care were provided to patients less than 15 years old in the United States. Shifting care from pediatric to nonpediatric facilities raises questions about how surgical teams can best provide consistently safe and appropriate care for pediatric patients of varying age and health across surgical settings.

Clinical Issues—November 2017

This month’s Q&A column addresses the following topics: Heating, ventilation, and air conditioning (HVAC) systems in the OR; air changes and positive pressure; product selection; entry into practice; and mentoring in perioperative nursing.

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