PURPOSE: Developing a curriculum(DACUM) is a method of analyzing job focused competency, which is obtained from the data of an expert belonging to a certain career. In this study the DACUM method was used to analyze the jobs of operating room nurses. METHOD: Through the DACUM workshop which was arranged by two DACUM facillitators, a definition of the role of operating room nurses was developed and then duties and tasks of operating room nurses' were identified. For the workshop, a DACUM committee with 10 operating room nurses was organized. Finally, the duties and tasks which were identified were validated by 422 nurses for importance, difficulty, and frequency. RESULTS: Thirteen duties and 105 tasks were identified on the DACUM chart, where importance, difficulty, and frequency of tasks were represented by alphabet letters A, B, and C as higher degree of importance. The determinant coefficient(DC) showed that the most important duty was assisting with operations(DC=6.61), and the least, managing operating materials(DC=4.22). For tasks, the most important ones were assisting in orthostatic surgery(DC=7.60), and assisting in thoracic surgery(DC=7.38), and the least important making gauze ball(DC=2.39), and saving of operation site((DC=3.27). CONCLUSION: The results suggest a need to develop an education program using the DACUM chart as a basis for the development and as a clinical career ladder and for curriculum of operating room nursing.
Career Mobility ; Curriculum ; Job Description ; Operating Room Nursing ; Operating Rooms

BACKGROUND: The operating room should provide an optimum environment that is safe for the patient and the working personnel. In this point of view, we investigated 8 items of temperature, humidity, air flow, noise, brightness, dust, CO2 and NO2. METHODS: Operating rooms, corridors and recovery rooms were tied as region I, II and III depending on their characteristics. 29 points were measured using appropriate instruments. After that, averaged values were calculated. RESULTS: Indoor climate (temperature, humidity and air flow) in region I were averaged 24.7, 65, 0.18/II were 25.5, 68, 0.18/III were 22.3 (degrees C), 56 (%), 0.22 (m/sec). Physcial condition (noise, brightness and dust) in region I were averaged 63, 295, 63/II were 67, 138, 87/III were 63 (db), 139 (lux), 26 (microgram/m3). Harmful gas (CO2 and NO2) concentration in region I were averaged 1152, 0.008/II were 913, 0.009/III were 1367 (ppm), 0.013 (ppm). CONCLUSIONS: Temperatures were appropriate but humidities were high except partial points. Air flow showed low values in average. Values of noise, dust and CO2 were relatively high. NO2 was low but brightness was variable. These mean that adequate improvement for quiet condition and air ventilation should be considered.
Climate ; Dust ; Humans ; Humidity ; Noise ; Operating Rooms* ; Recovery Room ; Ventilation

PURPOSE: This study is to identify factors affecting on the level of practice on nosocomial infection management of operating room nurses. METHODS: The subjects of this study were 155 nurses who worked in operating rooms of six medical centers in located Gwangju and Chonanam area. Data were collected during October, 2006 by the questionnaire including a total of 124 questions. Data collected were analysed with use of SPSS 12.0 program. RESULTS: There was a significant difference of the level of practice by marital status(t=3.957, p=.048), education level(F=3.691, p=.027), position(F=6.588, p=.002), type of hospital(t=4.857, p=.029), number of nurse(F=4.243, p=.007), education about nosocomial infection management(F=3.069, p=.030), management council(t=6.397, p=.012) and management manual(t=6.961, p=.009). There were significant correlations between knowledge and practice (r=.389, p=.000), and between awareness and practice(r=.389, p=.000). Knowledge on nosocomial infection management, awareness of hands washing and positions were affecting factors on the level of practice. CONCLUSION: This study suggests that knowledge and awareness on nosocomial infection prevention and management of operating room nurses should be improved through consistent education. and support of administrator's of hospitals is needed.
Cross Infection ; Hand ; Infection Control ; Operating Room Nursing ; Operating Rooms ; Surveys and Questionnaires

PURPOSE: The purpose of this study was to investigate the effects of a role-playing training program conducted among operating room nursing students on empathetic communication with patients through measurements of empathy scores. METHODS: This study was carried out among 77 operating room nursing students from the first to the fourth years studying at the School of Nursing and Midwifery of Isfahan University of Medical Sciences in the academic year 2017–2018. The intervention administered to the experimental group included a 12-hour training program on expressing empathy to patients that incorporated role-playing. The Jefferson Scale of Empathy-Health Profession Student version was completed by the participants before, immediately after, and 1 month after the intervention. A comparative analysis of these 3 time points was conducted. RESULTS: No significant difference was found in the total pre-intervention mean empathy scores before the intervention between the control group and the experimental group (P=0.50). However, the total mean empathy scores in the experimental group immediately after and 1 month after the intervention were higher than those in the control group (P<0.001). CONCLUSION: Empathy training through a role-playing technique was effective at improving the empathy scores of operating room nursing students, and this finding also underscores the fact that empathy can be promoted by education. Changing the educational curriculum of operating room nursing students is suggested in order to familiarize them with the concept of empathy in the operating room.
Curriculum ; Education ; Empathy ; Humans ; Iran ; Midwifery ; Nursing ; Operating Room Nursing ; Operating Rooms ; Role Playing

We have designed a mobile operating room information management system. The system is composed of a client and a server. A client, consisting of a PC, medical equipments, PLC and sensors, provides the acquisition and processing of anesthesia and micro-environment data. A server is a powerful computer that stores the data of the system. The client gathers the medical device data by using the C/S mode, and analyzes the obtained HL7 messages through the class library call. The client collects the micro-environment information with PLC, and finishes the data reading with the OPC technology. Experiment results showed that the designed system could manage the patient anesthesia and micro-environment information well, and improve the efficiency of the doctors' works and the digital level of the mobile operating room.
Anesthesia ; Anesthesiology ; instrumentation ; Humans ; Medical Records Systems, Computerized ; Mobile Health Units ; Monitoring, Intraoperative ; methods ; Operating Room Information Systems ; Operating Rooms

PURPOSE: This study was done to identify nursing interventions performed by operating room nurses using the Perioperative Nursing Data Set (PNDS). METHOD: The data were collected from 88 operating room nurses, from August 1 to October 25, 2002 using the PNDS developed by the Association of Operating Room Nurses and translated into Korean. Nurses working in 2 university hospitals in Gwang-ju and 2 general hospitals in Seoul. Data were analyzed using the SPSS program. RESULT: There were 15 of 127 nursing interventions which the operating room nurses indicated were important and which they performed at least once a day. CONCLUSION: The operating room nurses consider interventions to prevent physical injury and patient centered care to be very important, but the performance rate for patient centered care was low. It shows that there is a need in education courses for patient centered care to be more strongly emphasized.
Dataset ; Education ; Gwangju ; Hospitals, General ; Hospitals, University ; Nursing* ; Operating Room Nursing ; Operating Rooms* ; Patient-Centered Care ; Perioperative Nursing* ; Seoul

Over the years, strategies in the prevention and management of surgical site infections (SSI) of patients in the Philippines have never been standardized. Several guidelines released by international foreign bodies have been found to be either conflicting or inappropriate for adaptation in the local context.To address these issues, the Philippine College of Surgeons (PCS),in collaboration with the Philippine Hospital Infection Control Society (PHICS), Philippine Hospital Infection Control Nurses Association (PHICNA) and Operating Room Nurses Association of the Philippines, Inc. (ORNAP), initiated the development and adaptation of country-specific SSI guidelines in 2017. The new recommendations are based on the latest clinical practice guidelines released for the past five years and consensus by a panel of experts in the Philippines, through the assistance of a guideline development team engaged by PCS. Thirty-six (36) recommendations on different aspects of care were outlined. Implementation of an SSI surveillance program was also advised for health facilities.The new guidelines are intended to serve as the local benchmark for the prevention and management of SSI for surgeons and practitioners,taking into account their situation and experience in the Philippines. It is expected to improve the standard of care provided by health facilities and contribute to the reduction of the prevalence and incidence of SSI in the country

Human ; Surgical Wound Infection ; Consensus ; Operating Rooms ; Cross Infection ; Standard Of Care ; Operating Room Nursing ; Perioperative Nursing ; Hospitals ; Surgeons ; Foreign Bodies

The arterial oxygen saturation (SaO2) changes during transportation of postanesthetic patients from operating room to recovery room were measured by pulse oximeter. Fourty-one ASA PS I premedicated children were studied. SaO2 was recorded on operating room under administration of 100% oxygen (T2), transportation one minute (T2), two minutes (T2), three minutes (T2), on arrival in the recovery room (R0), One minute (R1 ) and two minutes (R2) in the recovery room under administration of oxygen via nasal cannula or catheter through endotracheal tube. The significant difference between the extubated group (group 1) and the intubated group (group 2) was not found. The proportion of children with SaO2<95% (PaO2<75mmHg) on arrival in the recovery room with room air inhalation were 13 cases (31.7%). It is concluded that children receiving anesthesia can become hypoxemic during postanesthetic transportation with room air inhalation and in the recovery room.
Anesthesia ; Anoxia ; Catheters ; Child ; Humans ; Inhalation ; Operating Rooms ; Oxygen ; Recovery Room ; Transportation*

This study chose 530 patients among the total of 5214 operative cases except open heart and pediatric surgery who received more than 2 pints of blood who were performed general, spinal and epidural anesthesia. This study lated for a year in an operating room. We measured and compared the value of hemoglobin and hematocrit, preoperatively, in recovery room and 24 hours after operation. We also compared the volume of blood transfused with the volume of blood loss during the operation. The results are as follows. 1) According to the operative Department of the transfusion cases, the distributions were 129 cases(Obstetic & Cynecology), 114 cases(Orthopedic Surgery). 2) The mean values of hemoglobin measured preoperatively, in recovery room and 24 hours after operation were 11.9gm/dl, 11.5gm/dl and 11.6gm/dl, respectively. 3) In the comparison and observation about the difference of the hemoglobin value and hematocrit value preoperatively and in recovery room the cases which showed the difference of 10% were 229 cases which was the most frequent cases. The cases which showed the differences of 40% were 24 cases and it was the less frequent cases. 4) In the volume of blood loss on the operative department, maximum volum of blood loss was 4,130ml in hepatic primary closure. 5) In the comparison and observation of the volume of the blood transfusion, the cases whose volume of transfusion was 2~5pint were 430 cases. The cases in which more than 10 pints transfused were 25 cases. 6) In the operation where the patients transfused more than 10 pints of whole blood, vertebral interbody fusion was the most cases. 7) In the patients who transfused more than 10 point of whole blood, urticarias was whon 16 cases among 25 cases. 8) Recording the values of hemoglobin and hematocrit, preoperatively, in recovery room and 24 hours after operation on the blood trasfusion makes anesthesiologist precise to determine the volume of blood transfusion and blood loss. The results from all the cases were considered satisfactory except one case which showed the complication of pulmonary edema.
Anesthesia, Epidural ; Blood Transfusion* ; Heart ; Hematocrit ; Humans ; Operating Rooms ; Pulmonary Edema ; Recovery Room ; Urticaria

The fiberscope is no longer an experimental instrument, and it is a state-of-the-art technique for airway management in the operating room, recovery room, and intensive care unit. Changing the oral tube to a nasal one is often necessary if the trachea is to be intubated for a long period. A nasal tube is better tolerated by the patient, is easier to secure when the patient is moved, and is easier to attach to the respiratory care equipment. We describe three cases report changing the oral tube to a nasal one in neurosurgical pa- tient post operatively under flexible fiberoptic laryngoscope, while the interruption of venti- lation is minimized.
Airway Management ; Humans ; Intensive Care Units ; Laryngoscopes* ; Operating Rooms ; Recovery Room ; Trachea