Variations in pre-operative management of adolescents undergoing elective surgery

Grisby, Shaunda; Miller, M. David; Dunn, James C.Y.; Patel, Swati; Elashoff, David; Duffy, Erin; Shapiro, Nina L.

doi:10.1016/j.ijporl.2013.02.008

Cited by 3 publications

(3 citation statements)

References 19 publications

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“…Grisby et al [5] reported results from an adolescent population using a cross-sectional study. They surveyed 51 American Society of Pediatric Otolaryngology members and 108 American Pediatric Surgical Association members about how often (always, sometimes, never) they asked adolescent females (age12-18 years) about substance use, pregnancy, and assent for surgery.…”

Section: Discussionmentioning

confidence: 99%

Pre-operative pregnancy testing (POPT) and the undiagnosed pregnancy rate in an elective gynaecology surgery population

Douglas¹,

Stacy²,

Davis³

et al. 2015

Clin Obstet Gynecol Reprod Med

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Section: Discussionmentioning

confidence: 99%

Pre-operative pregnancy testing (POPT) and the undiagnosed pregnancy rate in an elective gynaecology surgery population

Douglas¹,

Stacy²,

Davis³

et al. 2015

Clin Obstet Gynecol Reprod Med

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Section: Introductionmentioning

confidence: 99%

“…Screening for pregnancy in the adolescent population is particularly important because of their inconsistent sexual histories and irregular menstrual cycles (Grisby et al, 2013). Testing for pregnancy on the day of surgery has been noted as the most reliable and effective way to detect unrecognized pregnancies (Grisby et al, 2013). At our institution, missing or delayed pregnancy test results, measured by human chorionic gonadotropin (HCG) levels, were identified as a contributing factor to surgical delays.…”

Section: Introductionmentioning

confidence: 99%

Improving Surgical Delays Related to Pediatric Preoperative Pregnancy Testing

Alexander

Newsome

Paton

et al. 2023

Journal of Pediatric Surgical Nursing

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Introduction Preoperative pregnancy status is a vital measure necessary for patient safety. At our institution, missing or delayed pregnancy test results, measured by human chorionic gonadotropin (HCG) levels, were identified as a contributing factor to surgical delays. Methods A quality improvement project was initiated in 2020 at a free-standing children’s hospital after missing or delayed HCG results were identified as a cause of surgical delays. A team was created to specifically evaluate this problem and devise an intervention. As a result, an automatically generated HCG test order was established to address surgical delays associated with missing or delayed HCG test results. The automatic order is triggered when the patient’s initial admission order is activated. For female patients 9 through 11 years of age, an order is automatically generated only if the admitting physician answers “No” to the question “Is the patient premenses?” when prompted. The system automatically generates an order for all female patients greater than 12 years of age regardless of menstruation. Results Pre-intervention data revealed approximately 6% of surgical cases were delayed because of pregnancy test results; post-intervention data revealed approximately 2.6% of surgical cases were delayed because of pregnancy test results. Conclusion Initiation of an automatically generated HCG test order helped achieve the overall goal of reducing surgical delays linked to missing or delayed HCG results. Continued education and collective efforts are underway to help ensure the automatic order’s continued success.

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Incorporating Age‐Specific Plans of Care to Achieve Optimal Perioperative Outcomes

Mower¹

2015

AORN Journal

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When developing a nursing plan of care, a perioperative nurse identifies nursing diagnoses during the preoperative patient assessment. The ability to identify age-specific outcomes (ie, infant/child, adolescent, adult, elderly adult) in addition to those that are universally applicable is a major responsibility of the perioperative RN. Having an individualized plan of care is one of the best ways to determine whether desired patient outcomes have been successfully attained. Nursing care plans address intraoperative and postoperative risks and allow for a smooth transfer of care throughout the perioperative experience. A good nursing care plan also includes education for the patient and his or her caregiver. Within an overall plan of care, the use of methods such as a concept or mind map can visually demonstrate the relationships between systems, nursing diagnoses, nursing interventions, and desirable outcomes.

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Variations in pre-operative management of adolescents undergoing elective surgery

Cited by 3 publications

References 19 publications

Pre-operative pregnancy testing (POPT) and the undiagnosed pregnancy rate in an elective gynaecology surgery population

Pre-operative pregnancy testing (POPT) and the undiagnosed pregnancy rate in an elective gynaecology surgery population

Improving Surgical Delays Related to Pediatric Preoperative Pregnancy Testing

Incorporating Age‐Specific Plans of Care to Achieve Optimal Perioperative Outcomes

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