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Outpatient Surgery E-Weekly

Malpractice Verdicts Often Favor Physicians

Physicians come out on the winning end of 80% of malpractice claims that end in jury verdicts, according to researchers at Massachusetts General Hos...

Study: CT Colongraphy Effective in Finding Polyps

A CT-scan-based, laxative-free "virtual colonoscopy" may be as effective as standard colonoscopy in finding potentially cancerous polyps, according ...

Wrong-Site Prevention Video Shows the Right Way

Wrong-site, wrong-patient and wrong-procedure surgery must be prevented at all costs. The 3 steps of the Joint Commission's Universal Protocol make ...

Archive > October, 2011 Vol. XII, No. 10

Anesthesia Alert

Standardize Your Pain and PONV Protocols

Mary Martin, CRNA

A question from a young, frustrated PACU nurse got us thinking: "Why do some CRNAs give intra-operative PONV and pain prophylaxis and others do not?" Her frustration stemmed from having to play catch-up when patients don't receive nausea and pain prophylaxis in the operating room. As you know, it's much better to prevent PONV and pain in the OR than to try to rescue patients in PACU. Rescuing requires more than twice as much medication, tends to be less effective and prolongs PACU stays. Here's how we got all 25 of our nurse anesthetists to standardize their prophylactic practices.

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