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Home > News and Publications > JHM Publications > Johns Hopkins Medicine Suburban > New Directions Summer 2013
Johns Hopkins Medicine Suburban - Nursing Initiative Tackles Post-Op Nausea
New Directions Summer 2013
Nursing Initiative Tackles Post-Op Nausea
Date: July 1, 2013
Kelly Rosenberg, BSN, RN, left, interviews a patient before surgery to determine her likelihood of experiencing postoperative nausea and vomiting.
Many patients recovering from surgery are challenged by postoperative nausea and vomiting. In fact, it is the most common postoperative complication, affecting one-third of all surgical patients each year. In an effort to minimize the likelihood of this discomfort, Suburban Hospital formed a collaborative work group a year ago comprising nursing, pharmacy and anesthesiology staff.
The Suburban group project began a research study to determine if following the American Society of PeriAnesthesia Nursing Guidelines for the Management of Postoperative Nausea/Vomiting would reduce its prevalence in the hospital’s post-anesthesia care unit (PACU.) Per these guidelines, patients are screened before surgery for risk factors to determine their likelihood of experiencing postoperative nausea or vomiting. Women, nonsmokers and patients receiving anesthetic gases and/or opiates have a higher risk of postoperative nausea. Additional risk factors include patients with a history of motion sickness and/or a history of previous nausea or vomiting after surgery. The more risk factors a patient presents with, the higher the “score.”
After the screening, the information is shared with the anesthesiologist, who then administers the appropriate treatment based on the patient’s risk assessment score. Treatments can include administration of anti-emetics (anti-nausea drugs) and use of regional blocks.
“Taking these research findings and implementing a practice change is having a significant impact on decreasing this uncomfortable problem for our surgical patients,” says Clinical Nurse Educator Karin Nevius, BSN, RN, CPAN, CAPA, CCRN.
Articles in this Issue
Inside this Issue
- Certified Nurse Interviews
- Fueled by Philanthropy: New Gifts Support Nursing Excellence, Education
- Nursing Initiative Tackles Post-Op Nausea
- Johns Hopkins Community Physicians Opens D.C. Location
- Suburban Welcomes New Board Chairmen
- Planning Board Approves Suburban’s Campus Enhancement Plans
- Patient Follow-up Calls Improve Communications, Reduce Readmissions
- Cancer Program Achieves Three-Year Accreditation with Commendation
- Ready, Set, Grow! Suburban Hospital Pediatrics Festival
- Focus on Philanthropy: Generous Support for Patient Navigator, Suburban Physicians
- President’s Message
- And the Winners Are…
- Suburban Celebrates Its Certified Nurses
- Orthopaedic Surgeon Daniel Valaik, M.D., Joins Suburban
- Suburban Hospital 2013 Community Benefit Report
- 3D Mammography Now Available for Breast Imaging
- Anesthesiology “Unmasked”
- Suburban Hospital and Kaiser Permanente Form a Stronger Partnership