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AORN Goals and Implementation Strategies 1988-1989
AORN JOURNAL
SEPTEMBER 1988. VOL. 4X.NO 3
AORN Goals and Implementation Strategies 1988-1989
A
t the spring Board meeting, the goals and
implementation strategies for the 1988-1989 fiscal year for the Association were submitted by the Planning Committee and approved by the Board of Directors. The goals of the Association are identified in the AORN “Strategic Plan.” All goals are ongoing; the implementation strategies listed below are targeted for the year 1988-1989.
(2) Increase the presence of AORN through active involvement at the federal level in the legislative arena. (3) Pursue Medicare reimbursement for RN first assistants. (4)Increase legislative involvement at the state level.
Goal 5 Goal 1 Maintain membership growth Implementation strategies: (1) Utilize the O R universe findings to target large hospitals with low membership, target hospitals with no membership, and cross-reference the universe report with the membership data base and pinpoint high/low areas of the country for target marketing. (2) Market international membership.
Goal 2 Provide membership benefits
Goal 3
Enhance information services Implementation strategies: ( I ) Expand market for AORN publications to nursing and other disciplines. (2) Conduct an Invitational Conference for Nurse Educators in 1988. (3) Increase AORN chapter involvement for recruitment into the profession of nursing.
Goal 6 Enhance public relations approaches Implementation strategy: Explore AORN’s participation in National Nurses’ Day.
Goal 7
Ensure financial solvency Implementation strategies: (1 ) Evaluate consultative services. (2) Increase membership dues. (3) Evaluate fee structure for all educational services.
Serve the needs of members by providing educational opportunities Implementation strategy: Continue investigating and evaluating videotaping educational programs.
Goal 4
Goal 8
Expand legislative activity relative to health care Implementation strategies: ( I ) Continue the contractual relationship with the American Nurses’ Association at the national level.
Foster research Implementation strategies: ( I ) Initiate implementation of the AORN “Association of Operating Room Nurses Policy, Plan and Priority Statement on Nursing Research.” (2) Develop the AORN clinical research 433
SEPTEMBER 1988. VOL. 48, NO 3
AORN JOURNAL
grant program. (3) Provide continued support for the development and implementation of the “AORN Patient Classification/Acuity Instrument for Perioperative Nursing.” (4) Allocate scholarship funds for doctoral study. (5) Compile a decade review of perioperative nursing research.
initiatives to address the nursing shortage.
Goal 10 Analyze organizational structure of A ORN Implementation strategy: Conduct a comprehensive review of AORN’s committee structure.
Goal 11 Goal 9 Develop, collect, and disseminate knowledge on perioperative nursing practice Implementation strategies: ( I ) Collect and disseminate information determined to be relevant to perioperative nursing issues. ( 2 ) Collaborate with A N A and other significant groups to develop and implement
Enhance understanding of volunteer Association leaders regarding their responsibilities, roles, and performance within the organization Implementation strategies: ( I ) Provide an update on national legislative issues for the Board of Directors. (2) Conduct an educational session for the Board of Directors related to Board functions.
Breaking Strength of Sutures Tested At the University of Virginia School of Medicine, Charlottesville, a study was conducted to determine if compression of synthetic sutures by the jaws of needle holders with different configurations resulted in distinct changes in the suture’s mechanical performance. The study was based on the premise that physical damage may occur to the suture from the time it is removed from the sterile package until it is tied by the surgeon. The damage to the suture may not be recognized before the wound is closed, but it may cause disruption of the suture material and the wound during the early postoperative period. Results showed that the tungsten carbide diamond jaw inserts with teeth cause damage to the sutures, according to the May 1988 issue of The American Surgeon. Four different types of tungsten carbide diamond jaw inserts were tested: 0 teeth, 2,500 teeth/in2, 4,000teeth/in2, and 7,000 teeth/in2. The types of sutures tested were 5-0 and 6-0 monofilament and braided nylon sutures. The
breaking strength of the different sutures was measured using a tensile tester. A scanning electron microscope with 75X magnification was used to detect changes in the sutures after they had been compressed in a needle holder. The breaking strength of the larger diameter (5-0) monofilament and braided nylon sutures was significantly greater than those for the smaller diameter (6-0) monofilament and braided nylon sutures. For control sutures, the breaking strength was related to their size and construction. Researchers found out that the inserts with teeth produced more changes in the 5-0 and 6-0 monofilament nylon sutures than did those without teeth. The researchers recommend handling the sutures gently during surgery and avoiding suture compression between the needle holder jaws with teeth inserts or any other surgical instrument with serrations, according to the article.
SEPTEMBER 1988. VOL. 4X.NO 3
AORN Goals and Implementation Strategies 1988-1989
A
t the spring Board meeting, the goals and
implementation strategies for the 1988-1989 fiscal year for the Association were submitted by the Planning Committee and approved by the Board of Directors. The goals of the Association are identified in the AORN “Strategic Plan.” All goals are ongoing; the implementation strategies listed below are targeted for the year 1988-1989.
(2) Increase the presence of AORN through active involvement at the federal level in the legislative arena. (3) Pursue Medicare reimbursement for RN first assistants. (4)Increase legislative involvement at the state level.
Goal 5 Goal 1 Maintain membership growth Implementation strategies: (1) Utilize the O R universe findings to target large hospitals with low membership, target hospitals with no membership, and cross-reference the universe report with the membership data base and pinpoint high/low areas of the country for target marketing. (2) Market international membership.
Goal 2 Provide membership benefits
Goal 3
Enhance information services Implementation strategies: ( I ) Expand market for AORN publications to nursing and other disciplines. (2) Conduct an Invitational Conference for Nurse Educators in 1988. (3) Increase AORN chapter involvement for recruitment into the profession of nursing.
Goal 6 Enhance public relations approaches Implementation strategy: Explore AORN’s participation in National Nurses’ Day.
Goal 7
Ensure financial solvency Implementation strategies: (1 ) Evaluate consultative services. (2) Increase membership dues. (3) Evaluate fee structure for all educational services.
Serve the needs of members by providing educational opportunities Implementation strategy: Continue investigating and evaluating videotaping educational programs.
Goal 4
Goal 8
Expand legislative activity relative to health care Implementation strategies: ( I ) Continue the contractual relationship with the American Nurses’ Association at the national level.
Foster research Implementation strategies: ( I ) Initiate implementation of the AORN “Association of Operating Room Nurses Policy, Plan and Priority Statement on Nursing Research.” (2) Develop the AORN clinical research 433
SEPTEMBER 1988. VOL. 48, NO 3
AORN JOURNAL
grant program. (3) Provide continued support for the development and implementation of the “AORN Patient Classification/Acuity Instrument for Perioperative Nursing.” (4) Allocate scholarship funds for doctoral study. (5) Compile a decade review of perioperative nursing research.
initiatives to address the nursing shortage.
Goal 10 Analyze organizational structure of A ORN Implementation strategy: Conduct a comprehensive review of AORN’s committee structure.
Goal 11 Goal 9 Develop, collect, and disseminate knowledge on perioperative nursing practice Implementation strategies: ( I ) Collect and disseminate information determined to be relevant to perioperative nursing issues. ( 2 ) Collaborate with A N A and other significant groups to develop and implement
Enhance understanding of volunteer Association leaders regarding their responsibilities, roles, and performance within the organization Implementation strategies: ( I ) Provide an update on national legislative issues for the Board of Directors. (2) Conduct an educational session for the Board of Directors related to Board functions.
Breaking Strength of Sutures Tested At the University of Virginia School of Medicine, Charlottesville, a study was conducted to determine if compression of synthetic sutures by the jaws of needle holders with different configurations resulted in distinct changes in the suture’s mechanical performance. The study was based on the premise that physical damage may occur to the suture from the time it is removed from the sterile package until it is tied by the surgeon. The damage to the suture may not be recognized before the wound is closed, but it may cause disruption of the suture material and the wound during the early postoperative period. Results showed that the tungsten carbide diamond jaw inserts with teeth cause damage to the sutures, according to the May 1988 issue of The American Surgeon. Four different types of tungsten carbide diamond jaw inserts were tested: 0 teeth, 2,500 teeth/in2, 4,000teeth/in2, and 7,000 teeth/in2. The types of sutures tested were 5-0 and 6-0 monofilament and braided nylon sutures. The
breaking strength of the different sutures was measured using a tensile tester. A scanning electron microscope with 75X magnification was used to detect changes in the sutures after they had been compressed in a needle holder. The breaking strength of the larger diameter (5-0) monofilament and braided nylon sutures was significantly greater than those for the smaller diameter (6-0) monofilament and braided nylon sutures. For control sutures, the breaking strength was related to their size and construction. Researchers found out that the inserts with teeth produced more changes in the 5-0 and 6-0 monofilament nylon sutures than did those without teeth. The researchers recommend handling the sutures gently during surgery and avoiding suture compression between the needle holder jaws with teeth inserts or any other surgical instrument with serrations, according to the article.