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AORN Proceedings
AORN PROCEEDINGS AORN OF CENTRAL OKLAHOMA For the excellence of its Nurse Recruitment Program, AORN of Central Oklahoma has been chosen Stage I winner for Region IV by a national judging board. Two chapter members, Sandy Smith and Mary Spencer, COchairmen of the Recruitment Committee, received special thanks and congratulations from National AORN President, Ina Love Williams. All members, of course, are proud of this newly-garnered honor. Since competition continues until Congress when the final National awards will be announced, the chapter is forging ahead to that goal. In addition to recruitment activities, Central Oklahoma members have participated in two meetings of special interest to the OR nurse. The first of these was a chaptersponsored symposium centered around two topics: Management and Organization, and Burns. The second, was AORN of Greater Kansas City’s Regional Institute on Operating Room Nursing which attracted many Oklahomans to the Plaza Inn in Kansas City. If the chapter as a whole has been involved in a busy and varied season of activity, so have individual members. Recruitment Cochairman, Sandy Smith has been attending Flight School in San Antonio, Texas. D. Brown, an OR nurse at Baptist Memorial Hospital, has attended a valuable session on the Nurse’s Liability for Malpractice at Oklahoma Center for Continuing Education. Judy McMinn has delivered the concluding
December 1969
lecture to her Surgical Technician class and plans now to attend a communications workshop at Baptist Hospital.
AORN OF SOUTHERN TIER, NEW YORK According to Editor Sharon Cook, of the
Southern Tier Spotlight, Happiness is
...
a found sponge. a doctor who says “Thank You, Nurse.” a thin patient. a coffee break. a sterilizer that functions. a scrub dress that fits. a cancelled late case. a non-fainting student nurse. a smiling boss. being an OR nurse.
AORN OF OMAHA “Surgical Management of the Burn Patient” in surgery, anesthesia and the recovery room was the area of .concern when AORN of Omaha members gathered for a day-long seminar on November 15, 1969. Among the specific topics explored were: The General Burn Problem-History, Terminology and Infection; Initial Care of the Acute Burn; Anesthesia Problems of the Burned Patient; OR Equipment used in Treatment of Burns; OR Care of the Acute Burn; Special Operative Burn Problems-Eyes, Ears, Axilla, Joints; and the Post-Anesthetic Burn Patient.
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Central Florida AORN. (1 to r ) back r o w E d n a Scott, Margaret Fuerst, Mr. Sherwood Smith, Lee Bennett, front row-Gloria Cason, Kay Stone, Betty Robinson.
AORN OF MILWAUKEE The first item in Milwaukee’s OR Pulsebeat reads : There are three kinds of people: Those who make things happen; Those who watch things happen; And those who have no idea what happened. Fortunately, many of the members of the Milwaukee’s Chapter fall into the first category. Among these, is Mary Ann Mackin, former Editor of the Chapter Newsletter, who has resigned her position to study medicine at Stanford University.
Central Florida AORN. (I to r ) Mrs. Lee Bennett, future president; Miss Margaret Fuerst, present president; Mrs. Mable Paveledes, past president.
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Filling up the void left by old members moving on to new things are new members: Doris Girard, OR Staff Nurse at Community Memorial Hospital, Memomonee Falls ; Margaret Jankowski and Linda Olson, OR Staff Nurses at Milwaukee County General Hospital; and Arleen Dettlaff, Nurse Anesthetist, St. Francis Hospital.
AORN OF CENTRAL FLORIDA At AORN of Central Florida’s Officer Installation Dinner, Hospital Administrator, Mr. Sherwood Smith spoke about what a hospital expects from an OR nurse. “Competence, interest, devotion and loyalty to your institution, are the four basic expectations,” he said, “but enthusiasm and involvement are vital requirements of nurses, too.” Following the address by Mr. Smith who serves as Lakeland General Hospital’s Administrator, was the Installation Ceremony itself. Newly installed Central Florida officers for 1969-1970 are: Miss Margaret Fuerst, President; Mrs. Lee Bennett, President-Elect ; Mrs. Gloria Cason, Treasurer; and Mrs. Kay Stone, Miss Betty Robinson and Mrs. Carolyn Daller, Members of the Board.
AORN Journal
Monongahela Region: Elaine Sapp, President, introduces some of her operating room team to Mrs. Miale, Editor A O R N Journal.
AORN OF THE MONONGAHELA REGION OF PA. AND vlr. VA. When the regular monthly meeting of the chapter was held in Morgantown, West Virginia, Mrs. Julie E. Miale, Editor of the AORN Journal, was the featured guest speaker. Mrs. Miale’s address, “Dedication and Goals for AORN, was heard by another special guest, Miss Audrey Windemuth, Director of Nurses at West Virginia University Hospital Medical Center. At this meeting, chapter officers announced that a sterilization seminar will be held in Morgantown sometime in the early spring, headed by President.
Monongahela Region: Mrs. Miale speaks with ElaineSapp.
Monongahela Region installs new oficers. (1 to r ) Gertrude S. DeCenzo, Board Member and Publicity Chairman; Juanita Teller, Board Member; Elaine Sapp, President; B. Furtney, Vice President; Louise Cooley, Secretary; (Not pictured) Louise Cooley, Treasurer.
].
December 1969
97
caution against liability suits are conscientiousness and alertness, he stressed the importance of carrying malpractice insurance. Philadelphia chapter members have their eyes on the distant future as they plan for a Regional Institute to be held at the Marriott Motor Inn on City Line Avenue, Philadelphia, in the fall of 1970. General Chairman for the Institute is Betty Fuhse, candidate for AORN’3 National Committee on Nominations. Other Chairmen for the Institute are: Pauline Young, Program ; Audrey Hosey, Regitsration; Isabelle Barr, Hospitality; A. Capanegro, Publicity and Mary Craig, Monitorial.
AORN OF EAST TENNESSEE At a one-day Institute on Reconstructive AORN o f New York City, Audrey Volker, Ruby Sachez, and Madeline Hansen prepare for Regional Institute.
AORN OF NEW YORK CITY Joan Driscoll, Program Chairman of the New York City chapter as well as a new member of AORN’s Editorial Committee, writes: “In response to many requests from its members to plan chapter programs for the OR Nurse at the professional level, AORN of New York City has initiated a series of academic lectures specifically related to the functioning of the OR. Although this is not an entirely new concept in program planning, the Program Committee hopes it will combine the clinical aspects of nursing with scientific theory to the benefit of the professional, practicing OR Nurse.’’ The first of these programs, which came in two monthly installments, centered around the physiological aspects of monitoring. AORN OF PHILADELPHIA “Medico-Legal Aspects of Operating Room Nursing” was the topic of Aaron Blumberg, Esq., counsel for the Philadelphia County Medical Society, when he spoke to AORN member. Reminding nurses that the best pre-
98
Surgery held at St. Mary’s Memorial Hospital in Knoxville, Tennessee, AORN members heard four surgeons discuss elective and traumatic procedures. Dr. James Cox, a plastic surgeon, related the reasons for performing the elective procedures of mammoplasty and rhinoplasty. Stressing the need to assess the patient’s psychological state before mammoplasty, he noted three salient reasons for the surgery. 1) To make large breasts smaller. 2) To restore pendulous breasts to a normal contour. 3) To make small breasts larger. Rhinoplasty, as an elective cosmetic procedure, is related to mammoplasty, Dr. Cox said. But its object is to improve the nose, thereby establishing better facial balance. Post-operative care is particularly important because the patient must be kept from damaging the operative site. Explaining mandibular osteotomy was Dr. Roy Hall, an oral surgeon, who reviewed the three types of jaw structures: normal, agnathic and prognathic. Problems bringing a patient to surgery are difficult mastication, difficult or impossible dental restorative procedures, speech complications and psychological trauma. The surgeon’s pre-operative
AORN Journ,nl
A recent meeting of AORN of Greater Houston. Betty Stern welcomes student nurses: (1 to r ) Martha Jordan, Mary Ann Pribyl, Barbara Sudela.
considerations in this procedure are the post-operative observation is a necessity to oblique bony angle, the space necessary to prevent edema. obtain and occlusal adjustments. Dr. Hall Mrs. Frankie Blank, chairman of the cited immobilization of the mandible effected Institute, was commended for the excellence of by arch bow and ligatures, as well as the the program by her fellow AORN Members. importance of good oral hygiene as the basic post-operative concerns. AORN OF GREATER HOUSTON When plastic surgeon, E. B. Andrews, M.D. Members of AORN of Greater Houston put introduced the topic of traumatic restorative forth a special effort to make OR clinical procedures, he considered injuries to the face experience meaningful to professional nursing and head. Instructing nurses never to shave students during their last school term. And the eyebrows of a patient suffering such an this determination of the members to give the injury, he said that they were necessary students their best, no matter how brief the landmarks for reconstructive surgery. Dr. OR exposure, has already paid dividends. Andrews also pointed out that donor sites for Twenty-eight students, from associate degree, skin grafts were matched and categorized diploma and baccalaureate programs, spent their summer on-staff in the operating rooms preoperatively to skin texture and color. Concluding the Institute was J. MacDonald of Houston Hospital. Of these, eleven are Burkhart, M.D. an orthopedic surgeon who staying in the OR on a part-time basis discussed hand injuries. Thirty-six per cent of through the school year. such injuries are caused by industrial acciIn addition, schools of nursing who were dents, and crippling effects include flexion sent gift subscriptions to the Iourml by the contractures, skeletal malalignment, tendon or Houston chapter two years ago have found the nerve damage, ischemic contractures or vaso- magazine valuable enough as a source of motor conditions. For best possible results, student information to have renewed their surgical repair should be immediate. Close subscriptions. All schools of nursing receive
December 1969
99
copies of the AORN chapter newsletter. All student nurses are invited and warmly welcomed to AORN meetings and special programs. And one AORN member describes her feelings about this custom in these words, “The vigor, enthusiasm and keen interest of these young women sets a good example for us all, we like having them with us.” AORN OF SOUTHWEST LOUISIANA Winner of a Stage I Award for its unique and well-planned Nurse Recruitment Program is AORN of Southwest Louisiana. The Chapter, one of the eight regional first-phase winners, has received a plaque and $1,000 to continue its work during the second phase of the national program. Phase two will be specifically directed to the recruitment of OR Nurses. Mary Ann Kohnke, Chairman of South Louisiana’s Recruitment Committee, is due congratulations for her excellent work. Among the Chapter’s other activities this season has been the sponsorship of a Harvest Dance to raise funds to send a delegate to Congress. Chapter members also heard Gail Terrell, R.N., a recent graduate of New Orleans Charity Hospital speak of her experiences in Ghana, West Africa, as a missionary nurse. AORN OF CHICAGO A new policy will govern AORN of Chicago’s choice of delegates to the National Congress in Anaheim. The chapter voted to consider as delegates only those members who have attended six or more regular meetings from December 1968 to December 1969. “Why such a policy?” asks Sister Dolores Kane, Editor of the chapter’s newsletter. “A delegate represents the members, and a person in this role must be an interested, knowledgeable and concerned member. And she demonstrates these qualities by being an active participant in chapter affairs. Being present at local meetings is the best way to show interest and to be informed.”
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100
AORN OF BATON ROUGE, LOUISIANA In the wake of the disastrous Hurricane Camille, AORN of Baton Rouge members were on hand to help. In addition to their individual contributions, chapter members collected another sum which they sent to the Camille Relief Fund. In response to their group contribution, they received this letter from the Mayor-President of Baton Rouge. Dear Friends: We have received your contribution to the Camille Relief Fund and we are most grateful for your eflorts in behalf of the affected persons. Your generosity is appreciated and please be assured that the entire amount will be used where the need is greatest.
AORN OF DENVER Having been judged Winner of the Phase I Recruitment Award in Region 7, AORN of Denver has seen many months of effort come to fruition. Under the direction of Recruitment Chairman, Muriel Hanewinckel, the chapter embarked on one of the most concentrated advertising campaigns in Denver’s history. Now, members look forward to utilizing the $1,000 award to enlist the service of a public relations firm in hope of capturing the highest national recruitment honors at Congress in February. Perhaps, a large measure of Denver’s success in recruiting has been due to the members’ real interest in the problems of the young people they are trying to reach. With this aim in mind, the chapter invited Dr. Alphonse Miele, Executive Vice-president of Loretto Heights College, to speak about “The Adolescent in Society Today.” Discussing the fabled “generation gap,” Dr. Miele said, “Some of the worst generation gaps are between the junior and senior high school ages and again between Freshmen and Seniors in college. Psychological changes we expect to occur at 21 are now happening much earlier-sometimes at 10 or 12. The rapid
AORN Journal
changes in our world today are planting the seeds of fear early in life.” In order to “reach” today’s adolescents, Dr. Miele told Denver members, “you must go beyond the materialistic aspects of your profession. Stress that nursing is caring for and loving all regardless of their background. The young people of today want a society of love and they are reaching out to people.” “You should seek to inter-relate in everwidening circles. Stand up for your values. Be articulate and say, ‘I love you.’ You cannot be removed from society. You cannot fail to contribute. The world now is a never-ending chain of hate and isolation. Young people of today want to like or dislike something for some substantial reason. Your lot should be to help, to listen and to guide, to attempt to cut down the barriers to communication.” “Your goal,” Dr. Miele concluded, “should be to stress nursing as a meaningful way for one human to help another. This will reach and draw today’s young people into nursing.” AORN OF NORTHERN VIRGINIA Twenty new members were present to answer the roll call when AORN of Northern Virginia members took their seats at a special membership kickoff dinner in Twin Bridges. Fairfax Hospital was recognized for having the greatest number of OR Nurses in attendance, while the OR staff of Winchester Memorial Hospital took honors for having traveled the longest distance to attend the affair. A new operating room suite is scheduled to open soon at Fairfax Hospital, says OR Supervisor, Frances D. Parker. By featuring a clean care corridor and a periphery corridor, the suite will provide for a distinct physical separation between clean and soiled areas. This separation is found throughout the entire hospital, and not the least of the plan’s advantages is a reduction in contamination. The OR clean care corridor is horse-shoe shaped with the elongated arms of the “U”
Decem ber 1969
Sister Frances Burgess, President of AORN of Eastern Tennessee, meets with Frankie Black, General Chairman, and E. B. Andrews, M.D., Plastic Surgeon.
forming two hallways embracing nine major rooms. This clean care area is highly restricted, and no one will be permitted entrance to it unless properly attired for surgery. Via the peripheral corridor, all contaminated materials will leave the OR. Waste, laundry, instruments and surgical specimens will go directly to soiled holding areas adjacent to the periphery (dirty) corridor. At this point, a device capable of transporting almost a half-ton of equipment delivers the contaminated contents to a carousel worktable located in the decontamination area of Central Processing. At three work station lazy Susan tables, personnel separate the material, and a conveyor system feeds it to its
Mr. Jack Eile lectures on “Physiological Aspects of Monitoring” to AORN of New York City.
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proper destination. In the case of instruments and other reusable supplies, a washer-sterilizer is the destination; waste material is immediately placed in a grinder-type disposal in the center of the carousel. After the cleaning and sterilizing process is completed, specially trained technicians sort the instruments, arranging them in sets for the
Mrs. Rogers writes, “When the announcement of the proposed European Symposium was made at the Cincinnati Congress, it was favorably received. This enthusiasm was mild compared with the enthusiasm that has since been generated within the AORN membership. Immediately after Congress, the work of organizing the trip began. Arrangements were OR. made with airlines to secure a charter plane. After the transportation device has deliv- Times and dates were finalized. Hotel reservaered its contaminated load and has been tions were secured. Sight-seeing buses were unloaded, it shuttles off to a self-operating contracted, and adequate meeting rooms were cart wash and sterilization process and then reserved. Interestingly, officials at the Univermoves up on the clean side of the Central sity of Rome were so enthusiastic about plans Process Area. Again, it’s ready for another that they asked if AORN would consider cycle-delivering clean linen packs, instru- spending their entire ten days in Rome. ment sets and supplies to the OR and then “When information on dates, places and returning with soiled material. times was complete, reservation forms and brochures were rushed to the printer. After proofreading and a short delay, the finished AORN OF ST. LOUIS Among the techniques of plastic surgery product was ready to be mailed to all AORN discussed by William Webber, M.D. when he members. The rush of reservations in the met with St. Louis chapter members was the return mail was staggering. By the end of the “Eisenhower Procedure,’’ a new reconstruc- second week, every seat was taken. A hasty tive measure being researched by Dr. Webber call was made to the Executive Committee, and and his associates. After showing a slide of it was decided that another plane would be the face of the late President Eisenhower, added bringing the total of available seats to lined with its familiar smile wrinkles which 275. Within six weeks of the first mailing of reach from the corners of his eyes into the brochures and reservation forms, all seats forehead area, Dr. Webber explained his were taken and a standby list was prepared. “With 275 members aboard, the charter procedure which is especially adaptable to the planes will leave JFK Airport on October 2, treatment of elderly patients. He told his audience that scars from surgery are now 1970 for Florence, Italy. After a tour of Pisa, being placed within the natural network of members will spend three days in Florence wrinkle lines, whereas before, lesions in the where Seminars will be conducted in the temporal area usually required skin grafts. beautiful International Conference Centre. Accomplished by removing the lesions and This centre, a monumental villa, sits in a then suturing lines into the smile wrinkles, the historical park, near the center of the city. Its technique has proved very successful. spacious auditorium boasts projection facilities for slides and movies and equipment to deliver simultaneous speech translation into AORN EUROPEAN SYMPOSIUM four languages. After the seminars, the group STANDING ROOM ONLY will take a leisurely bus ride from Florence to Caroline Rogers, Chairman of A 0 R ” s Membership Committee, has worked closely with Rome continuing their tour. This pleasant trip Professional Seminar Consultants to make will wend through Assissi and Perugia, and arrangements for the European Symposium. lunch en route is planned at a charming
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AORN Journal
Alice Morel, ,Caroline Rogers, and Robert Rharny, New York City.
Italian dining spot. Once in Rome the group will be housed at the Plaza Hotel. Surrounded by history and landmarks, the hotel is also convenient to the shopping district. Many sight seeing tours have been planned for both Florence and Rome. “We regret that all reservations received could not be accepted. But in order to carry out the logistics of transportation, housing and feeding in an orderly fashion, we must limit this trip to a two-plane charter. To all of you who are disappointed because you can’t go on this trip, we beg you to be patient and get ready for our next trip. Hopefully a second one will be scheduled for 1971.”
Keep Us Posted.
IN NEW YORK
December 1969
of Urological nurses in
ing or remaining united with AORN as a means of accomplishing the goals for broader education for nurses in the urological field. It was agreed that there is a need for more clinical information to be made available for Urological nurses. Mrs. Rogers requested that Miss Morel present to the AORN National Board a proposal which would outline in detail the needs of the urological nurse. This proposal could then be acted upon accordingly by the AORN Board. AORN offers an established association that could act immediately through its Educational Director to plan instructional programs and through its Journal to publish information.
UROLOGICAL NURSES MEET At a recent meeting of the urological nurses in New York City, the necessity of forming 9 Urological Nurses’ Association was debated. Mrs. Caroline Rogers, representing AORN, outlined the benefits to be gained from join-
M.D. at the meeting
Send your chapter newsletters and reports of chapter activities to the Editor. Keep those cards and letters coming! I
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December 1969
lecture to her Surgical Technician class and plans now to attend a communications workshop at Baptist Hospital.
AORN OF SOUTHERN TIER, NEW YORK According to Editor Sharon Cook, of the
Southern Tier Spotlight, Happiness is
...
a found sponge. a doctor who says “Thank You, Nurse.” a thin patient. a coffee break. a sterilizer that functions. a scrub dress that fits. a cancelled late case. a non-fainting student nurse. a smiling boss. being an OR nurse.
AORN OF OMAHA “Surgical Management of the Burn Patient” in surgery, anesthesia and the recovery room was the area of .concern when AORN of Omaha members gathered for a day-long seminar on November 15, 1969. Among the specific topics explored were: The General Burn Problem-History, Terminology and Infection; Initial Care of the Acute Burn; Anesthesia Problems of the Burned Patient; OR Equipment used in Treatment of Burns; OR Care of the Acute Burn; Special Operative Burn Problems-Eyes, Ears, Axilla, Joints; and the Post-Anesthetic Burn Patient.
95
Central Florida AORN. (1 to r ) back r o w E d n a Scott, Margaret Fuerst, Mr. Sherwood Smith, Lee Bennett, front row-Gloria Cason, Kay Stone, Betty Robinson.
AORN OF MILWAUKEE The first item in Milwaukee’s OR Pulsebeat reads : There are three kinds of people: Those who make things happen; Those who watch things happen; And those who have no idea what happened. Fortunately, many of the members of the Milwaukee’s Chapter fall into the first category. Among these, is Mary Ann Mackin, former Editor of the Chapter Newsletter, who has resigned her position to study medicine at Stanford University.
Central Florida AORN. (I to r ) Mrs. Lee Bennett, future president; Miss Margaret Fuerst, present president; Mrs. Mable Paveledes, past president.
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Filling up the void left by old members moving on to new things are new members: Doris Girard, OR Staff Nurse at Community Memorial Hospital, Memomonee Falls ; Margaret Jankowski and Linda Olson, OR Staff Nurses at Milwaukee County General Hospital; and Arleen Dettlaff, Nurse Anesthetist, St. Francis Hospital.
AORN OF CENTRAL FLORIDA At AORN of Central Florida’s Officer Installation Dinner, Hospital Administrator, Mr. Sherwood Smith spoke about what a hospital expects from an OR nurse. “Competence, interest, devotion and loyalty to your institution, are the four basic expectations,” he said, “but enthusiasm and involvement are vital requirements of nurses, too.” Following the address by Mr. Smith who serves as Lakeland General Hospital’s Administrator, was the Installation Ceremony itself. Newly installed Central Florida officers for 1969-1970 are: Miss Margaret Fuerst, President; Mrs. Lee Bennett, President-Elect ; Mrs. Gloria Cason, Treasurer; and Mrs. Kay Stone, Miss Betty Robinson and Mrs. Carolyn Daller, Members of the Board.
AORN Journal
Monongahela Region: Elaine Sapp, President, introduces some of her operating room team to Mrs. Miale, Editor A O R N Journal.
AORN OF THE MONONGAHELA REGION OF PA. AND vlr. VA. When the regular monthly meeting of the chapter was held in Morgantown, West Virginia, Mrs. Julie E. Miale, Editor of the AORN Journal, was the featured guest speaker. Mrs. Miale’s address, “Dedication and Goals for AORN, was heard by another special guest, Miss Audrey Windemuth, Director of Nurses at West Virginia University Hospital Medical Center. At this meeting, chapter officers announced that a sterilization seminar will be held in Morgantown sometime in the early spring, headed by President.
Monongahela Region: Mrs. Miale speaks with ElaineSapp.
Monongahela Region installs new oficers. (1 to r ) Gertrude S. DeCenzo, Board Member and Publicity Chairman; Juanita Teller, Board Member; Elaine Sapp, President; B. Furtney, Vice President; Louise Cooley, Secretary; (Not pictured) Louise Cooley, Treasurer.
].
December 1969
97
caution against liability suits are conscientiousness and alertness, he stressed the importance of carrying malpractice insurance. Philadelphia chapter members have their eyes on the distant future as they plan for a Regional Institute to be held at the Marriott Motor Inn on City Line Avenue, Philadelphia, in the fall of 1970. General Chairman for the Institute is Betty Fuhse, candidate for AORN’3 National Committee on Nominations. Other Chairmen for the Institute are: Pauline Young, Program ; Audrey Hosey, Regitsration; Isabelle Barr, Hospitality; A. Capanegro, Publicity and Mary Craig, Monitorial.
AORN OF EAST TENNESSEE At a one-day Institute on Reconstructive AORN o f New York City, Audrey Volker, Ruby Sachez, and Madeline Hansen prepare for Regional Institute.
AORN OF NEW YORK CITY Joan Driscoll, Program Chairman of the New York City chapter as well as a new member of AORN’s Editorial Committee, writes: “In response to many requests from its members to plan chapter programs for the OR Nurse at the professional level, AORN of New York City has initiated a series of academic lectures specifically related to the functioning of the OR. Although this is not an entirely new concept in program planning, the Program Committee hopes it will combine the clinical aspects of nursing with scientific theory to the benefit of the professional, practicing OR Nurse.’’ The first of these programs, which came in two monthly installments, centered around the physiological aspects of monitoring. AORN OF PHILADELPHIA “Medico-Legal Aspects of Operating Room Nursing” was the topic of Aaron Blumberg, Esq., counsel for the Philadelphia County Medical Society, when he spoke to AORN member. Reminding nurses that the best pre-
98
Surgery held at St. Mary’s Memorial Hospital in Knoxville, Tennessee, AORN members heard four surgeons discuss elective and traumatic procedures. Dr. James Cox, a plastic surgeon, related the reasons for performing the elective procedures of mammoplasty and rhinoplasty. Stressing the need to assess the patient’s psychological state before mammoplasty, he noted three salient reasons for the surgery. 1) To make large breasts smaller. 2) To restore pendulous breasts to a normal contour. 3) To make small breasts larger. Rhinoplasty, as an elective cosmetic procedure, is related to mammoplasty, Dr. Cox said. But its object is to improve the nose, thereby establishing better facial balance. Post-operative care is particularly important because the patient must be kept from damaging the operative site. Explaining mandibular osteotomy was Dr. Roy Hall, an oral surgeon, who reviewed the three types of jaw structures: normal, agnathic and prognathic. Problems bringing a patient to surgery are difficult mastication, difficult or impossible dental restorative procedures, speech complications and psychological trauma. The surgeon’s pre-operative
AORN Journ,nl
A recent meeting of AORN of Greater Houston. Betty Stern welcomes student nurses: (1 to r ) Martha Jordan, Mary Ann Pribyl, Barbara Sudela.
considerations in this procedure are the post-operative observation is a necessity to oblique bony angle, the space necessary to prevent edema. obtain and occlusal adjustments. Dr. Hall Mrs. Frankie Blank, chairman of the cited immobilization of the mandible effected Institute, was commended for the excellence of by arch bow and ligatures, as well as the the program by her fellow AORN Members. importance of good oral hygiene as the basic post-operative concerns. AORN OF GREATER HOUSTON When plastic surgeon, E. B. Andrews, M.D. Members of AORN of Greater Houston put introduced the topic of traumatic restorative forth a special effort to make OR clinical procedures, he considered injuries to the face experience meaningful to professional nursing and head. Instructing nurses never to shave students during their last school term. And the eyebrows of a patient suffering such an this determination of the members to give the injury, he said that they were necessary students their best, no matter how brief the landmarks for reconstructive surgery. Dr. OR exposure, has already paid dividends. Andrews also pointed out that donor sites for Twenty-eight students, from associate degree, skin grafts were matched and categorized diploma and baccalaureate programs, spent their summer on-staff in the operating rooms preoperatively to skin texture and color. Concluding the Institute was J. MacDonald of Houston Hospital. Of these, eleven are Burkhart, M.D. an orthopedic surgeon who staying in the OR on a part-time basis discussed hand injuries. Thirty-six per cent of through the school year. such injuries are caused by industrial acciIn addition, schools of nursing who were dents, and crippling effects include flexion sent gift subscriptions to the Iourml by the contractures, skeletal malalignment, tendon or Houston chapter two years ago have found the nerve damage, ischemic contractures or vaso- magazine valuable enough as a source of motor conditions. For best possible results, student information to have renewed their surgical repair should be immediate. Close subscriptions. All schools of nursing receive
December 1969
99
copies of the AORN chapter newsletter. All student nurses are invited and warmly welcomed to AORN meetings and special programs. And one AORN member describes her feelings about this custom in these words, “The vigor, enthusiasm and keen interest of these young women sets a good example for us all, we like having them with us.” AORN OF SOUTHWEST LOUISIANA Winner of a Stage I Award for its unique and well-planned Nurse Recruitment Program is AORN of Southwest Louisiana. The Chapter, one of the eight regional first-phase winners, has received a plaque and $1,000 to continue its work during the second phase of the national program. Phase two will be specifically directed to the recruitment of OR Nurses. Mary Ann Kohnke, Chairman of South Louisiana’s Recruitment Committee, is due congratulations for her excellent work. Among the Chapter’s other activities this season has been the sponsorship of a Harvest Dance to raise funds to send a delegate to Congress. Chapter members also heard Gail Terrell, R.N., a recent graduate of New Orleans Charity Hospital speak of her experiences in Ghana, West Africa, as a missionary nurse. AORN OF CHICAGO A new policy will govern AORN of Chicago’s choice of delegates to the National Congress in Anaheim. The chapter voted to consider as delegates only those members who have attended six or more regular meetings from December 1968 to December 1969. “Why such a policy?” asks Sister Dolores Kane, Editor of the chapter’s newsletter. “A delegate represents the members, and a person in this role must be an interested, knowledgeable and concerned member. And she demonstrates these qualities by being an active participant in chapter affairs. Being present at local meetings is the best way to show interest and to be informed.”
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100
AORN OF BATON ROUGE, LOUISIANA In the wake of the disastrous Hurricane Camille, AORN of Baton Rouge members were on hand to help. In addition to their individual contributions, chapter members collected another sum which they sent to the Camille Relief Fund. In response to their group contribution, they received this letter from the Mayor-President of Baton Rouge. Dear Friends: We have received your contribution to the Camille Relief Fund and we are most grateful for your eflorts in behalf of the affected persons. Your generosity is appreciated and please be assured that the entire amount will be used where the need is greatest.
AORN OF DENVER Having been judged Winner of the Phase I Recruitment Award in Region 7, AORN of Denver has seen many months of effort come to fruition. Under the direction of Recruitment Chairman, Muriel Hanewinckel, the chapter embarked on one of the most concentrated advertising campaigns in Denver’s history. Now, members look forward to utilizing the $1,000 award to enlist the service of a public relations firm in hope of capturing the highest national recruitment honors at Congress in February. Perhaps, a large measure of Denver’s success in recruiting has been due to the members’ real interest in the problems of the young people they are trying to reach. With this aim in mind, the chapter invited Dr. Alphonse Miele, Executive Vice-president of Loretto Heights College, to speak about “The Adolescent in Society Today.” Discussing the fabled “generation gap,” Dr. Miele said, “Some of the worst generation gaps are between the junior and senior high school ages and again between Freshmen and Seniors in college. Psychological changes we expect to occur at 21 are now happening much earlier-sometimes at 10 or 12. The rapid
AORN Journal
changes in our world today are planting the seeds of fear early in life.” In order to “reach” today’s adolescents, Dr. Miele told Denver members, “you must go beyond the materialistic aspects of your profession. Stress that nursing is caring for and loving all regardless of their background. The young people of today want a society of love and they are reaching out to people.” “You should seek to inter-relate in everwidening circles. Stand up for your values. Be articulate and say, ‘I love you.’ You cannot be removed from society. You cannot fail to contribute. The world now is a never-ending chain of hate and isolation. Young people of today want to like or dislike something for some substantial reason. Your lot should be to help, to listen and to guide, to attempt to cut down the barriers to communication.” “Your goal,” Dr. Miele concluded, “should be to stress nursing as a meaningful way for one human to help another. This will reach and draw today’s young people into nursing.” AORN OF NORTHERN VIRGINIA Twenty new members were present to answer the roll call when AORN of Northern Virginia members took their seats at a special membership kickoff dinner in Twin Bridges. Fairfax Hospital was recognized for having the greatest number of OR Nurses in attendance, while the OR staff of Winchester Memorial Hospital took honors for having traveled the longest distance to attend the affair. A new operating room suite is scheduled to open soon at Fairfax Hospital, says OR Supervisor, Frances D. Parker. By featuring a clean care corridor and a periphery corridor, the suite will provide for a distinct physical separation between clean and soiled areas. This separation is found throughout the entire hospital, and not the least of the plan’s advantages is a reduction in contamination. The OR clean care corridor is horse-shoe shaped with the elongated arms of the “U”
Decem ber 1969
Sister Frances Burgess, President of AORN of Eastern Tennessee, meets with Frankie Black, General Chairman, and E. B. Andrews, M.D., Plastic Surgeon.
forming two hallways embracing nine major rooms. This clean care area is highly restricted, and no one will be permitted entrance to it unless properly attired for surgery. Via the peripheral corridor, all contaminated materials will leave the OR. Waste, laundry, instruments and surgical specimens will go directly to soiled holding areas adjacent to the periphery (dirty) corridor. At this point, a device capable of transporting almost a half-ton of equipment delivers the contaminated contents to a carousel worktable located in the decontamination area of Central Processing. At three work station lazy Susan tables, personnel separate the material, and a conveyor system feeds it to its
Mr. Jack Eile lectures on “Physiological Aspects of Monitoring” to AORN of New York City.
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proper destination. In the case of instruments and other reusable supplies, a washer-sterilizer is the destination; waste material is immediately placed in a grinder-type disposal in the center of the carousel. After the cleaning and sterilizing process is completed, specially trained technicians sort the instruments, arranging them in sets for the
Mrs. Rogers writes, “When the announcement of the proposed European Symposium was made at the Cincinnati Congress, it was favorably received. This enthusiasm was mild compared with the enthusiasm that has since been generated within the AORN membership. Immediately after Congress, the work of organizing the trip began. Arrangements were OR. made with airlines to secure a charter plane. After the transportation device has deliv- Times and dates were finalized. Hotel reservaered its contaminated load and has been tions were secured. Sight-seeing buses were unloaded, it shuttles off to a self-operating contracted, and adequate meeting rooms were cart wash and sterilization process and then reserved. Interestingly, officials at the Univermoves up on the clean side of the Central sity of Rome were so enthusiastic about plans Process Area. Again, it’s ready for another that they asked if AORN would consider cycle-delivering clean linen packs, instru- spending their entire ten days in Rome. ment sets and supplies to the OR and then “When information on dates, places and returning with soiled material. times was complete, reservation forms and brochures were rushed to the printer. After proofreading and a short delay, the finished AORN OF ST. LOUIS Among the techniques of plastic surgery product was ready to be mailed to all AORN discussed by William Webber, M.D. when he members. The rush of reservations in the met with St. Louis chapter members was the return mail was staggering. By the end of the “Eisenhower Procedure,’’ a new reconstruc- second week, every seat was taken. A hasty tive measure being researched by Dr. Webber call was made to the Executive Committee, and and his associates. After showing a slide of it was decided that another plane would be the face of the late President Eisenhower, added bringing the total of available seats to lined with its familiar smile wrinkles which 275. Within six weeks of the first mailing of reach from the corners of his eyes into the brochures and reservation forms, all seats forehead area, Dr. Webber explained his were taken and a standby list was prepared. “With 275 members aboard, the charter procedure which is especially adaptable to the planes will leave JFK Airport on October 2, treatment of elderly patients. He told his audience that scars from surgery are now 1970 for Florence, Italy. After a tour of Pisa, being placed within the natural network of members will spend three days in Florence wrinkle lines, whereas before, lesions in the where Seminars will be conducted in the temporal area usually required skin grafts. beautiful International Conference Centre. Accomplished by removing the lesions and This centre, a monumental villa, sits in a then suturing lines into the smile wrinkles, the historical park, near the center of the city. Its technique has proved very successful. spacious auditorium boasts projection facilities for slides and movies and equipment to deliver simultaneous speech translation into AORN EUROPEAN SYMPOSIUM four languages. After the seminars, the group STANDING ROOM ONLY will take a leisurely bus ride from Florence to Caroline Rogers, Chairman of A 0 R ” s Membership Committee, has worked closely with Rome continuing their tour. This pleasant trip Professional Seminar Consultants to make will wend through Assissi and Perugia, and arrangements for the European Symposium. lunch en route is planned at a charming
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AORN Journal
Alice Morel, ,Caroline Rogers, and Robert Rharny, New York City.
Italian dining spot. Once in Rome the group will be housed at the Plaza Hotel. Surrounded by history and landmarks, the hotel is also convenient to the shopping district. Many sight seeing tours have been planned for both Florence and Rome. “We regret that all reservations received could not be accepted. But in order to carry out the logistics of transportation, housing and feeding in an orderly fashion, we must limit this trip to a two-plane charter. To all of you who are disappointed because you can’t go on this trip, we beg you to be patient and get ready for our next trip. Hopefully a second one will be scheduled for 1971.”
Keep Us Posted.
IN NEW YORK
December 1969
of Urological nurses in
ing or remaining united with AORN as a means of accomplishing the goals for broader education for nurses in the urological field. It was agreed that there is a need for more clinical information to be made available for Urological nurses. Mrs. Rogers requested that Miss Morel present to the AORN National Board a proposal which would outline in detail the needs of the urological nurse. This proposal could then be acted upon accordingly by the AORN Board. AORN offers an established association that could act immediately through its Educational Director to plan instructional programs and through its Journal to publish information.
UROLOGICAL NURSES MEET At a recent meeting of the urological nurses in New York City, the necessity of forming 9 Urological Nurses’ Association was debated. Mrs. Caroline Rogers, representing AORN, outlined the benefits to be gained from join-
M.D. at the meeting
Send your chapter newsletters and reports of chapter activities to the Editor. Keep those cards and letters coming! I
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