- Email: [email protected]
Examination: Photoselective vaporization of the prostate in ambulatory surgery
Examination
FEBRUARY 2006, VOL 83, NO 2
Examination Photoselective vaporization of the prostate in ambulatory surgery 1.
2.
The laser safety officer is responsible for 1. monitoring all safety requirements. 2. observing the laser fiber for any breaks or malfunction. 3. operating the laser. 4. proctoring laser procedures. a. 1 and 3 b. 2 and 4 c. 1, 2, and 3 d. 1, 2, 3, and 4 Physicians must be credentialed to operate the laser during photoselective vaporization of the prostate, which requires the physician to 1. attend a course on the specific laser. 2. be a member of the American Medical Association. 3. demonstrate proficient operation of the laser. 4. perform at least three proctored procedures. a. 1 and 3 b. 2 and 4 c. 1, 2, and 3 d. 1, 2, 3, and 4
3. Benign prostatic hypertrophy (BPH) is a condition in which a. a slow-growing malignant growth begins within the prostate. b. germ cells experience abnormal growth beginning in the testes and quickly spreading to other parts of the body. c. the prostate shrinks and atrophies, resulting in reduced seminal fluid and pain on urination. d. the prostate increases in size,
gradually pinching the urethra. 4. The prostate is a male reproductive gland that a. makes seminal fluid, which helps nourish and transport sperm. b. produces secretions that enhance sperm motility. c. produces spermatozoa and male hormones. d. transports sperm from the testicles to the ejaculatory duct. 5. Symptoms of BPH include 1. a weak urinary stream. 2. difficulty initiating a urinary stream. 3. frequent urination. 4. frequently awakening at night to urinate. 5. intermittent flow during urination. a. 1 and 4 b. 1, 3, and 5 c. 2, 3, and 4 d. 1, 2, 3, 4, and 5
AORN is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. AORN is providerapproved by the California Board of Registered Nursing, Provider Number CEP 13019. Check with your state board of nursing for acceptance of this activity for relicensure.
6. A prostate-specific antigen (PSA) blood test is ordered to rule out BPH. a. true b. false 7. The gold standard of treatment for BPH is a. photoselective vaporization of the prostate. b. transurethral resection of the prostate. c. transurethral needle ablation. d. transurethral microwave thermotherapy. 8. Advantages of the photoselective AORN JOURNAL •
347
Examination
FEBRUARY 2006, VOL 83, NO 2
vaporization of the prostate procedure over more traditional approaches include 1. decreased blood loss. 2. fewer complications. 3. less discomfort. 4. not needing to discontinue anticoagulant therapy. 5. quicker recovery. 6. shorter hospital stays. a. 1, 3, and 5 b. 2, 4, and 6 c. 1, 3, 4, 5, and 6 d. 1, 2, 3, 4, 5, and 6 9. “Monitors for signs of hypervolemia and hypovolemia” is an
appropriate intervention for which of the following nursing diagnoses? a. Risk of fluid volume imbalance. b. Risk of inadvertent hypothermia. c. Risk of injury related to laser therapy. d. Risk of injury related to the surgical experience. 10.Continuous bladder irrigation is necessary after photoselective vaporization of the prostate to eliminate blood clots and tissue particles from the bladder. a. true b. false
Nursing Programs Reject Qualified Applicants
D
espite a significant increase in the number of enrollments in US nursing programs, nursing schools rejected more than 147,000 qualified applicants in 2005, according to a Dec 9, 2005, news release from the National League for Nursing (NLN). The preliminary report from the NLN indicates that the percentage of admissions to, enrollments in, and graduations from all prelicensure RN programs has increased. The number of qualified nurses available to teach in these programs continues to decline,
however, resulting in a large number of potential nursing students awaiting placement in US nursing programs. Despite Encouraging Trends Suggested by the NLN’s Comprehensive Survey of All Nursing Programs, Large Numbers of Qualified Applications Continue to be Turned Down (news release, New York: National League for Nursing, Dec 9, 2005) http://www.nln.org/newsreleases /nedsdec05.pdf (accessed 5 Jan 2006).
Create an Environment of Practice Excellence
A
ORN’s facility-based membership program can help health care facilities and surgery centers create an environment of practice excellence and improve patient safety by making a commitment to improving staff member competency levels and providing support for continuing education. AORN’s facility package will help your facility • strengthen professional development by providing resources for improving staff member competencies, education, certification, and networking opportunities; • strengthen recruitment and retention by creating an environment that offers professional benefits and growth opportunities that can attract and retain quality staff members; and
348 • AORN JOURNAL
• strengthen community confidence by making a strong statement to your patients, staff members, and community about your organization’s commitment to providing quality care. Your facility will receive group rates on membership, savings on CNOR certification and recertification through our business partner the Competency & Credentialing Institute, and educational coupons for AORN products, services, conference registrations, and more. To learn more about how a facility package can help your facility started creating an environment of practice excellence, call (800) 755-2676 x 473, send an email to [email protected], or visit http://www. aorn.org/memberapp/facility/default.asp.
Answer Sheet
FEBRUARY 2006, VOL 83, NO 2
Answer Sheet Photoselective vaporization of the prostate in ambulatory surgery
P
lease fill out the application and answer form on this page and the evaluation form on the back of this page. Tear the page out of the Journal or make photocopies and mail to:
Event #06022 Session #7772
AORN Customer Service
c/o Home Study Program 2170 S Parker Rd, Suite 300 Denver, CO 80231-5711 or fax with credit card information to (303) 750-3212.
Contact hours: 3 Fee: Members $15 Nonmembers $30
Additionally, please verify by signature that you have reviewed the objectives and read the article, or you will not receive credit.
Signature _______________________ 1. Record your AORN member identification number in the appropriate section below. (See your member card.) 2. Completely darken the spaces that indicate your answers to examination questions one through 10. Use blue or black ink only. 3. Our accrediting body requires that we verify the amount of time you required to complete this 3 contact hour (150-minute) program._________ 4. Enclose fee if information is mailed.
Program offered February 2006 The deadline for this program is Feb 28, 2009
AORN (ID) # _______________________________ Name _____________________________________ Address ___________________________________ City_______________________________________ State __________ Zip ____________ Phone number______________________________ RN license #________________________________ State __________________________ Fee enclosed _______________________________ or bill the credit card indicated ■ MC ■ Visa ■ American Express ■ Discover Card # ____________________________________ Expiration date Signature _________________________________________________
A score of 70% correct on the examination is required for credit.
(for credit card authorization)
AORN JOURNAL •
349
Learner Evaluation
FEBRUARY 2006, VOL 83, NO 2
Learner Evaluation Photoselective vaporization of the prostate in ambulatory surgery Objectives To what extent were the following objectives of this Home Study Program achieved? 1. Describe laser safety credentialing requirements. 2. Discuss the pathological effects of benign prostatic hypertrophy (BPH) on normal male anatomy. 3. Explain treatment options for BPH. 4. Discuss perioperative care of the patient undergoing photoselective vaporization of the prostate.
This evaluation is used to determine the extent to which this Home Study Program met your learning needs. Rate these items on a scale of 1 to 5.
Content To what extent 5. did this article increase your knowledge of the subject matter? 6. was the content clear and organized? 7. did this article facilitate learning? 8. were your individual objectives met? 9. did the objectives relate to the overall purpose/goal?
Test Questions/Answers To what extent 10.were they reflective of the content? 11.were they easy to understand? 12. did they address important points?
Learner Input 13.Will you be able to use the information from this Home Study in your work setting? a. yes b. no 14.I learned of this Home Study via a. the Journal I receive as an AORN member. b. a Journal I obtained elsewhere. c. the AORN web site. d. the AORN Perioperative Managers web site. 15.What factor most affects whether
350 • AORN JOURNAL
you take an AORN Journal Home Study? a. need for contact hours b. price c. subject matter relevant to current position d. number of contact hours offered What other topics would you like to see addressed in a future Home Study Program? Would you be interested or do you know someone who would be interested in writing an article on this topic? Topic(s): __________________________ ___________________________________ Author names and addresses: ______ ___________________________________ ___________________________________
Purpose/Goal: To educate perioperative nurses about photoselective vaporization of the prostate in ambulatory surgery.
FEBRUARY 2006, VOL 83, NO 2
Examination Photoselective vaporization of the prostate in ambulatory surgery 1.
2.
The laser safety officer is responsible for 1. monitoring all safety requirements. 2. observing the laser fiber for any breaks or malfunction. 3. operating the laser. 4. proctoring laser procedures. a. 1 and 3 b. 2 and 4 c. 1, 2, and 3 d. 1, 2, 3, and 4 Physicians must be credentialed to operate the laser during photoselective vaporization of the prostate, which requires the physician to 1. attend a course on the specific laser. 2. be a member of the American Medical Association. 3. demonstrate proficient operation of the laser. 4. perform at least three proctored procedures. a. 1 and 3 b. 2 and 4 c. 1, 2, and 3 d. 1, 2, 3, and 4
3. Benign prostatic hypertrophy (BPH) is a condition in which a. a slow-growing malignant growth begins within the prostate. b. germ cells experience abnormal growth beginning in the testes and quickly spreading to other parts of the body. c. the prostate shrinks and atrophies, resulting in reduced seminal fluid and pain on urination. d. the prostate increases in size,
gradually pinching the urethra. 4. The prostate is a male reproductive gland that a. makes seminal fluid, which helps nourish and transport sperm. b. produces secretions that enhance sperm motility. c. produces spermatozoa and male hormones. d. transports sperm from the testicles to the ejaculatory duct. 5. Symptoms of BPH include 1. a weak urinary stream. 2. difficulty initiating a urinary stream. 3. frequent urination. 4. frequently awakening at night to urinate. 5. intermittent flow during urination. a. 1 and 4 b. 1, 3, and 5 c. 2, 3, and 4 d. 1, 2, 3, 4, and 5
AORN is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. AORN is providerapproved by the California Board of Registered Nursing, Provider Number CEP 13019. Check with your state board of nursing for acceptance of this activity for relicensure.
6. A prostate-specific antigen (PSA) blood test is ordered to rule out BPH. a. true b. false 7. The gold standard of treatment for BPH is a. photoselective vaporization of the prostate. b. transurethral resection of the prostate. c. transurethral needle ablation. d. transurethral microwave thermotherapy. 8. Advantages of the photoselective AORN JOURNAL •
347
Examination
FEBRUARY 2006, VOL 83, NO 2
vaporization of the prostate procedure over more traditional approaches include 1. decreased blood loss. 2. fewer complications. 3. less discomfort. 4. not needing to discontinue anticoagulant therapy. 5. quicker recovery. 6. shorter hospital stays. a. 1, 3, and 5 b. 2, 4, and 6 c. 1, 3, 4, 5, and 6 d. 1, 2, 3, 4, 5, and 6 9. “Monitors for signs of hypervolemia and hypovolemia” is an
appropriate intervention for which of the following nursing diagnoses? a. Risk of fluid volume imbalance. b. Risk of inadvertent hypothermia. c. Risk of injury related to laser therapy. d. Risk of injury related to the surgical experience. 10.Continuous bladder irrigation is necessary after photoselective vaporization of the prostate to eliminate blood clots and tissue particles from the bladder. a. true b. false
Nursing Programs Reject Qualified Applicants
D
espite a significant increase in the number of enrollments in US nursing programs, nursing schools rejected more than 147,000 qualified applicants in 2005, according to a Dec 9, 2005, news release from the National League for Nursing (NLN). The preliminary report from the NLN indicates that the percentage of admissions to, enrollments in, and graduations from all prelicensure RN programs has increased. The number of qualified nurses available to teach in these programs continues to decline,
however, resulting in a large number of potential nursing students awaiting placement in US nursing programs. Despite Encouraging Trends Suggested by the NLN’s Comprehensive Survey of All Nursing Programs, Large Numbers of Qualified Applications Continue to be Turned Down (news release, New York: National League for Nursing, Dec 9, 2005) http://www.nln.org/newsreleases /nedsdec05.pdf (accessed 5 Jan 2006).
Create an Environment of Practice Excellence
A
ORN’s facility-based membership program can help health care facilities and surgery centers create an environment of practice excellence and improve patient safety by making a commitment to improving staff member competency levels and providing support for continuing education. AORN’s facility package will help your facility • strengthen professional development by providing resources for improving staff member competencies, education, certification, and networking opportunities; • strengthen recruitment and retention by creating an environment that offers professional benefits and growth opportunities that can attract and retain quality staff members; and
348 • AORN JOURNAL
• strengthen community confidence by making a strong statement to your patients, staff members, and community about your organization’s commitment to providing quality care. Your facility will receive group rates on membership, savings on CNOR certification and recertification through our business partner the Competency & Credentialing Institute, and educational coupons for AORN products, services, conference registrations, and more. To learn more about how a facility package can help your facility started creating an environment of practice excellence, call (800) 755-2676 x 473, send an email to [email protected], or visit http://www. aorn.org/memberapp/facility/default.asp.
Answer Sheet
FEBRUARY 2006, VOL 83, NO 2
Answer Sheet Photoselective vaporization of the prostate in ambulatory surgery
P
lease fill out the application and answer form on this page and the evaluation form on the back of this page. Tear the page out of the Journal or make photocopies and mail to:
Event #06022 Session #7772
AORN Customer Service
c/o Home Study Program 2170 S Parker Rd, Suite 300 Denver, CO 80231-5711 or fax with credit card information to (303) 750-3212.
Contact hours: 3 Fee: Members $15 Nonmembers $30
Additionally, please verify by signature that you have reviewed the objectives and read the article, or you will not receive credit.
Signature _______________________ 1. Record your AORN member identification number in the appropriate section below. (See your member card.) 2. Completely darken the spaces that indicate your answers to examination questions one through 10. Use blue or black ink only. 3. Our accrediting body requires that we verify the amount of time you required to complete this 3 contact hour (150-minute) program._________ 4. Enclose fee if information is mailed.
Program offered February 2006 The deadline for this program is Feb 28, 2009
AORN (ID) # _______________________________ Name _____________________________________ Address ___________________________________ City_______________________________________ State __________ Zip ____________ Phone number______________________________ RN license #________________________________ State __________________________ Fee enclosed _______________________________ or bill the credit card indicated ■ MC ■ Visa ■ American Express ■ Discover Card # ____________________________________ Expiration date Signature _________________________________________________
A score of 70% correct on the examination is required for credit.
(for credit card authorization)
AORN JOURNAL •
349
Learner Evaluation
FEBRUARY 2006, VOL 83, NO 2
Learner Evaluation Photoselective vaporization of the prostate in ambulatory surgery Objectives To what extent were the following objectives of this Home Study Program achieved? 1. Describe laser safety credentialing requirements. 2. Discuss the pathological effects of benign prostatic hypertrophy (BPH) on normal male anatomy. 3. Explain treatment options for BPH. 4. Discuss perioperative care of the patient undergoing photoselective vaporization of the prostate.
This evaluation is used to determine the extent to which this Home Study Program met your learning needs. Rate these items on a scale of 1 to 5.
Content To what extent 5. did this article increase your knowledge of the subject matter? 6. was the content clear and organized? 7. did this article facilitate learning? 8. were your individual objectives met? 9. did the objectives relate to the overall purpose/goal?
Test Questions/Answers To what extent 10.were they reflective of the content? 11.were they easy to understand? 12. did they address important points?
Learner Input 13.Will you be able to use the information from this Home Study in your work setting? a. yes b. no 14.I learned of this Home Study via a. the Journal I receive as an AORN member. b. a Journal I obtained elsewhere. c. the AORN web site. d. the AORN Perioperative Managers web site. 15.What factor most affects whether
350 • AORN JOURNAL
you take an AORN Journal Home Study? a. need for contact hours b. price c. subject matter relevant to current position d. number of contact hours offered What other topics would you like to see addressed in a future Home Study Program? Would you be interested or do you know someone who would be interested in writing an article on this topic? Topic(s): __________________________ ___________________________________ Author names and addresses: ______ ___________________________________ ___________________________________
Purpose/Goal: To educate perioperative nurses about photoselective vaporization of the prostate in ambulatory surgery.