FEBRUARY 2002, VOL 75, NO 2
increase. Likewise, it is possible that the length of orientation could be shortened if a newly oriented nurse remained on the day shift where immediate assistance could be provided. If job descriptions do not include fiequently working the night shift, nurses may be more inclined to accept nursing positions and less likely to seek other employment that is less disruptive to their personal lives. Perioperativemanagers and researchers should form teams to explore these important issues. Colleges of nursing may have graduate students interested in assisting with these projects. This research study also demonstratesone techniquemathematical modeling-that is used increasinglyin perioperative management. This and similar methods should be used to evaluate other staffing issues, including staffing the preoperative and postoperative care units. Mathematical modeling also may be used to explore the best alternatives for adding procedures and triage, moving procedures to different ORs, and minimizingturnover time. Likewise, mathematical modeling can be used to determine the appropriatenessof addmg an additional OR or purchasing technology (eg, image intensifier, microscope). These examples demonstratethe financial value that can be achieved through perioperativeresearch. Lastly, this study serves as a reminder to us that others, including surgeons, anesthesia care providers, administrators,and the public, are concerned about the safety and cost-effectivenessof perioperative patient care. Whether as staff nurses, educators, managers, or researchers,we all play a role in ensuring that
decisions about patient care and resource allocation are made on the best evidence available to us. As perioperative professionals, we should take the lead in conducting this research rather than leaving it to others less familiar with our work. By basing our decisions on the best available evidence, we can provide safer, more costeffective patient care. Clearly articulating the evidence used to make our decisions will help us gain the support and respect of other disciplines.
sonal protective equipment, how to manage blood spills, and specific safety products. The book contains eight appendices, including resources, videotapes, products, training aids, web sites, and a bibliography. The authors present valuable information for teaching phlebotomists and for nurses drawing or handling blood specimens. It has less application for perioperative practitioners who have fewer o p p o d t i e s to draw or handle blood specimens; however, it is VICTORIA STEELMAN important to know that this RN, PnD, CNOR resource is available. NURSINQ RESEARCHCOMM~VE This book is available h m Healthstar Press, PO Box 15 I, BOOK REVIEWS Ramsey, IN 47116; (812) 6332297. PHLEBOTOMY FOR NURSES FRAN KOCH AND NURSING PERSONNEL RN, MSN, CNOR By Dennis . I Ernst, ADMINISWIVE DIRECTOR, OR Catherine Frost PRESBYlERlAN HOSPITAL OF DAW 2001, ia2pp $29.95paperback INTRODUCTION TO CRITICAL CARE NURSING, third ed his book is coauthored by an By Mary Lou Sole, Maribn L. RN and a medical technoloLambom, Jeanette C. Hafishom gist. It is well organized and 2001, 830pp $54.95 hardback contains important information regarding techniques for performhis book contains information ing venipunctures, safety aspects essential to nurses caring for of phlebotomy, and proper hancritically ill patients. These dling of specimens. It also details the hazards and cost of collecting patients are more ill than ever before. With technology rapidly specimens improperly. changing, it is difficult for nurses Interspersed through each to stay abreast of changes. This chapter are inserts documenting book provides basic information case studies that cite the consequences of improperly performed about critical care nursing and would be valuable to nurses new venipunctures. The authors proto this specialty and to undergradvide valuable information on uate nursing students. developing a plan to manage The book comprises three secexposure to bloodborne pathotions. The first section is fundagens. This information could serve as a template for institutions mental concepts, and it introduces that need to establish a program or readers to critical care nursing. evaluate a current program. Psychosocial concepts related to Information is included on per- patients, family members, and
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