Environmental and Financial Impact of a Hospital Recycling Program Recycling decreases greenhouse gases emitted from waste disposal, and hospitals can play a part in lessening the effects of global climate change. The purpose of this study was to determine the environmental and financial impact of recycling at a 148-bed acute-care hospital. The study measured the amount of nonhazardous waste generated and disposal costs before and after adding single-stream recycling to its nonhazardous waste disposal practices. Study results show that recycling not only benefits the environment but also saves money.
Knowledge of Palliative and End-of-Life Care by Student Registered Nurse AnesthetistsIndividuals requiring palliative care frequently receive inadequate or no treatment. As part of a 5-year study funded by the National Institutes of Health, all graduate nursing students, including student registered nurse anesthetists (SRNAs), at a single institution participated in a 2–credit-hour course titled Interdisciplinary Palliative Care. The project team sought to identify SRNAs’ knowledge and attitudes regarding palliative and end-of-life care and to determine potential roles for CRNAs in this growing area of practice.
Keywords: Hospice care, pain, palliative care, symptom management.
Version: 2011;79(4):S15-S20.Authors: Margaret Faut Callahan, CRNA, PhD, FAAN
Susan Breakwell, RN, DNP, APHN-BC
Rosemarie Suhayda, RN, PhD
Perioperative Music and Its Effects on Anxiety, Hemodynamics, and Pain in Women Undergoing Mastectomy Interest has increased in the use of nonpharmacologic interventions such as music to minimize potential adverse effects of anxiety-reducing medications. This study used a quasi-experimental design to evaluate the effects of a perioperative music intervention. The music was provided continuously throughout the preoperative, intraoperative, and postoperative periods, for women diagnosed with breast cancer undergoing mastectomy. Changes in mean arterial pressure, heart rate, anxiety, and pain were measured.
Version: 2011;79(4):S28-S34.Authors: CPT Jeffrey Gainok, CRNA, MSN, CCRN, ANC, USA
CPT Regina Daniels, CRNA, MSN, CCRN, ANC, USA
CPT David Golembiowski, RN, BSN, CCRN, ANC, USA
CPT Patricia Kindred, CRNA, MSN, CCRN, ANC, USA
CPT Lisa Post, CRNA, MSN, CCRN, ANC, USA
CPT Rob Strickland, RN, BSN, CCRN, ANC, USA
Normalynn Garrett, CRNA, PhD, COL(ret), ANC, USA
Clinical Education Experiences: Perceptions of Student Registered Nurse AnesthetistsContinual evaluation of all aspects of nurse anesthesia programs, including those during clinical learning, is necessary to help educate high-quality anesthesia practitioners. This study was a cross-sectional survey of student registered nurse anesthetists to examine their experiences and perceptions regarding clinical instruction. Included were questions about treatment during clinical education, helpfulness of activities or persons, ideal behavioral characteristics of preceptors, and level of satisfaction with clinical instruction.
Workplace Aggression: Assessment of Prevalence in the Field of Nurse AnesthesiaWorkplace aggression is a serious issue with a broad range of consequences including negative work environment and reduced employee well-being. The purpose of this study was to assess the prevalence of workplace aggression in nurse anesthesia and determine its effect on the work environment of Certified Registered Nurse Anesthetists. Data analyses from the Workplace Aggression Research Questionnaire revealed converging patterns of verbal, active, and direct aggression.
A Comparison of the Pain Perceived During Intravenous Catheter Insertion After Injection With Various Local AnestheticsInsertion of an intravenous (IV) catheter is required for most surgical procedures and can provoke anxiety and pain. This study compared the pain surgical patients experienced with 4 local anesthetics (1% lidocaine, 1% lidocaine buffered with sodium bicarbonate, 2% chloroprocaine, or 0.5% bupivacaine) when an 18-gauge IV catheter was inserted in the dorsum of the hand. A secondary objective was to determine the association, if any, between pain on drug injection and IV catheter insertion.
Keywords: Intravenous cannulation, local anesthetics, pain.
Version: 2011;79(4):S58-S61.Authors: Ryan M. Beck, CRNA, MS
Frank J. Zbierajewski, CRNA, MS
Melissa K. Barber, CRNA, MS
Milo Engoren, MD
Robert Thomas, MD
Congruence of Perceived Effective Clinical Teaching Characteristics Between Students and Preceptors of Nurse Anesthesia Programs The teaching effectiveness of clinical instructors is pivotal to the quality of education that student registered nurse anesthetists gain from the clinical arena. A review of the literature highlighted a gap in research evaluating the teaching characteristics that are valuable and effective from both the clinical instructor’s and the student’s point of view. The purpose of this study was to assess the importance of 24 clinical instructor characteristics and the congruence of clinical instructor and student perception of these characteristics.
Evaluation of the Anxiolytic Properties of Tetrahydropalmatine, a Corydalis Yanhusuo Compound, in the Male Sprague-Dawley RatHerbal medications can have adverse effects and interactions with perioperative medicines and may cause serious consequences or complications. Tetrahydropalmatine (THP), an active component isolated from the Chinese herbal plant Corydalis yanhusuo, is used in Asia for its analgesic, sedative, and hypnotic properties. This study investigated the anxiolytic effects of THP and its potential interaction with the benzodiazepine binding site on the γ-aminobutyric acid receptor in the male Sprague-Dawley rat.
Keywords: Anxiolysis, Corydalis yanhusuo, elevated plus-maze, Sprague-Dawley rat, tetrahydropalmatine.
Version: 2011;79(4):S75-S80.Authors: CPT Herman Henkes, CRNA, MSN, ANC, USA
MAJ Michael Franz, BSN, ANC, USA
MAJ Orin Kendall, CRNA, MSN, ANC, USA
CPT Jacqueline Monroe, CRNA, MSN, ANC, USA
CPT Anna Legaspi, CRNA, MSN, ANC, USA
CPT Joann LeDoux, CRNA, MSN, ANC, USA
MAJ Christopher Haese, CRNA, MSN, ANC, USA
1LT Daniel Williams, RN, BSN, ANC, USA
Suzanne McCall, ALAT
Arthur Don Johnson, RN, PhD
Thomas E. Ceremuga, CRNA, PhD, LTC(ret), ANC, USA