Outpatient Surgery Magazine

Marking Madness - April 2013 - Subscribe

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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Page 144 of 157

OSM560-April_DIGITAL_Layout 1 4/5/13 2:33 PM Page 145 begin to rehydrate the patient earlier in the admission process. • Pressure points. Our literature search suggested that acupressure wristbands are an important adjunct to preventing PONV. We now use these bands on all high-risk patients, whether the factors are patient- or procedure-associated. In addition, they're a visual reminder to the anesthesia staff that the patient has a high PONV risk. A poster in our medication room defining risk factors for PONV and listing surgeries often associated with PONV serves as an extra reminder to consider using the wristbands. • Reassurance. There's a strong mind-body connection associated with PONV. Patients who've previously experienced PONV are anxious to prevent it. We explain that the team is aware of their histories and describe the modalities we'll use to help prevent this unpleasant experience from recurring. This reassurance decreases their anxieties, begins the process of positive thoughts and lets patients know we're listening to their concerns. In addition, we begin instructing our patients preoperatively about measures that will help lessen their PONV risk in the PACU, such as drinking sips of ginger ale; avoiding acidic juices, coffee and milk products; and moving slowly or reclining if they become nauseated. 3 Remember, prevention is your best option Many factors influence the development of PONV. Treating the problem is complicated and requires a multi-modal approach. The key to A P R I L 2 013 | O U T PAT I E N T S U R G E R Y M A G A Z I N E | 1 4 5

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