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Development of a Perioperative Nursing Diagnoses Flow Sheet
Author(s) -
Sandra,
RichterAbt Diane,
Kovac Jane
Publication year - 1995
Publication title -
aorn journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.222
H-Index - 43
eISSN - 1878-0369
pISSN - 0001-2092
DOI - 10.1016/s0001-2092(06)63744-7
Subject(s) - perioperative nursing , medical diagnosis , medicine , nursing , perioperative , nursing care , health care , surgical nursing , medical emergency , primary nursing , nurse education , surgery , pathology , economics , economic growth
Traditionally, health care professionals in the preoperative, intraoperative, and postoperative phases of care have used perioperative records that focus on the technical aspects of the care provided (eg, blood pressure, pulse measurements; equipment used) and leave room for only short narratives to document nursing care. Such formats often do not document the multitude of activities or interventions perioperative nurses provide. The question raised at the DePaul Health Center, St Louis, was: “Where do we document our nursing diagnoses and plan of care?” The response was to create a nursing diagnosis task force that investigated the feasibility of a form professional nurses could use in all phases of patient care. This investigation led to the development, implementation, and universal use of a perioperative nursing diagnoses flow sheet within the surgical services department. AORN J 61 (March 95) 547–557.