NPO Guidelines

2018 ◽  
pp. 407-414
Author(s):  
Glenn Mann ◽  
Dustin Liebling
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Practice Guidelines ◽  
Pulmonary Aspiration ◽  
Care Providers ◽  
Preoperative Fasting ◽  
Large Role ◽  
American Society ◽  
American Society Of Anesthesiologists ◽  
Latin Term

Nil per os (NPO), a Latin term, that means “nothing by mouth” is used in medicine to describe the instruction to withhold fluids and solid foods from a person. Patients are kept NPO prior to a scheduled procedure in order to minimize the risk of emesis and pulmonary aspiration of gastric contents when placed under general anesthesia—the sequelae of which can have significant consequences on morbidity and mortality. The American Society of Anesthesiologists created practice guidelines for preoperative fasting that guides health care providers when a patient must abstain from drinking and eating prior to a procedure. NPO guidelines play a large role in the perioperative management of patients of all ages—from pediatrics to geriatrics—undergoing nonemergent procedures.

scholarly journals Nurses’ Attitudes and Knowledge of Their Roles in Newborn Abandonment

2003 ◽  
Vol 12 (2) ◽  
pp. 31-40 ◽  
Author(s):  
Sandra K. Cesario
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Geographic Region ◽  
Accurate Information ◽  
Care Providers ◽  
Safe Haven ◽  
Negative Attitudes ◽  
The Social ◽  
Attitudes And Knowledge ◽  
American Society

The practice of abandoning newborns shortly after birth has always existed. Occurring in primitive and contemporary societies, the motivations for newborn abandonment are varied and dependent upon the social norms of a specific geographic region at a given point in time. Because the desire to abandon an infant has had no support system in American society, such unwanted infants have been abandoned in a manner leading to their deaths. In response, many states have passed safe-haven legislation to save the lives of unwanted newborns. The laws typically specify a mother’s ability to “abandon” her child to a medical service provider. However, judgmental attitudes and a lack of accurate information may impede a health care provider’s ability to carry out a safe-haven law. The study described here examines a sample of nurses in a state with a safe-haven law. The study revealed no significant correlation between a nurse’s knowledge, attitude, and self-perception of preparedness to manage a newborn abandonment event. However, the outcomes highlight the negative attitudes and lack of knowledge many nurses possess regarding newborn abandonment and the women who commit this act. Educational programs for all health care providers and the community are essential to the efficacy of the legislation that currently exists. Continued multidisciplinary strategizing and general awareness are needed to serve as catalysts to build supports for unwanted newborns and their safe assimilation into the community.

scholarly journals Teaching Health-Care Providers to Query Patients With Cancer About Sexual and Gender Minority (SGM) Status and Sexual Health

2019 ◽  
Vol 36 (6) ◽  
pp. 533-537 ◽  
Author(s):  
Elizabeth J. Cathcart-Rake ◽  
Carmen Radecki Breitkopf ◽  
Judith Kaur ◽  
Jennifer O’Connor ◽  
Jennifer L. Ridgeway ◽  
...  
Keyword(s):  
Health Care ◽  
Sexual Health ◽  
End Of Life ◽  
Health Care Providers ◽  
Position Statement ◽  
Care Providers ◽  
Related Data ◽  
Patients With Cancer ◽  
And Gender ◽  
American Society

End of life is difficult for all patients but sexual and gender minorities (SGM) are prone to isolation and loneliness, especially if their SGM status is unknown or unaccepted. In oncology clinics, where goals of care discussions about end of life are integral and frequent, querying patients about their SGM status and sexual health is of particular importance. The American Society of Clinical Oncology recently released a position statement that called for greater focus on SGM populations with the goal of reducing and eventually eliminating disparities in cancer care within this group. An important first step in addressing such disparities is learning how best to train cancer health-care providers to ask patients about their SGM status and about sexual health in general. This article summarizes the mandate for understanding cancer issues in SGM populations and the dearth of cancer-related data within this group. This article also describes an ongoing 3-part study intended to build a mini curriculum with the goal of helping cancer health-care providers to ask patients with cancer about SGM status and to ask all patients with cancer about sexual health issues. The results of this ongoing study could potentially improve end-of-life care for subgroups of patients.

scholarly journals The impact of acute care clinical practice guidelines on length of stay: A closer look at some conflicting findings

2014 ◽  
Vol 3 (4) ◽  
pp. 25 ◽  
Author(s):  
Moriah Ellen ◽  
G. Ross Baker ◽  
Adalsteinn Brown
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Acute Care ◽  
Health Care Providers ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Organizational Support ◽  
Full Potential ◽  
Care Providers ◽  
The Impact

Systematic reviews have found that clinical practice guidelines (CPGs) are associated with lower lengths of stay (LOS), but a secondary analysis of Ontario acute care hospitals found few significant relationships between CPGs and LOS. This research explored possible reasons for these findings and what other factors may impact the CPG-LOS relationship. Semi-structured interviews were conducted with staff from nine hospitals whose jobs dealt with developing, implementing, monitoring, updating, or evaluating CPGs. Interviews were analyzed utilizing methods outlined by Aurebach. A variety of leaders and hospital types were represented. Five main factors influencing relationships between CPGs and LOS were identified: 1) the purpose of implementation, 2) evidence base for CPG content and selection, 3) health care professionals’ response to change and compliance, 4) dissemination strategies, and 5) organizational support and resources. The interviews suggested possible reasons why CPGs are not realizing their full potential impact on LOS in Ontario hospitals, ranging from poor compliance to resistance from health care providers. CPGs themselves are not perceived to be the reason for ineffectiveness; rather, organizational- and individual-level barriers seem to be the causes.

scholarly journals Fertility Preservation for Patients With Cancer: American Society of Clinical Oncology Clinical Practice Guideline Update

2013 ◽  
Vol 31 (19) ◽  
pp. 2500-2510 ◽  
Author(s):  
Alison W. Loren ◽  
Pamela B. Mangu ◽  
Lindsay Nohr Beck ◽  
Lawrence Brennan ◽  
Anthony J. Magdalinski ◽  
...  
Keyword(s):  
Health Care ◽  
Fertility Preservation ◽  
Clinical Oncology ◽  
Health Care Providers ◽  
Randomized Clinical Trials ◽  
Case Series ◽  
Cochrane Collaboration ◽  
Embryo Cryopreservation ◽  
Care Providers ◽  
American Society

Purpose To update guidance for health care providers about fertility preservation for adults and children with cancer. Methods A systematic review of the literature published from March 2006 through January 2013 was completed using MEDLINE and the Cochrane Collaboration Library. An Update Panel reviewed the evidence and updated the recommendation language. Results There were 222 new publications that met inclusion criteria. A majority were observational studies, cohort studies, and case series or reports, with few randomized clinical trials. After review of the new evidence, the Update Panel concluded that no major, substantive revisions to the 2006 American Society of Clinical Oncology recommendations were warranted, but clarifications were added. Recommendations As part of education and informed consent before cancer therapy, health care providers (including medical oncologists, radiation oncologists, gynecologic oncologists, urologists, hematologists, pediatric oncologists, and surgeons) should address the possibility of infertility with patients treated during their reproductive years (or with parents or guardians of children) and be prepared to discuss fertility preservation options and/or to refer all potential patients to appropriate reproductive specialists. Although patients may be focused initially on their cancer diagnosis, the Update Panel encourages providers to advise patients regarding potential threats to fertility as early as possible in the treatment process so as to allow for the widest array of options for fertility preservation. The discussion should be documented. Sperm and embryo cryopreservation as well as oocyte cryopreservation are considered standard practice and are widely available. Other fertility preservation methods should be considered investigational and should be performed by providers with the necessary expertise.

scholarly journals Clinical Practice Guidelines for the Diagnosis and Management of Intravascular Catheter-Related Infection: 2009 Update by the Infectious Diseases Society of America

2009 ◽  
Vol 49 (1) ◽  
pp. 1-45 ◽  
Author(s):  
Leonard A. Mermel ◽  
Michael Allon ◽  
Emilio Bouza ◽  
Donald E. Craven ◽  
Patricia Flynn ◽  
...  
Keyword(s):  
Health Care ◽  
At Risk ◽  
Clinical Practice ◽  
Infectious Diseases ◽  
Health Care Providers ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Care Providers ◽  
Intravascular Catheter ◽  
Management Guidelines

Abstract These updated guidelines replace the previous management guidelines published in 2001. The guidelines are intended for use by health care providers who care for patients who either have these infections or may be at risk for them.

Primer on Clinical Practice Guidelines

2013 ◽  
Vol 26 (2) ◽  
pp. 103-111 ◽  
Author(s):  
Eunice Y. Pyon
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Health Care Providers ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Health Care Professionals ◽  
Guideline Development ◽  
Improve Patient Care ◽  
Care Providers ◽  
Quality Guideline

Clinical practice guidelines (CPGs) are valuable tools for health care providers and support evidence-based medicine (EBM). Many organizations, including medical associations and government-affiliated agencies, develop and publish guidelines using varying methods. Unfortunately, many guidelines are not appropriately developed and certain recommendations are not based on the best available evidence. Recent efforts by EBM advocates are contributing to the improved quality of CPGs and more tools are becoming available to promote high-quality guideline development and use. This article describes the guideline development process and associated concerns and the advances in the field of CPGs. Tools to access and evaluate guidelines are also provided. Health care professionals equipped with an understanding of the process of guideline creation and tools for evaluation can appropriately utilize guidelines to improve patient care.

scholarly journals Best Practice Guidelines and Recommendations for Health Care Providers

2021 ◽  
Author(s):  
◽  
Bernadette Portillo
Keyword(s):  
Health Care ◽  
Health Care Providers ◽  
Practice Guidelines ◽  
Best Practice ◽  
International Association ◽  
International Crime ◽  
Care Providers ◽  
Victim Identification ◽  
Best Practice Guidelines ◽  
Guidelines And Recommendations

Human trafficking (HT) is a federal and international crime and is regarded as one of the most pressing human rights issues. Adult and minor victims are trafficked by force (rape, beatings, confinement), fraud, and coercion resulting in profound physical and psychological injuries (Chisolm-Straker et al., 2019, p. 72; Department of Homeland Security, 2020; Vera Institute of Justice, 2014, p. 6). Most clinicians fail to recognize HT victims (Egyud et al., 2017; Leslie, 2018; Mason, 2018; McDow & Dols, 2020; Mostajabian et al., 2019; Patient Safety Monitor Journal, 2017; Stevens & Dinkle, 2020). This policy brief’s purpose is to provide health care providers with a validated HT screening tool and best practice guidelines and recommendations to aid in victim identification. The strategies outlined are those published by the Vera Institute of Justice’s HT Victim Identification Tool and are endorsed by the Emergency Nurses Association and the International Association of Forensic Nurses (Chisolm-Straker et al., 2019; Egyud et al., 2017; Leslie, 2018; McDow & Dols, 2020; Mostajabian et al., 2019; Peck, 2020; Stevens & Dinkle, 2020, p. e1; Vera Institute of Justice, 2014). These proposals will increase the likelihood that patients experiencing sexual and labor exploitation will be identified (Chisolm-Straker et al., 2019; Egyud et al., 2017; Leslie, 2018; McDow & Dols, 2020; Mostajabian et al., 2019; Peck, 2020; Stevens & Dinkle, 2020, p. e1; Vera Institute of Justice, 2014)

scholarly journals The Management of Encephalitis: Clinical Practice Guidelines by the Infectious Diseases Society of America

2008 ◽  
Vol 47 (3) ◽  
pp. 303-327 ◽  
Author(s):  
Allan R. Tunkel ◽  
Carol A. Glaser ◽  
Karen C. Bloch ◽  
James J. Sejvar ◽  
Christina M. Marra ◽  
...  
Keyword(s):  
Health Care ◽  
Clinical Practice ◽  
Infectious Diseases ◽  
Health Care Providers ◽  
Clinical Practice Guidelines ◽  
Practice Guidelines ◽  
Expert Panel ◽  
Diagnosis And Treatment ◽  
Care Providers ◽  
Etiologic Agents

Abstract Guidelines for the diagnosis and treatment of patients with encephalitis were prepared by an Expert Panel of the Infectious Diseases Society of America. The guidelines are intended for use by health care providers who care for patients with encephalitis. The guideline includes data on the epidemiology, clinical features, diagnosis, and treatment of many viral, bacterial, fungal, protozoal, and helminthic etiologies of encephalitis and provides information on when specific etiologic agents should be considered in individual patients with encephalitis.

Think Globally; Act Locally

PEDIATRICS ◽  
1993 ◽  
Vol 92 (6) ◽  
pp. 885-886
Author(s):  
PHILIP R. FISCHER
Keyword(s):  
Health Care ◽  
Child Health ◽  
American Academy ◽  
Health Care Providers ◽  
Practice Guidelines ◽  
Geographic Location ◽  
Child Health Care ◽  
Care Providers ◽  
American Academy Of Pediatrics ◽  
Research Findings

To the Editor.— Environmentalists use bumper stickers and other means to urge us to "think globally; act locally." The American Academy of Pediatrics could well make the same recommendations to authors who contribute to its publications. From one geographic location, we should not allow our writing to imply an ignorance of or disregard for the situations in which other child health care providers live. Whether reporting and discussing research findings or proposing practice guidelines, we should be careful to clearly define the relevant populations.

Sign in / Sign up

Export Citation Format

Share Document