Adopting Preoperative Fasting Guidelines

ABSTRACT In 1999, the American Society of Anesthesiologists adopted preoperative fasting guidelines to enhance the quality and efficiency of patient care. Guidelines suggest that healthy, non-pregnant patients should fast six hours from solids and two hours from liquids. Although these guidelines ar...

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Veröffentlicht in:AORN journal 2009-07, Vol.90 (1), p.73-80
Hauptverfasser: Anderson, Megan, Comrie, Rhonda
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description ABSTRACT In 1999, the American Society of Anesthesiologists adopted preoperative fasting guidelines to enhance the quality and efficiency of patient care. Guidelines suggest that healthy, non-pregnant patients should fast six hours from solids and two hours from liquids. Although these guidelines are in place, studies suggest that providers are still using the blanket statement “NPO after midnight” without regard to patient characteristics, the procedure, or the time of the procedure. Using theory to help change provider's beliefs may help make change more successful. Rogers' Theory of Diffusion of Innovations can assist in changing long-time practice by laying the groundwork for an analysis of the benefits and disadvantages of proposed changes, such as changes to fasting orders, while helping initiate local protocols instead of additional national guidelines. AORN J 90 (July 2009) 73–80. © AORN, Inc, 2009.
doi_str_mv 10.1016/j.aorn.2009.01.026
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Guidelines suggest that healthy, non-pregnant patients should fast six hours from solids and two hours from liquids. Although these guidelines are in place, studies suggest that providers are still using the blanket statement “NPO after midnight” without regard to patient characteristics, the procedure, or the time of the procedure. Using theory to help change provider's beliefs may help make change more successful. Rogers' Theory of Diffusion of Innovations can assist in changing long-time practice by laying the groundwork for an analysis of the benefits and disadvantages of proposed changes, such as changes to fasting orders, while helping initiate local protocols instead of additional national guidelines. 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source MEDLINE; Wiley Online Library Journals Frontfile Complete
subjects Anesthesia & Perioperative Care
Anesthesia - nursing
anesthesia guidelines
Anesthesiology
Diffusion of Innovation
Fasting
Guideline Adherence
Health Plan Implementation
Humans
Models, Theoretical
Nurses
Nursing
Perianesthesia
Preoperative Care - nursing
preoperative fasting
Rogers' Theory of Diffusion of Innovations
Surgery
Theory
United States
title Adopting Preoperative Fasting Guidelines
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