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James Franklin Titch

Associate Clinical Professor Emeritus in the School of School of Nursing
School of Nursing
Box 3322 Med Ctr, Durham, NC 27710
School of Nursing, Durham, NC 27710

Selected Publications


Recertification and Reentry to Practice for Nurse Anesthetists Using High-Fidelity Simulation: Phase III

Journal Article Journal of Nursing Regulation · October 1, 2020 The National Board of Certification and Recertification of Nurse Anesthetists (NBCRNA) uses high-fidelity simulation for high-stakes competency assessment as a part of the Reentry Program. Purpose: This quality improvement project aimed to develop and vali ... Full text Cite

Implementation of Vulnerable Elders Survey-13 Frailty Tool to Identify At-Risk Geriatric Surgical Patients.

Journal Article Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses · October 2019 PurposeThe primary purpose of this project was to preoperatively identify frail and vulnerable geriatric patients aged 65 or older using the Vulnerable Elders Survey (VES-13) tool, and to use those scores to assist with perioperative decision-maki ... Full text Cite

Identifying Components Necessary for an Enhanced Recovery After Surgery Pathway for Elective Intracranial Surgery: An Improvement Project Using the Quality of Recovery-15 Score.

Journal Article World Neurosurg · October 2019 OBJECTIVE: To identify the domains of recovery, as determined by the Quality of Recovery-15 (QoR-15) score, that needed improvement to develop initial interventions for an enhanced recovery after surgery protocol for patients undergoing elective intracrani ... Full text Link to item Cite

Low-Dose Ketamine Infusion to Decrease Postoperative Delirium for Spinal Fusion Patients.

Journal Article J Perianesth Nurs · August 2019 PURPOSE: The primary aim of this project was to decrease the incidence of postoperative delirium after spine surgery. DESIGN: A prospective preimplementation and postimplementation design was used. METHODS: A reduced dose ketamine protocol was implemented ... Full text Link to item Cite

Nursing Perceptions and Workload Impact of a Standardized Emergence Delirium Assessment Scale in a Postanesthesia Care Unit.

Journal Article Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses · August 2019 PurposeEmergence delirium (EDL) is a psychomotor behavioral phenomenon that occurs immediately after emergence from general anesthesia. EDL is nearly 1.5 times more common among military than nonmilitary patients. Indirect delirium scales have pre ... Full text Cite

Preparing for Total Power Failure in the Operating Room.

Journal Article AANA journal · August 2019 Total electrical power failure in the operating room is an uncommon event, but when it occurs, it poses a major threat to patient safety. Perhaps the most curable threat to patient safety is the lack of provider knowledge regarding what equipment capabilit ... Cite

Recertification and Reentry to Practice for Nurse Anesthetists, Phase II: Evaluating Reentry to Anesthesia Practice Using High-Fidelity Simulation Technology

Journal Article Journal of Nursing Regulation · July 1, 2019 Background: Certified Registered Nurse Anesthetists (CRNAs) who fail to comply with the Continued Professional Certification Program, or those out of practice for an extended time, must recertify with the National Board of Certification and Recertification ... Full text Cite

Preemptive Oral Acetaminophen for Women Undergoing Total Laparoscopic Hysterectomy.

Journal Article Nursing for women's health · April 2019 ObjectiveTo decrease hospital expenses by administering oral acetaminophen rather than intravenous (IV) acetaminophen to women who undergo laparoscopic hysterectomy.DesignA quality improvement project using a between-groups, pre-/postimpl ... Full text Cite

CPC: One Member's Perspective.

Journal Article AANA journal · June 2015 Cite

CPC: One Member's Perspective

Journal Article AANA journal · June 1, 2015 Cite

Pre-ictal bispectral index values; are they accurate?

Journal Article British journal of anaesthesia · March 2015 Full text Cite

Chapter 1 posttraumatic stress disorder: a view from the operating theater.

Journal Article Annual review of nursing research · January 2014 Posttraumatic stress disorder (PTSD) is an anxiety disorder that develops following exposure to a traumatic event. The prevalence and symptom severity of PTSD is greater in military combat Veterans than the civilian population. Although PTSD is a psychiatr ... Full text Cite