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Development and Implementation of an Ultrasound-Guided Peripheral Intravenous Catheter Insertion Training Program for Student Registered Nurse Anesthetists
Get PDFThe American Association of Nurse Anesthetists (AANA) has defined the scope of nurse anesthesia practice to include services in acute, chronic, and interventional pain management, as well as the use of ultrasound (U/S) and other diagnostic technologies. However, there are no standard curriculum requirements in place that mandate graduate programs to educate student nurse anesthetists in U/S-related modalities. In addition to the AANA, the use of U/S in nurse anesthesia practice has recently been adopted by The Council on Accreditation of Nurse Anesthesia Educational Programs (COA), which characterizes U/S use by its clinical impact on the reduction in complications, increased effectiveness of regional anesthesia, and enhanced quality of vascular catheter placement. The COA has strongly recommended that student registered nurse anesthetists (SRNA) have U/S education incorporated into their curriculum for its use both in regional anesthesia and vascular access.
Currently, a Nurse Anesthesia Program (NAP) at a private university in the Midwest incorporates both didactic and simulation-based experiences into the education and training of SRNAs to establish a strong foundation of knowledge and proficiency upon which a safe and effective nurse anesthesia practice can be built. However, despite the COA recommendations and surmounting evidence supporting the use of simulation-based education in improving U/S knowledge and skill proficiency, the NAP did not have a formal ultrasound training course within its curriculum to prepare its SRNAs for the clinical setting. Consequently, a recent audit report conducted by the Director of the NAP revealed that 54.7 percent of the program’s SRNAs (N = 64) have never received any U/S training prior to entering the NAP (B. Garrett, personal communication, August 1, 2021). Given the recent data and the COA recommendations, the NAP recognized a critical need to educate SRNAs in the utilization of U/S in a simulation-based
DEVELOPMENT AND IMPLEMENTATION OF AN ULTRASOUND PROGRAM 3
environment prior to entering their clinical practice rotations. Therefore, the purpose of the quality improvement project was to determine whether the implementation of a simulation-based U/S-guided peripheral intravenous catheter placement (U/SGPIV) training workshop would improve clinical knowledge and skill proficiency among the NAP SRNAs.
The following objectives and methods were framed using the quality improvement Plan- Do-Check-Act (PDCA) Model and were established to achieve the project’s overall aim: 1) review and synthesize the evidence from the literature, AANA guidelines, and COA recommendations towards the development of an U/S training workshop using simulation-based techniques; 2) develop and implement a simulation-based U/SGPIV course; 3) evaluate the effects of the workshop on SRNA’s clinical knowledge and proficiency related to U/S and U/SGPIV; 4) develop plan for sustainability and present project findings (e.g., pre- and post- intervention observational clinical audit data and identified compliance barriers/lessons learned), evidence-based recommendations, and a sustainment plan to the key program faculty stakeholders as well as NAP executive leaders. The project was significant as it helped the NAP in its efforts to comply with the AANA guidelines and COA requirements for education programs to incorporate U/S training into their program curriculums in preparing its SRNAs for the clinical settings
Nutritional Management: Head and Neck Cancer
Get PDFNutritional management in head and neck cancer patients will help to promote treatment compliance and reduction of treatment-related co-morbidities
Everybody (2023)
No full texthttps://digitalcommons.otterbein.edu/theatre_dance_gallery/5693/thumbnail.jp
Everybody (2023)
No full texthttps://digitalcommons.otterbein.edu/theatre_dance_gallery/5695/thumbnail.jp
Bright Star (2023)
No full texthttps://digitalcommons.otterbein.edu/theatre_dance_gallery/5729/thumbnail.jp
Everybody (2023)
No full texthttps://digitalcommons.otterbein.edu/theatre_dance_gallery/5667/thumbnail.jp
No-Show Rates in Community Mental Health Clinics
Get PDFNow Show Rates in Community Mental Health Clinics
No-show rates in community mental health clinics are typically higher than in other areas of healthcare. No show rates have a negative impact upon patients, clinics, and communities.
Mental illness has reached an all-time high in the U.S. In his first State of the Union address, President Joe Biden stated that our country faces an “unprecedented mental health crisis among people of all ages.” Evidence well supports his statement. To extinguish this crisis, all barriers to mental health care must be evaluated and attacked from all possible angles. Increasing access to mental health care must be a priority considering the magnitude of this problem. One factor affecting mental health care is appointment non-adherence. Even when mental health care is accessible, and even when the initial appointment is scheduled, as many 60% of all clients may not show for their initial appointment. One cannot receive treatment if they do not show up for their appointment. What interventions can be implemented to assist a person with a mental illness to show up for their initial appointment?
This project aims to explore and understand some of the possible barriers to accessing mental health care in the United States. Although the barriers may seem numerous, even insurmountable, nursing professionals have a responsibility to analyze and evaluate healthcare policy and clinical practice in order to advocate for social justice and equity of healthcare for all, especially for those individuals who may not have the means to advocate on their own behalf.
The project then turns the focus to the question, in a rural Midwest community mental health clinic that serves primarily underserved populations, how does a patient-centered, caring approach, such as a personal engagement intervention, impact patient no-show rates over 90 days?
Through the development of a quality improvement project, clients were contacted weekly while waiting for their intake appointment. The results of this project conclude that a weekly personal engagement does not reduce no-show rates over a 90-day trial. Incidentally, this project reinforces that longer wait times for initial appointment increases the likelihood of a no-show.
The author encourages other professionals of community mental health practices to implement and evaluate quality improvement interventions that may impact no-show rates in community mental health clinics and disseminate the findings so that appointment non-adherence can be decreased, allowing mental health treatment to be maximized for underserved populations
Promoting Teacher Wellbeing: A Book Study
Get PDFThe purpose of this project is to present a professional development curriculum that promotes teacher wellbeing through a book study. The curriculum was developed considering the following research question: How can a book study be used to support strategies for teacher wellbeing? The frameworks used to answer the research question and create the curriculum were PLC Book Study Guide (FLDOE, n.d.) and Professional Book Study (UFT Teacher Center, n.d.). The proposed book study is planned to take place over a six-month period and includes four meetings. A list of pre-selected books that promote teacher wellbeing, a sample book study invitation, monthly reading schedule, group norms and roles, reading guide, and protocols for each meeting are included in the curriculum. Teacher leaders can use the created curriculum to promote teacher wellbeing through a book study
2023 Nurse Anesthesia Graduation Awards Ceremony Program
Get PDFProgram for the 2023 Otterbein University Nurse Anesthesia Graduation Awards Ceremony.https://digitalcommons.otterbein.edu/commencement/1012/thumbnail.jp