13468 research outputs found
Sort by
Mrs. Mannerly
No full texthttps://digitalcommons.otterbein.edu/theatre_dance_gallery/5861/thumbnail.jp
The 2022 Classroom Project: Land of Ours
Get PDFLAND OF OURS is a brand-new play devised in rehearsal by an ensemble of Otterbein University actors, designers, stage managers, and directors. The play explores the centrality of travel and journeying to human experience. Drawing on the ensemble\u27s personal experiences, stories of mythical travel from legend and folklore, and travel explorations invented in rehearsal, LAND OF OURS is a theatrical journey that will transport you beyond the theater walls to a destination of the imagination.https://digitalcommons.otterbein.edu/production_2021-2022/1002/thumbnail.jp
Bridging the Gap Between Evidence Based Opioid Sparing Techniques and Anesthesia Provider Practice
Get PDFIn light of the current opioid epidemic in the United States, multiple sectors of health care specialties and nursing leaders have been called to aide in reversing this deadly opioid abuse trend. As a team, Certified Registered Nurse Anesthetists (CRNA), surgeons, and anesthesiologists have made great strides in developing evidence-based protocols titled Enhanced Recovery After Surgery (ERAS). ERAS protocols vary according to the surgical specialty; however, one universal component includes opioid sparing techniques such as peripheral nerve blocks. Despite ERAS protocol’s benefits throughout the perioperative period, according to the literature, many anesthesia groups across the nation are non-compliant with their protocols due to lack of “buy- in” and resistance to change traditional practice.
In particular, at a mid-size urban hospital, it was reported by key stakeholders that anesthesia providers are not compliant with the facility’s gynecology ERAS protocol which promotes opioid sparing techniques such as transverse abdominal plane (TAP) blocks/lidocaine infusions. The Gynecology Surgery ERAS protocol at this medical center was implemented in June of 2019. A six-month audit of gynecological surgeries between July and November of 2019, revealed that only 67 percent of the gynecology surgeries cases utilized TAP blocks or lidocaine infusions, indicating a possible clinical gap in practice. Prior to this project, reasons for lack of compliance with ERAS use of TAP blocks and lidocaine infusion administration among anesthesia providers was unknown.
The purpose of this project was to identify the key reasons anesthesia providers were not utilizing the established ERAS guidelines and provide recommendations to the leadership that had authority to mitigate this issue and improve clinical practice of anesthesia providers caring for gynecology surgical patients
Evidence Based Practice Strategies: Using Price Lists and Peer Coaching to Improve Medication Cost Containment and Documentation Practices in Anesthesia Providers at an Urban Level One Trauma Center
Get PDFAccording to the American Association of Nurse Anesthetists (AANA) guidelines for Documenting Anesthesia Care Practice and Policy Considerations, anesthesia provider documentation represents a detailed account of the patient’s anesthesia care during various phases of anesthesia during their hospital stay (Documenting Anesthesia Care: Practice and Policy Considerations, 2016). The primary purpose of anesthesia documentation is to capture accurate and comprehensive information communicating a patient’s anesthetic experience, which includes the documentation of all administered medications. The patient’s electronic or written medical record is a legal document, which is also referenced for reimbursement, quality improvement, and review by external organizations for institutional accreditation. Despite the AANA guidelines and the existence of current hospital policy on medication administration, documentation, and reconciliation, recent discussions with key stakeholders from the pharmacy and anesthesia service departments revealed that the documentation practice of anesthesia providers at an urban level one trauma center are not aligned with policy to document regional anesthetic medications in the medical administration record (MAR) as required (S.J. Hyland, personal communication, May 26, 2020). According to the Anesthesia Practice Administrator at an urban level one trauma center, there are currently $70,000 in unbilled medication charges by anesthesia each month at the facility (J. Lenihan, personal communication, February 25, 2021). This project seeks to address one component of this cost capture gap by implementing evidence-based interventions aimed at improving the rates of local anesthetic and additive medication documentation such as exposure to medication pricing at the site of care and peer coaching (Goetz et al., 2015; Schwellnus & Carnahan, 2014; Silvestri et al., 2016). The following objectives have been established to achieve the aim of this project: 1) create and display price lists for commonly used local anesthetic medications and additives for peripheral nerve blocks at the site of care; 2) facilitate peer-based intervention that involves visual and verbal coaching related to appropriate documentation practice; 3) compare revenue loss data for local anesthetics and additives prior to and for two months following the introduction of peer coaching and placement of pricing lists at the point of care; and lastly, 4) provide recommendations for sustainment and continued monitoring to key stakeholders and anesthesia leadership
Early Childhood Intervention Curriculum Creation: Using Playful Project-Based Learning
Get PDFThe purpose of this study is to present an early intervention curriculum incorporating Project-Based Learning (PBL) and opportunities for play. The project aims to answer the questions: What does a Project-Based Learning curriculum model look like in high quality early childhood special education? How does PBL curriculum work in conjunction with play? The created curriculum answers these questions based on a review of research and guidance from three theoretical frameworks: a Vygotskian Tools of the Mind approach (Bodrova & Leong, 1996), implementation of PBL in early childhood (Lev et al., 2020) and the early intervention Building Blocks framework (Sandall et al., 2019). Early learning standards and differentiation strategies are embedded throughout the curriculum’s high-quality early learning environment set up, sample daily schedule, lessons for daily routines, lessons for rotational small group play centers, and four-week PBL unit. The proposed curriculum is designed for inclusive early learning settings (ages three to six years old) for peers and students who qualify for preschool special education services under Individuals with Disabilities Education Act (IDEA)
Something Rotten
No full texthttps://digitalcommons.otterbein.edu/theatre_dance_gallery/5606/thumbnail.jp
Chronic Obstructive Pulmonary Disease Pathophysiology
Get PDFThis poster presentation overviews the pathophysiologic process and accompanying disease characteristics associated with Chronic Obstructive Pulmonary Disease (COPD). COPD is a leading cause of mortality worldwide. Studies suggest that its incidence will only increase in the future. COPD risk factors include smoking tobacco, environmental chemical/pollution irritants, and genetic predisposition. Smoking is the most common cause of COPD, and cessation can improve patient outcomes drastically. This chronic obstructive pulmonary disease overview discusses the importance of knowledge of COPD, signs, symptoms, pathophysiology, peri-operative management, treatments, and prevention
2012 Fall Picture with Ning Li doing Presentation at the Courtright Memorial Library
No full textPicture of Ning Li, Chinese Exchange Librarian, from Southwest Jiaotong University, doing presentation about Southwest Jiaotong University at the Otterbein University Courtright Memorial Library.https://digitalcommons.otterbein.edu/chinaexchange_images/1005/thumbnail.jp