1734 research outputs found
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Early Detection of Sepsis
Get PDFThe aim for this project was to improve early identification and intervention for sepsis to lower mortality rates and increase sepsis order set usage.
Key Drivers: Sepsis mortality rate is higher than compare groups Sepsis Order Set utilization is low Sepsis core measure performance is below benchmarkhttps://digitalcommons.centracare.com/nursing_posters/1124/thumbnail.jp
It\u27s Time to Break Old Habits: Admitting STEMIs to the Telemetry Unit
Get PDFBeginning December 2020 uncomplicated ST-Elevated MI patients will be admitted directly to Telemetry following intervention instead of CICU.
June 2020: Review and develop evidence- based exclusion criteria for admission to Telemetry
June 2020: Create a process for communication between the nursing supervisor, cath lab, Telemetry Unit and CICU for patient placement
Fall 2020: Meeting with Telemetry and CICU charge nurse, nursing supervisor and cath lab RN to discuss communication process
Dec 2020: Begin tracking STEMI patients Unit admitted to (Telemetry or CICU/ICU) Requiring transfer to CICU/ICU from Telemetryhttps://digitalcommons.centracare.com/nursing_posters/1120/thumbnail.jp
ICU Liberation: Early Mobility and Exercise
Get PDFICU Liberation:
The Society of Critical Care Medicine’s (SCCM) Intensive Care Unit (ICU) Liberation Bundle was created to reduce the harmful effects of events that occur in the ICU setting. Early mobility and exercise is part “E” of the ICU Liberation Bundle; goals are to reduce ICU and hospital length of stay (LOS), prevent readmissions, reduce discharges to long term care facilities, reduce delirium and coma days, and reduce likelihood of hospital mortality (SCCM, 2021)https://digitalcommons.centracare.com/nursing_posters/1130/thumbnail.jp
Very Important Discharge Appointment (VIDA)
Get PDFTo improve patient flow, access, and decrease strain on resources by enhancing the current process of Discharge and Loop Back Huddle by identifying two patients for early discharge the next day.
Current Practices: Discharge huddle and Loopback (Discuss care progression for all pts) Discharge planning using the IDEAL Model (Patient and Family Engagement with Discharge) Electronic Discharge Readiness Tools (Exp Discharge Date, Discharge milestones, etc.)
Next piece of the puzzle: VIDA: a framework to identify 2 patients to be discharged before 11 am – so the bulk of our discharges do not occur between Noon and 4:00 pm. Decreasing the strain on internal and external resources.https://digitalcommons.centracare.com/nursing_posters/1131/thumbnail.jp
A Multidisciplinary Approach to Reduce Complications from Blind Small Bore Feeding Tube (SBFT) Insertion
Get PDFBetween 2019 and 2021, six lung perforations related to blind placement of SBFTs.
A multidisciplinary team reviewed current methods of placing SBFTs and the feasibility of each: Fluoroscopy 2 Step X-Ray Capnography Electromagnetic visualization
Capnography was selected as a safe and cost-effective way to attempt to identify insertion location in real time. Four team members were selected and trained to insert SBFT using capnography Each placement attempt and outcome of placement was tracked Outcomes were identified as successful or unsuccessful Any adverse events were to be trackedhttps://digitalcommons.centracare.com/nursing_posters/1122/thumbnail.jp
Perioperative Glucose Monitoring Protocol
Get PDFCurrently, there is no established glucose management protocol for our surgical patients. Poor outcomes related to hyperglycemia may include increased morbidity/mortality, surgical site infection (SSI), sepsis, renal, and cardiac concerns. The purpose of this protocol is to improve the care and outcomes for surgical patients through a consistent standardization of glucose management.https://digitalcommons.centracare.com/nursing_posters/1129/thumbnail.jp
Nurse Practitioner Programs: Selection Factors and the student Experience
No full textNurse practitioner (NP) education has faced numerous challenges related to the changing healthcare landscape, shortages of faculty, and limited resources to meet the needs of NP students. The changes within NP education have impacted students, both positively and negatively. This purpose of this review of the literature is to gain an understanding of the primary care NP student perspective related to selecting a NP program, faculty and peer relationships, program success versus attrition, clinical experiences, and transition to practice. Gaps in the literature encompassing NP education will be reviewed. Finally, recommendations will be given for prospective NP students as well as NP educators
Familial Factors in the Development of Social Anxiety Disorder
Get PDFThe purpose of the current article is to explore familial factors that influence the development of social anxiety disorder (SAD) in children and adolescents, including parenting, sibling relationships, and family environment. A multitude of interrelated genetic and familial factors have been found to cause and maintain SAD in children and adolescents. There are many challenges in diagnosing and treating the disorder. Knowledge and awareness of familial factors provide insight on targeted treatments that prevent or ameliorate SAD
Implementation and Standardization of Evidence Based Practice for Reprocessing of Flexible Endoscopes
Get PDFTo improve patient safety and quality of care by implementing a standardized process for high level disinfection (HLD) of flexible endoscopeshttps://digitalcommons.centracare.com/nursing_posters/1110/thumbnail.jp
Routine Post Surgical Vital Signs: Time for a Change
Get PDFPurpose Statement:
The purpose of this evidence-based practice project is to evaluate the current routine post operative vital signs and determine if reduced frequency of vital signs is as effective in identifying deterioration after a post anesthesia care unit (PACU) discharge.
Synthesis of Evidence: Patient survival in the post operative time period is maximized with the recognition and management of abnormal vital signs Post op periods can carry great respiratory and circulatory complications, which are identified by abnormal vital signs especially heart rate and blood pressure Multiple sources have identified that current frequency of post operative vital signs is based on traditional rather than literature There are minimal resources identifying any standards of practice for post surgical vital sign monitoring after a patient leaves the PACUhttps://digitalcommons.centracare.com/nursing_posters/1140/thumbnail.jp