2.50
Hdl Handle:
http://hdl.handle.net/10755/154558
Type:
Presentation
Title:
What We Learned From a Children's Hospital's Same-Day-Surgery Records
Abstract:
What We Learned From a Children's Hospital's Same-Day-Surgery Records
Conference Sponsor:Sigma Theta Tau International
Conference Year:2004
Conference Date:July 22-24, 2004
Author:Lehna, Carlee R., RN, MS, CS, FNP-C
P.I. Institution Name:Shriners Burns Hospital
Title:Director of Nursing Education
Co-Authors:Janet Marvin, RN, MS; Karen Duval, RN, AD
Objective. The purpose of this research was twofold: to determine how many children classified as same-day-surgery patients were discharged and for those admitted, why were they admitted. Design. This study was a retrospective chart review. Population, Sample, Setting, & Years. The charts of children (birth to age 18) classified as same-day-surgery patients from one southwestern Gulf coast children’s burn hospital were reviewed from January 1, 2002 until April 30, 2003. A total of seven hundred and eighty-six charts were reviewed. Findings. Admissions occurred for 181 children of the 768 (24%) children’s charts reviewed. Of those admitted, multiple categories were identified as the reason for one admission for a total of 256 complications. The three main reasons for admission were: being too sedated for safe discharge to home without admission (n = 58 or 23%), pain (n = 45 or 18%), or nausea and vomiting (n = 38 or 15%). These three reasons accounted for 55% of the admissions, with some children’s admissions due to more than one of these three major reasons. Conclusions. The classification of same-day-surgery post procedure needs to be reviewed with an explanation of criteria. Further study of the category “being to sedated,” and better understanding of medications effective in preventing postoperative pain and nausea and vomiting is indicated. Implications. Mislabeling a patient admission can lead to inadequate family preparation, expectations, and ambiguous outcomes. Contributing factors that lengthen effects of sedation and increase potential for admission, as well as increase number of procedures with subsequent, lengthening of time under anesthesia, need assessment during the pre-surgery interval. Improved clinical understanding of which medications, dosages, and frequencies work best with children to prevent post-operative pain and nausea and vomiting is an important patient outcome. As the same-day-surgery population is constantly changing, ongoing monitoring of procedures and outcomes becomes essential.
Repository Posting Date:
26-Oct-2011
Date of Publication:
22-Jul-2004
Sponsors:
Sigma Theta Tau International

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleWhat We Learned From a Children's Hospital's Same-Day-Surgery Recordsen_GB
dc.identifier.urihttp://hdl.handle.net/10755/154558-
dc.description.abstract<table><tr><td colspan="2" class="item-title">What We Learned From a Children's Hospital's Same-Day-Surgery Records</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Sigma Theta Tau International</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2004</td></tr><tr class="item-conference-date"><td class="label">Conference Date:</td><td class="value">July 22-24, 2004</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Lehna, Carlee R., RN, MS, CS, FNP-C</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Shriners Burns Hospital</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Director of Nursing Education</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">clehna@shrinenet.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Janet Marvin, RN, MS; Karen Duval, RN, AD</td></tr><tr><td colspan="2" class="item-abstract">Objective. The purpose of this research was twofold: to determine how many children classified as same-day-surgery patients were discharged and for those admitted, why were they admitted. Design. This study was a retrospective chart review. Population, Sample, Setting, &amp; Years. The charts of children (birth to age 18) classified as same-day-surgery patients from one southwestern Gulf coast children&rsquo;s burn hospital were reviewed from January 1, 2002 until April 30, 2003. A total of seven hundred and eighty-six charts were reviewed. Findings. Admissions occurred for 181 children of the 768 (24%) children&rsquo;s charts reviewed. Of those admitted, multiple categories were identified as the reason for one admission for a total of 256 complications. The three main reasons for admission were: being too sedated for safe discharge to home without admission (n = 58 or 23%), pain (n = 45 or 18%), or nausea and vomiting (n = 38 or 15%). These three reasons accounted for 55% of the admissions, with some children&rsquo;s admissions due to more than one of these three major reasons. Conclusions. The classification of same-day-surgery post procedure needs to be reviewed with an explanation of criteria. Further study of the category &ldquo;being to sedated,&rdquo; and better understanding of medications effective in preventing postoperative pain and nausea and vomiting is indicated. Implications. Mislabeling a patient admission can lead to inadequate family preparation, expectations, and ambiguous outcomes. Contributing factors that lengthen effects of sedation and increase potential for admission, as well as increase number of procedures with subsequent, lengthening of time under anesthesia, need assessment during the pre-surgery interval. Improved clinical understanding of which medications, dosages, and frequencies work best with children to prevent post-operative pain and nausea and vomiting is an important patient outcome. As the same-day-surgery population is constantly changing, ongoing monitoring of procedures and outcomes becomes essential.</td></tr></table>en_GB
dc.date.available2011-10-26T13:05:39Z-
dc.date.issued2004-07-22en_GB
dc.date.accessioned2011-10-26T13:05:39Z-
dc.description.sponsorshipSigma Theta Tau Internationalen_GB
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