2.50
Hdl Handle:
http://hdl.handle.net/10755/162379
Type:
Presentation
Title:
Dr. Ice - Implementing Evidence Based Practice for Better Patient Outcome
Abstract:
Dr. Ice - Implementing Evidence Based Practice for Better Patient Outcome
Conference Sponsor:Emergency Nurses Association
Conference Year:2010
Author:Furr, Jennifer, RN, BSN
P.I. Institution Name:Methodist LeBonheur Healthcare University Emergency Dept.
Title:Clinical Educator
Contact Address:1265 Union Avenue, Memphis, TN, 38104, USA
Contact Telephone:901-516-7600
Co-Authors:Rebecca Smith, RN, BSN; Kathleen Grzeskiewicz, RN, BSN
[ENA Annual Conference - Evidence-based Practice Presentation]

Purpose: Research has shown that the use of hypothermia in post cardiac arrest patients results in improved outcomes for these patients. Emergency Department (ED) practices in the mid-south had no tools in place to implement hypothermia as a treatment modality for patients experiencing sudden cardiac arrest.

Design: Induced hypothermia protocols were written to ensure patient safety and quality of care. In-services, self-directed educational packets and post-tests were used to educate staff on the benefits of, and the procedure for, implementing hypothermia. Mock drills, in collaboration with the Memphis Fire Department (MFD), were conducted to ensure both ED and pre-hospital staff was proficient in both the protocol and appropriate care delivery.

Setting: The hypothermia protocol was implemented in a thirty-five bed urban ED that serves a large, metropolitan mid-south city, with approximately 54,000 visits yearly. As one of the two remaining ED's in the downtown area, medical care is provided to a diverse population of patients. These patients commonly face problems stemming from: drug abuse, lack of education, low socio-economic status and little to no preventative or follow up care.

Participants: Dr. Ice patients are screened for Hypothermia Protocol based on specific inclusion and exclusion criteria. Inclusion criteria examples are presenting rhythm, time elapsed from event, Glasgow Coma Scale and blood pressure. Exclusion criteria include Body Mass Index (BMI), active bleeding and systemic infection.

Methods: The ED leadership team partnered with physicians to write an initial protocol. The ED collaborated with first responders to educate staff on rapid recognition of patients meeting criteria for hypothermia protocol. This ensures the rapid initiation of hypothermia (EMS begins treatment in the field with infusion of cooled saline) and a seamless transition from pre-hospital to intra-hospital care. Educational packets, in-services and protocols were written according to evidence based practice.

Results/Outcomes: Case reviews of thirteen patients in an eight month period treated under this modality were conducted to determine effects of therapy. This review included patient health history, complications during and following the rescue and discharge status. It furthers compares pre cardiac event baseline status to post event (discharge) baseline status. This data supports the importance of hypothermia in returning post cardiac arrest patients to baseline status. Hypothermia protocol is a successful tool for improving patient outcomes and quality of care.

Implications: Immediate specific response in cardiac crisis saves precious minutes required to prevent damaged cardiac muscle and traumatic neurological injury. Improved patient outcomes result in shorter lengths of stay and decreased use of unnecessary resources, while still providing high quality patient care. Since EMS and ED's are often the first responders to these cardiac crises, it is imperative that a comprehensive educational plan and effective protocol for induced hypothermia is implemented. Implementing evidence based, streamlined approach to the care of sudden cardiac death patients provides the possibility of a return to baseline status, an improvement in patient outcomes and quality of life.
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleDr. Ice - Implementing Evidence Based Practice for Better Patient Outcomeen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162379-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Dr. Ice - Implementing Evidence Based Practice for Better Patient Outcome</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2010</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Furr, Jennifer, RN, BSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">Methodist LeBonheur Healthcare University Emergency Dept.</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Clinical Educator</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1265 Union Avenue, Memphis, TN, 38104, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">901-516-7600</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">furj@methodisthealth.org</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Rebecca Smith, RN, BSN; Kathleen Grzeskiewicz, RN, BSN</td></tr><tr><td colspan="2" class="item-abstract">[ENA Annual Conference - Evidence-based Practice Presentation] <br/><br/>Purpose: Research has shown that the use of hypothermia in post cardiac arrest patients results in improved outcomes for these patients. Emergency Department (ED) practices in the mid-south had no tools in place to implement hypothermia as a treatment modality for patients experiencing sudden cardiac arrest. <br/><br/>Design: Induced hypothermia protocols were written to ensure patient safety and quality of care. In-services, self-directed educational packets and post-tests were used to educate staff on the benefits of, and the procedure for, implementing hypothermia. Mock drills, in collaboration with the Memphis Fire Department (MFD), were conducted to ensure both ED and pre-hospital staff was proficient in both the protocol and appropriate care delivery. <br/><br/>Setting: The hypothermia protocol was implemented in a thirty-five bed urban ED that serves a large, metropolitan mid-south city, with approximately 54,000 visits yearly. As one of the two remaining ED's in the downtown area, medical care is provided to a diverse population of patients. These patients commonly face problems stemming from: drug abuse, lack of education, low socio-economic status and little to no preventative or follow up care. <br/><br/>Participants: Dr. Ice patients are screened for Hypothermia Protocol based on specific inclusion and exclusion criteria. Inclusion criteria examples are presenting rhythm, time elapsed from event, Glasgow Coma Scale and blood pressure. Exclusion criteria include Body Mass Index (BMI), active bleeding and systemic infection. <br/><br/>Methods: The ED leadership team partnered with physicians to write an initial protocol. The ED collaborated with first responders to educate staff on rapid recognition of patients meeting criteria for hypothermia protocol. This ensures the rapid initiation of hypothermia (EMS begins treatment in the field with infusion of cooled saline) and a seamless transition from pre-hospital to intra-hospital care. Educational packets, in-services and protocols were written according to evidence based practice. <br/><br/>Results/Outcomes: Case reviews of thirteen patients in an eight month period treated under this modality were conducted to determine effects of therapy. This review included patient health history, complications during and following the rescue and discharge status. It furthers compares pre cardiac event baseline status to post event (discharge) baseline status. This data supports the importance of hypothermia in returning post cardiac arrest patients to baseline status. Hypothermia protocol is a successful tool for improving patient outcomes and quality of care. <br/><br/>Implications: Immediate specific response in cardiac crisis saves precious minutes required to prevent damaged cardiac muscle and traumatic neurological injury. Improved patient outcomes result in shorter lengths of stay and decreased use of unnecessary resources, while still providing high quality patient care. Since EMS and ED's are often the first responders to these cardiac crises, it is imperative that a comprehensive educational plan and effective protocol for induced hypothermia is implemented. Implementing evidence based, streamlined approach to the care of sudden cardiac death patients provides the possibility of a return to baseline status, an improvement in patient outcomes and quality of life.</td></tr></table>en_GB
dc.date.available2011-10-27T10:27:11Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:27:11Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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