2.50
Hdl Handle:
http://hdl.handle.net/10755/162477
Type:
Presentation
Title:
Dazed but not Confused: Sedation Documentation in the ED
Abstract:
Dazed but not Confused: Sedation Documentation in the ED
Conference Sponsor:Emergency Nurses Association
Conference Year:2008
Author:Little/Capstick, Stacey, RN, BSN
P.I. Institution Name:A.I. duPont Hospital for Children
Title:Staff Nurse in the ED
Contact Address:1600 Rockland Road, Wilmington, DE, 19899, USA
Contact Telephone:302-651-4000
[Clinical Poster] Clinical Topic: The overall importance of adhering to a quality improvement sedation protocol is to have accessibility of patient information, uniformity within an institution, and research. Department of Quality and Safety (DQS) identified the need to improve the overall documentation of the sedation assessment tool in Emergency Department (ED). There are 43 areas of documentation on the sedation flow sheet, in which 26 areas are audited. 48 Sedation flow sheets were completed correctly in the 3rd quarter. All the pertinent information includes patient's diagnosis/procedure, allergies, potential risk factors, weight, evaluation of physicians, NPO status, nursing assessment, medications, vital signs during procedure, post sedation assessments all on convenient form. Uniformity allows for proper data collection resulting in improved sedation outcomes and procedure. The purpose of this project is to improve the thorough completion of the sedation assessment tool throughout the institutions.

Implementation: The ED began to QI all sedation assessment tools due to the high number of incomplete sedation assessment tools. A checklist emphasizing areas of importance was developed. A team approach involving both physicians and nurses was executed by acknowledging individuals who had successfully completed the sedation flow sheet. These individuals have their names placed on a "dreamy documenter" which is displayed on a bulletin board. At the end of each quarter, two "dreamy documenter" are randomly selected to receive a gift card.

Outcome: Through staff education and diligent QI, our percentages of 100% complete forms have improved. The doctors need improvement in ASA score. The nurses need to improve documenting weight, SPO2, nursing signature, time completed, discharge date, and discharge time. The staff is notified of their performance during staff meetings by having their names announced.

Recommendations: The overall relevance of this clinical project for emergency nurses and physicians is to ensure proper and complete documentation of the sedation flow sheet. Having 100% documentation will help steer the future directions for The Pediatric Sedation Research Consortium (PSRC) to improve the process of pediatric sedation and sedation outcomes for all children.
The research of the PSRC informs healthcare providers with the latest evidence based practice most efficient and safe care delivery. The overall goal of the QI project as stated in the mission of PSRC is to "track changes in sedation care delivery that are made in our institutions and evaluate these changes for improvements in pediatric sedation."
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.titleDazed but not Confused: Sedation Documentation in the EDen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162477-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Dazed but not Confused: Sedation Documentation in the ED</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">2008</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Little/Capstick, Stacey, RN, BSN</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">A.I. duPont Hospital for Children</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Staff Nurse in the ED</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1600 Rockland Road, Wilmington, DE, 19899, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">302-651-4000</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">Capsrn@hotmail.com</td></tr><tr><td colspan="2" class="item-abstract">[Clinical Poster] Clinical Topic: The overall importance of adhering to a quality improvement sedation protocol is to have accessibility of patient information, uniformity within an institution, and research. Department of Quality and Safety (DQS) identified the need to improve the overall documentation of the sedation assessment tool in Emergency Department (ED). There are 43 areas of documentation on the sedation flow sheet, in which 26 areas are audited. 48 Sedation flow sheets were completed correctly in the 3rd quarter. All the pertinent information includes patient's diagnosis/procedure, allergies, potential risk factors, weight, evaluation of physicians, NPO status, nursing assessment, medications, vital signs during procedure, post sedation assessments all on convenient form. Uniformity allows for proper data collection resulting in improved sedation outcomes and procedure. The purpose of this project is to improve the thorough completion of the sedation assessment tool throughout the institutions. <br/> <br/>Implementation: The ED began to QI all sedation assessment tools due to the high number of incomplete sedation assessment tools. A checklist emphasizing areas of importance was developed. A team approach involving both physicians and nurses was executed by acknowledging individuals who had successfully completed the sedation flow sheet. These individuals have their names placed on a &quot;dreamy documenter&quot; which is displayed on a bulletin board. At the end of each quarter, two &quot;dreamy documenter&quot; are randomly selected to receive a gift card.<br/><br/>Outcome: Through staff education and diligent QI, our percentages of 100% complete forms have improved. The doctors need improvement in ASA score. The nurses need to improve documenting weight, SPO2, nursing signature, time completed, discharge date, and discharge time. The staff is notified of their performance during staff meetings by having their names announced. <br/><br/>Recommendations: The overall relevance of this clinical project for emergency nurses and physicians is to ensure proper and complete documentation of the sedation flow sheet. Having 100% documentation will help steer the future directions for The Pediatric Sedation Research Consortium (PSRC) to improve the process of pediatric sedation and sedation outcomes for all children. <br/>The research of the PSRC informs healthcare providers with the latest evidence based practice most efficient and safe care delivery. The overall goal of the QI project as stated in the mission of PSRC is to &quot;track changes in sedation care delivery that are made in our institutions and evaluate these changes for improvements in pediatric sedation.&quot;<br/></td></tr></table>en_GB
dc.date.available2011-10-27T10:28:52Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:28:52Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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