2.50
Hdl Handle:
http://hdl.handle.net/10755/162880
Type:
Presentation
Title:
A Quality Improvement Project to Simplify Emergency Thoracotomy
Abstract:
A Quality Improvement Project to Simplify Emergency Thoracotomy
Conference Sponsor:Emergency Nurses Association
Conference Year:2003
Author:O'Loughlin, Maryann, BSN, CCRN, CFRN, CEN
Contact Telephone:503/494-0400
Co-Authors:Laura Criddle, RN, MS, CEN
Clinical Topic: A multidisciplinary group of trauma team members identified a need to simplify the open thoracotomy tray used in the resuscitation area of our level 1 trauma center. In the course of conducting mock thoracotomy drills, it became evident that both nurses and physicians in our institution were unfamiliar and confused the majority of the fifty or more instruments contained in the standard OR thoracotomy tray. Since emergency thoracotomies are an infrequent yet high-risk procedure, we decided to modify the tray to facilitate rapid patient care in emergent situations. Implementation: In a joint effort between attending surgeons, trauma nurse practitioners, sterile processing personnel, and trauma nursing staff, the contents of the tray were reviewed and six essential instruments for opening the chest were identified. These half dozen items are now packaged and sterilized separately. Then they are placed on top of the standard thoracotomy tray. This gives the trauma team immediate access to the most crucial instruments while it still provides a complete tool set, if needed. Outcomes: Although open thoracotomies are rarely performed in our emergency department, they can be lifesaving and must be performed quickly and efficiently. Utilization of an abbreviated tray has: 1) Shortened tray setup time; 2) decreased the amount of time required to locate the correct instruments; and 3) reduced staff stress associated with emergent thoracotomies. Persons interviewed after using the new tray stated that it was considerably easier to manage and was less confusing than trying to quickly find what was needed amongst the baffling array of instruments in the full thoracotomy tray. All staff members involved with emergency thoracotomies have been very pleased with the switch to a simplified tray. Recommendations: From its inception, the abbreviated thoracotomy tray was quickly accepted and has since been adopted by other areas of the hospital including the Cardiac-Surgical ICU and the Trauma-Neuro ICU. Replication of this quality improvement project may be beneficial to other institutions that care for a similar patient population. [Clinical Poster]
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.titleA Quality Improvement Project to Simplify Emergency Thoracotomyen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162880-
dc.description.abstract<table><tr><td colspan="2" class="item-title">A Quality Improvement Project to Simplify Emergency Thoracotomy</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">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">O'Loughlin, Maryann, BSN, CCRN, CFRN, CEN</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">503/494-0400</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">flytrn2000@aol.com</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Laura Criddle, RN, MS, CEN</td></tr><tr><td colspan="2" class="item-abstract">Clinical Topic: A multidisciplinary group of trauma team members identified a need to simplify the open thoracotomy tray used in the resuscitation area of our level 1 trauma center. In the course of conducting mock thoracotomy drills, it became evident that both nurses and physicians in our institution were unfamiliar and confused the majority of the fifty or more instruments contained in the standard OR thoracotomy tray. Since emergency thoracotomies are an infrequent yet high-risk procedure, we decided to modify the tray to facilitate rapid patient care in emergent situations. Implementation: In a joint effort between attending surgeons, trauma nurse practitioners, sterile processing personnel, and trauma nursing staff, the contents of the tray were reviewed and six essential instruments for opening the chest were identified. These half dozen items are now packaged and sterilized separately. Then they are placed on top of the standard thoracotomy tray. This gives the trauma team immediate access to the most crucial instruments while it still provides a complete tool set, if needed. Outcomes: Although open thoracotomies are rarely performed in our emergency department, they can be lifesaving and must be performed quickly and efficiently. Utilization of an abbreviated tray has: 1) Shortened tray setup time; 2) decreased the amount of time required to locate the correct instruments; and 3) reduced staff stress associated with emergent thoracotomies. Persons interviewed after using the new tray stated that it was considerably easier to manage and was less confusing than trying to quickly find what was needed amongst the baffling array of instruments in the full thoracotomy tray. All staff members involved with emergency thoracotomies have been very pleased with the switch to a simplified tray. Recommendations: From its inception, the abbreviated thoracotomy tray was quickly accepted and has since been adopted by other areas of the hospital including the Cardiac-Surgical ICU and the Trauma-Neuro ICU. Replication of this quality improvement project may be beneficial to other institutions that care for a similar patient population. [Clinical Poster]</td></tr></table>en_GB
dc.date.available2011-10-27T10:35:43Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:35:43Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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