2.50
Hdl Handle:
http://hdl.handle.net/10755/164232
Category:
Abstract
Type:
Presentation
Title:
Multidisciplinary Approach To Protocol Development
Author(s):
Bixby, Marcia; Picard, Kathy
Author Details:
Marcia Bixby, RN, MS, CS, CCRN, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA, email: nacnsorg@nacns.org; Kathy Picard, RN, MS, CCRN
Abstract:
Problem: Our challenge is to develop and maintain consistent practice guidelines across 8 critical care units with very diverse patient populations, physically located on 2 separate campuses. Purpose: The purpose of this project is to facilitate development of a sedation protocol through a multidisciplinary committee that will be utilized in all critical care areas. Significance/Justification: Evidence based practice dictates the use of protocols to guide a consistent practice by all healthcare providers. Practice Innovation/Methodology: As CNSs we facilitated a practice committee to develop several protocols for use in critical care. Protocol implementation by the CNSs included education, monitoring for compliance and evaluating this process for improvement of patient outcomes. Although this process was undertaken for protocol development in critical care, any multidisciplinary group or committee that wishes to standardize practice can apply this model. Outcomes: Data are being collected and analyzed by a team from Health Care Quality as to impact on outcomes such as: length of stay, central line usage, line infections and wound and skin issues. Pharmacy costs and ventilator days will be reviewed one year after implementation of this protocol as well. Interpretation/Conclusion: Although too early to tell, initial interpretation of data tell us there is an approx. 40% decrease in infusions of sedation medications, bolus infusions of sedation medications is the same and length of stay in critical care for vented patients is slightly shorter. Limitations to outcomes from implementing our sedation protocol alone are due to simultaneous implementation of 3 protocols that all affect ventilator days, LOS and so forth. Implications for practice: The use of standard protocols to guide practice provides consistency in patient care delivery and can improve outcomes by decreasing mortality and morbidity.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2004
Conference Name:
2004 NACNS Conference, Renaissance in CNS Practice: Transforming Nursing in the 21st Century
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
San Antonio, Texas, USA
Description:
Conference theme: Renaissance in CNS Practice: Transforming Nursing in the 21st Century, held on March 11 to 13, 2004 in San Antonio, Texas, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleMultidisciplinary Approach To Protocol Developmenten_GB
dc.contributor.authorBixby, Marciaen_US
dc.contributor.authorPicard, Kathyen_US
dc.author.detailsMarcia Bixby, RN, MS, CS, CCRN, Beth Israel Deaconess Medical Center, Boston, Massachusetts, USA, email: nacnsorg@nacns.org; Kathy Picard, RN, MS, CCRNen_US
dc.identifier.urihttp://hdl.handle.net/10755/164232-
dc.description.abstractProblem: Our challenge is to develop and maintain consistent practice guidelines across 8 critical care units with very diverse patient populations, physically located on 2 separate campuses. Purpose: The purpose of this project is to facilitate development of a sedation protocol through a multidisciplinary committee that will be utilized in all critical care areas. Significance/Justification: Evidence based practice dictates the use of protocols to guide a consistent practice by all healthcare providers. Practice Innovation/Methodology: As CNSs we facilitated a practice committee to develop several protocols for use in critical care. Protocol implementation by the CNSs included education, monitoring for compliance and evaluating this process for improvement of patient outcomes. Although this process was undertaken for protocol development in critical care, any multidisciplinary group or committee that wishes to standardize practice can apply this model. Outcomes: Data are being collected and analyzed by a team from Health Care Quality as to impact on outcomes such as: length of stay, central line usage, line infections and wound and skin issues. Pharmacy costs and ventilator days will be reviewed one year after implementation of this protocol as well. Interpretation/Conclusion: Although too early to tell, initial interpretation of data tell us there is an approx. 40% decrease in infusions of sedation medications, bolus infusions of sedation medications is the same and length of stay in critical care for vented patients is slightly shorter. Limitations to outcomes from implementing our sedation protocol alone are due to simultaneous implementation of 3 protocols that all affect ventilator days, LOS and so forth. Implications for practice: The use of standard protocols to guide practice provides consistency in patient care delivery and can improve outcomes by decreasing mortality and morbidity.en_GB
dc.date.available2011-10-27T11:44:30Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:44:30Z-
dc.conference.date2004en_US
dc.conference.name2004 NACNS Conference, Renaissance in CNS Practice: Transforming Nursing in the 21st Centuryen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationSan Antonio, Texas, USAen_US
dc.descriptionConference theme: Renaissance in CNS Practice: Transforming Nursing in the 21st Century, held on March 11 to 13, 2004 in San Antonio, Texas, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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