2.50
Hdl Handle:
http://hdl.handle.net/10755/165208
Category:
Abstract
Type:
Presentation
Title:
EVIDENCE BASED PRACTICE: "BLOOD PRODUCT ADMINISTRATION PUMP VERSUS GRAVITY"
Author(s):
Contreras, Rochelle; Murphy, Cynthia; Fetea, Mihaela
Author Details:
Rochelle Contreras, RN BSN, Assistant Nurse Manager, UT MD Anderson Cancer Center, Houston, Texas, USA, email: racontreras@mdanderson.org; Cynthia Murphy, RN, BC, MS; Mihaela Fetea, RN, OCN
Abstract:
The nursing resource pool (NRP) at a large comprehensive cancer center in the southwestern United States provides supplemental staffing to all inpatient nursing units. While providing staffing coverage, NRP nurses identified a variation in nursing practice with the administration of packed red blood cells (PRBCs). Over 37,000 units of PRBC's are administered annually by nurses at the cancer center. Nurses' practices for blood transfusion included administration by volumetric pump or by gravity. The evidence-based practice (EBP) process was utilized to identify supporting literature for transfusion of PRBCs via volumetric pump as a standard practice at our cancer center. In 2005, the organization implemented an evidence based practice program for clinical nurses to build nursing care practice on evidence rather than traditional standards. Clinical nurses were challenged to learn techniques to search the literature, develop evidence tables, and implement practices supported by evidence based research. The EBP process was utilized by the NRP team to examine the practice of packed red blood cell administration. A PICO question was developed and literature review was conducted to determine if a recommendation for blood administration via volumetric pumps was supported by evidence. The first step was to determine if the red blood cells administered by pump, degraded during transfusion thereby affecting the patient therapeutic benefit. The manufacturer of the pump utilized at the cancer center was contacted regarding independent research that evaluated the risk of hemolysis and its significance with blood product administration. The literature review revealed very little research supporting blood administration via a volumetric pump. Several references and nursing standards supported use of transfusion by pump, as long as, the pump manufacturer provided supporting evidence. Administration of blood products at a consistent rate was noted to prevent fluid overload and decrease risk of contamination. The team identified these factors as patient safety benefits The team will share the EBP journey for development of a practice recommendation. Based on the literature review, a recommendation was made to use a volumetric pump for PRBC transfusion.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2007
Conference Name:
32nd Annual Oncology Nursing Society Congress
Conference Host:
Oncology Nursing Society
Conference Location:
Las Vegas, Nevada, 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.titleEVIDENCE BASED PRACTICE: "BLOOD PRODUCT ADMINISTRATION PUMP VERSUS GRAVITY"en_GB
dc.contributor.authorContreras, Rochelleen_US
dc.contributor.authorMurphy, Cynthiaen_US
dc.contributor.authorFetea, Mihaelaen_US
dc.author.detailsRochelle Contreras, RN BSN, Assistant Nurse Manager, UT MD Anderson Cancer Center, Houston, Texas, USA, email: racontreras@mdanderson.org; Cynthia Murphy, RN, BC, MS; Mihaela Fetea, RN, OCNen_US
dc.identifier.urihttp://hdl.handle.net/10755/165208-
dc.description.abstractThe nursing resource pool (NRP) at a large comprehensive cancer center in the southwestern United States provides supplemental staffing to all inpatient nursing units. While providing staffing coverage, NRP nurses identified a variation in nursing practice with the administration of packed red blood cells (PRBCs). Over 37,000 units of PRBC's are administered annually by nurses at the cancer center. Nurses' practices for blood transfusion included administration by volumetric pump or by gravity. The evidence-based practice (EBP) process was utilized to identify supporting literature for transfusion of PRBCs via volumetric pump as a standard practice at our cancer center. In 2005, the organization implemented an evidence based practice program for clinical nurses to build nursing care practice on evidence rather than traditional standards. Clinical nurses were challenged to learn techniques to search the literature, develop evidence tables, and implement practices supported by evidence based research. The EBP process was utilized by the NRP team to examine the practice of packed red blood cell administration. A PICO question was developed and literature review was conducted to determine if a recommendation for blood administration via volumetric pumps was supported by evidence. The first step was to determine if the red blood cells administered by pump, degraded during transfusion thereby affecting the patient therapeutic benefit. The manufacturer of the pump utilized at the cancer center was contacted regarding independent research that evaluated the risk of hemolysis and its significance with blood product administration. The literature review revealed very little research supporting blood administration via a volumetric pump. Several references and nursing standards supported use of transfusion by pump, as long as, the pump manufacturer provided supporting evidence. Administration of blood products at a consistent rate was noted to prevent fluid overload and decrease risk of contamination. The team identified these factors as patient safety benefits The team will share the EBP journey for development of a practice recommendation. Based on the literature review, a recommendation was made to use a volumetric pump for PRBC transfusion.en_GB
dc.date.available2011-10-27T12:14:26Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T12:14:26Z-
dc.conference.date2007en_US
dc.conference.name32nd Annual Oncology Nursing Society Congressen_US
dc.conference.hostOncology Nursing Societyen_US
dc.conference.locationLas Vegas, Nevada, 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.-
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