2.50
Hdl Handle:
http://hdl.handle.net/10755/182141
Category:
Abstract
Type:
Presentation
Title:
Optimizing Intravenous to Oral Conversion of Opioids Improves Safety Outcomes
Author(s):
Cunningham, Janet
Author Details:
Janet Cunningham, RN, MHA, NEA-BC, CENP, Associate CNO, Christiana Care Health System, Newark, Delaware, USA, email: jcunningham@christianacare.org
Abstract:
Poster presentation, ANCC National Magnet Conference: In June 2009, a new process was implemented which identifies patients appropriate for conversion from IV to po opioids. On a daily basis, all patients on a medical unit are reviewed to identify those receiving a diet, parenteral feedings or oral medication who continue to receive IV opioids. Opioids are the number 2 medication leading to safety events in our institution, often leading to RRT or code blue calls. 25 patients per 1,000 receiving opioids require opioid antagonist. By reducing the number of IV opioids, our goal is to reduce the number of RRT and code blue calls and use of opioid antagonist. A daily list is generated on the unit identifying patients receiving IV opioids. The charge nurse reviews these patients with the primary nurse to identify those appropriate to convert to po medication. A sticker is placed in the patient's chart alerting the physician that this patient meets criteria to concert to a po medication and gives the amount of IV opioid the patient has received over the last 24 hours. Also included is an opioid conversion chart to guide the physician in determining the appropriate medication and dose for an oral opioid. The primary nurse follows-up within 4 hours if the physician has not responded to the sticker. The number of IV opioids administered decreased by 21%. Length of stay decreased for this population by 1.9 days and nurses time saved in administering IV opioids was 129 hours over 5 months, July through November 2009.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2010
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Phoenix, Arizona, USA
Description:
The 14th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 13-15 October, 2010 at the Phoenix Convention Center in Phoenix, Arizona, 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.titleOptimizing Intravenous to Oral Conversion of Opioids Improves Safety Outcomesen_GB
dc.contributor.authorCunningham, Janeten_US
dc.author.detailsJanet Cunningham, RN, MHA, NEA-BC, CENP, Associate CNO, Christiana Care Health System, Newark, Delaware, USA, email: jcunningham@christianacare.orgen_US
dc.identifier.urihttp://hdl.handle.net/10755/182141-
dc.description.abstractPoster presentation, ANCC National Magnet Conference: In June 2009, a new process was implemented which identifies patients appropriate for conversion from IV to po opioids. On a daily basis, all patients on a medical unit are reviewed to identify those receiving a diet, parenteral feedings or oral medication who continue to receive IV opioids. Opioids are the number 2 medication leading to safety events in our institution, often leading to RRT or code blue calls. 25 patients per 1,000 receiving opioids require opioid antagonist. By reducing the number of IV opioids, our goal is to reduce the number of RRT and code blue calls and use of opioid antagonist. A daily list is generated on the unit identifying patients receiving IV opioids. The charge nurse reviews these patients with the primary nurse to identify those appropriate to convert to po medication. A sticker is placed in the patient's chart alerting the physician that this patient meets criteria to concert to a po medication and gives the amount of IV opioid the patient has received over the last 24 hours. Also included is an opioid conversion chart to guide the physician in determining the appropriate medication and dose for an oral opioid. The primary nurse follows-up within 4 hours if the physician has not responded to the sticker. The number of IV opioids administered decreased by 21%. Length of stay decreased for this population by 1.9 days and nurses time saved in administering IV opioids was 129 hours over 5 months, July through November 2009.en_GB
dc.date.available2011-10-28T15:10:57Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:10:57Z-
dc.conference.date2010en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationPhoenix, Arizona, USAen_US
dc.descriptionThe 14th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 13-15 October, 2010 at the Phoenix Convention Center in Phoenix, Arizona, USA.en_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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