Optimizing Nursing Autonomy in the Post Anesthesia Care Unit by Creating a Collaborative Working Relationship

2.50
Hdl Handle:
http://hdl.handle.net/10755/182784
Category:
Abstract
Type:
Presentation
Title:
Optimizing Nursing Autonomy in the Post Anesthesia Care Unit by Creating a Collaborative Working Relationship
Author(s):
Davis, Deborah; Garza, Frances
Author Details:
Deborah Davis, RN, BSN, CPAN, Texas Children's Hospital, Houston, Texas, USA, email: djdavis@texaschildrenshospital.org; Frances Garza, RN, BSN
Abstract:
Poster Presentation: An employee work climate survey identified a lack of respect and trust between the nurses in PACU and anesthesiologists. At that time, nurses were required to ensure that an anesthesia provider evaluate all patients prior to discharge from the unit. The nurses were totally dependent on the physicians to facilitate discharge. The nurses felt that the physicians did not value their clinical judgment in accurately assessing patients. Additionally, they felt a lack of respect for their planning and organizing patients through since they often had to wait for the physician to see the patient. The anesthesiologists would become involved with another patient's care in the operating room or with pre-accessing a patient. A task force made up of PACU nurses and Anesthesiologist was formed--a tool was created to facilitate safe and efficient patient discharge. This tool: The Discharge Protocol order has three options for discharge. One of the options allows the patient to be discharged based on the PACU Nurses discretion. The assessment skills of the PACU RN were recognized. Once the tool was put into practice, the patient flow also improved. The nurses were more satisfied with their practice and work environment. A subsequent employee survey indicated an improvement in the nurses sense of respect and trust from the physicians (57%-before the tool and 97% after the tool.)
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2007
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Atlanta, Georgia, USA
Description:
"Connect, Empower and Celebrate" was the theme of the 11th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 3-5 October, 2007 at the Georgia World Congress Center in Atlanta, Georgia, 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 Nursing Autonomy in the Post Anesthesia Care Unit by Creating a Collaborative Working Relationshipen_GB
dc.contributor.authorDavis, Deborahen_US
dc.contributor.authorGarza, Francesen_US
dc.author.detailsDeborah Davis, RN, BSN, CPAN, Texas Children's Hospital, Houston, Texas, USA, email: djdavis@texaschildrenshospital.org; Frances Garza, RN, BSNen_US
dc.identifier.urihttp://hdl.handle.net/10755/182784-
dc.description.abstractPoster Presentation: An employee work climate survey identified a lack of respect and trust between the nurses in PACU and anesthesiologists. At that time, nurses were required to ensure that an anesthesia provider evaluate all patients prior to discharge from the unit. The nurses were totally dependent on the physicians to facilitate discharge. The nurses felt that the physicians did not value their clinical judgment in accurately assessing patients. Additionally, they felt a lack of respect for their planning and organizing patients through since they often had to wait for the physician to see the patient. The anesthesiologists would become involved with another patient's care in the operating room or with pre-accessing a patient. A task force made up of PACU nurses and Anesthesiologist was formed--a tool was created to facilitate safe and efficient patient discharge. This tool: The Discharge Protocol order has three options for discharge. One of the options allows the patient to be discharged based on the PACU Nurses discretion. The assessment skills of the PACU RN were recognized. Once the tool was put into practice, the patient flow also improved. The nurses were more satisfied with their practice and work environment. A subsequent employee survey indicated an improvement in the nurses sense of respect and trust from the physicians (57%-before the tool and 97% after the tool.)en_GB
dc.date.available2011-10-28T15:39:56Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:39:56Z-
dc.conference.date2007en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationAtlanta, Georgia, USAen_US
dc.description"Connect, Empower and Celebrate" was the theme of the 11th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 3-5 October, 2007 at the Georgia World Congress Center in Atlanta, Georgia, 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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