2.50
Hdl Handle:
http://hdl.handle.net/10755/182971
Category:
Abstract
Type:
Presentation
Title:
Improved Outcomes with an APN Directed Ventilator Management Team
Author(s):
Riggenbach-Hays, Jami
Author Details:
Jami Riggenbach-Hays, MSN, CFNP, OSF St. Francis Medical Center, Peoria, Illinois, USA, email: jami1@grics.net
Abstract:
This poster presentation will focus on the benefits of utilizing a standardized, evidence-based approach in the care of the ventilated patient. Problems associated with traditional ventilator weaning attempts often stem from lack of communication and inadequate coordination involving the multi-disciplinary team caring for the patient. Such inadequacies may result in prolonged length of stay (LOS), increased cost for patients and institutions, and decreased patient/staff/ physician satisfaction rates. Potential solutions include the development and implementation of a "Wean Team" for the coordinated management of ventilated patients. Such a program was successfully designed in response to needs identified by surveying ventilator patients/families, nurses, respiratory therapists, physicians, case managers, and social workers. Critical requirements for a successful ventilator management program include the following: team approach, standardized, evidence-based approach to care, documented goals, family involvement, attention to psychosocial needs, and coordinated rest and activity periods for ventilator patients. Program design entailed exploring design concepts, reviewing literature, benchmarking with best practice facilities, and attending conference symposiums. Development of tools such as ventilator progress notes, protocols, and standing orders was part of the design process. A method (BWAP) for decreasing variation in patient evaluation for weaning, and to keep care planning on target was adopted, and education programs were developed for "Wean Team" members. Success of the "Wean Team" program is demonstrated by a decrease in LOS of 16.5 days/patient and a cost savings of $555, 802 over a three month period for the institution in addition to increased satisfaction rates for all involved. References: Earven S, Fisher C, Lewis R, Merrell P, Burns SM. The experience of four outcomes manager: and institutional approach to weaning patients from long-term mechanical ventilation. Critical Care Clinics of North America. 2004; 16: 395-411. Burns SM, Earven D, Fisher C, Lewis R, Merrell P, Schubart J, Truwit JD, Bleck T. Implementation of an Institutional program to improve clinical and financial outcomes of patients requiring mechanical ventilation: One year outcomes and lessons learned. Crit Care Med. 2003; 31: 2752-2763. Burns SM, Earven S. Improving outcomes for mechanically ventilated medical intensive care patients using advanced practice nurses: A six-year experience. Critical Care Nursing Clinics of North America. 2002;14: 231-243. Burns SM. The science of weaning: when and how? Critical care Nursing Clinics of North America. 2004. 16: 379-386.
Repository Posting Date:
28-Oct-2011
Date of Publication:
28-Oct-2011
Conference Date:
2006
Conference Name:
ANCC National Magnet Conference
Conference Host:
American Nurses Credentialing Center
Conference Location:
Denver, Colorado, USA
Description:
10th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 4-6 October, 2006 at the Colorado Convention Center in Denver, Colorado, 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.titleImproved Outcomes with an APN Directed Ventilator Management Teamen_GB
dc.contributor.authorRiggenbach-Hays, Jamien_US
dc.author.detailsJami Riggenbach-Hays, MSN, CFNP, OSF St. Francis Medical Center, Peoria, Illinois, USA, email: jami1@grics.neten_US
dc.identifier.urihttp://hdl.handle.net/10755/182971-
dc.description.abstractThis poster presentation will focus on the benefits of utilizing a standardized, evidence-based approach in the care of the ventilated patient. Problems associated with traditional ventilator weaning attempts often stem from lack of communication and inadequate coordination involving the multi-disciplinary team caring for the patient. Such inadequacies may result in prolonged length of stay (LOS), increased cost for patients and institutions, and decreased patient/staff/ physician satisfaction rates. Potential solutions include the development and implementation of a "Wean Team" for the coordinated management of ventilated patients. Such a program was successfully designed in response to needs identified by surveying ventilator patients/families, nurses, respiratory therapists, physicians, case managers, and social workers. Critical requirements for a successful ventilator management program include the following: team approach, standardized, evidence-based approach to care, documented goals, family involvement, attention to psychosocial needs, and coordinated rest and activity periods for ventilator patients. Program design entailed exploring design concepts, reviewing literature, benchmarking with best practice facilities, and attending conference symposiums. Development of tools such as ventilator progress notes, protocols, and standing orders was part of the design process. A method (BWAP) for decreasing variation in patient evaluation for weaning, and to keep care planning on target was adopted, and education programs were developed for "Wean Team" members. Success of the "Wean Team" program is demonstrated by a decrease in LOS of 16.5 days/patient and a cost savings of $555, 802 over a three month period for the institution in addition to increased satisfaction rates for all involved. References: Earven S, Fisher C, Lewis R, Merrell P, Burns SM. The experience of four outcomes manager: and institutional approach to weaning patients from long-term mechanical ventilation. Critical Care Clinics of North America. 2004; 16: 395-411. Burns SM, Earven D, Fisher C, Lewis R, Merrell P, Schubart J, Truwit JD, Bleck T. Implementation of an Institutional program to improve clinical and financial outcomes of patients requiring mechanical ventilation: One year outcomes and lessons learned. Crit Care Med. 2003; 31: 2752-2763. Burns SM, Earven S. Improving outcomes for mechanically ventilated medical intensive care patients using advanced practice nurses: A six-year experience. Critical Care Nursing Clinics of North America. 2002;14: 231-243. Burns SM. The science of weaning: when and how? Critical care Nursing Clinics of North America. 2004. 16: 379-386.en_GB
dc.date.available2011-10-28T15:48:30Z-
dc.date.issued2011-10-28en_GB
dc.date.accessioned2011-10-28T15:48:30Z-
dc.conference.date2006en_US
dc.conference.nameANCC National Magnet Conferenceen_US
dc.conference.hostAmerican Nurses Credentialing Centeren_US
dc.conference.locationDenver, Colorado, USAen_US
dc.description10th American Nurses Credentialing Center (ANCC) National Magnet Conference, held 4-6 October, 2006 at the Colorado Convention Center in Denver, Colorado, 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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