Nembutal® vs. Precedex® in Pediatric Imaging Sedation: Using comparative clinical, process flow, and finance data to influence change

2.50
Hdl Handle:
http://hdl.handle.net/10755/307931
Category:
Abstract
Type:
Presentation
Title:
Nembutal® vs. Precedex® in Pediatric Imaging Sedation: Using comparative clinical, process flow, and finance data to influence change
Author(s):
Clegg, Shannon Francis-
Lead Author STTI Affiliation:
Nu Nu
Author Details:
Shannon Francis- Clegg, BSN, MBA, shannon.clegg@imail.org
Abstract:

Poster presented on: Monday, November 18, 2013, Tuesday, November 19, 2013

During the past few decades, Precedex® (Dexmetomidine) has begun to be used more frequently for procedural and imaging pediatric sedation.   In 2009, the nurse practitioners, who are responsible for sedation orders in the Imaging Department at Primary Children’s Medical Center, began utilizing this medication in addition to the traditional use of Nembutal® (Pentobarbital Sodium).  Since then, depending on the patient’s age, weight, clinical history and/or practitioner preference, Pentobarbital Sodium (NEMBUTAL®) OR Dexmedetomidine (Precedex®) is ordered as the  primary sedative agent.  Registered nurses administer and monitor the ordered sedation.   After the change, the nurses perceived that NEMBUTAL® provided more stable patient clinical parameters, less use of adjunctive medications, less fluid support, fewer process delays,  and a lower provisional cost than Dexmedetomidine (Precedex®).  Literature review provided important information regarding these two medications but no article could be found specifically comparing these medications during longer imaging exams (MRI/Nuclear Medicine) for clinical response, process flow and financial variances.   A prospective quality data analysis study was conducted by the nursing staff between September 2011 – December 2012 on 1700 pediatric patients ≥ 6 months  - ≤ 7 years 364 days of age, after provision of a sedated MRI or Nuclear medicine exam.   Ordering practitioners had no access to the data during the study so as not to bias their normal ordering practices.  The data obtained has been and/or will be used to define and reduce adverse clinical responses, adjust clinical management, clarify process flow concerns, decrease patient flow delays, decrease equipment downtime, and make recommendations to improve provisional expense and reimbursement.
Keywords:
Pediatric; Clinical Quality Improvement; Imaging Sedation
Repository Posting Date:
19-Dec-2013
Date of Publication:
19-Dec-2013
Conference Date:
2013
Conference Name:
42nd Biennial Convention
Conference Host:
Sigma Theta Tau International, the Honor Society of Nursing
Conference Location:
Indianapolis, Indiana, USA
Description:
42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriott
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.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen_GB
dc.type.categoryAbstracten_GB
dc.typePresentationen_GB
dc.titleNembutal® vs. Precedex® in Pediatric Imaging Sedation: Using comparative clinical, process flow, and finance data to influence changeen_GB
dc.contributor.authorClegg, Shannon Francis-en_GB
dc.contributor.departmentNu Nuen_GB
dc.author.detailsShannon Francis- Clegg, BSN, MBA, shannon.clegg@imail.orgen_GB
dc.identifier.urihttp://hdl.handle.net/10755/307931-
dc.description.abstract<p>Poster presented on: Monday, November 18, 2013, Tuesday, November 19, 2013</p>During the past few decades, Precedex® (Dexmetomidine) has begun to be used more frequently for procedural and imaging pediatric sedation.   In 2009, the nurse practitioners, who are responsible for sedation orders in the Imaging Department at Primary Children’s Medical Center, began utilizing this medication in addition to the traditional use of Nembutal® (Pentobarbital Sodium).  Since then, depending on the patient’s age, weight, clinical history and/or practitioner preference, Pentobarbital Sodium (NEMBUTAL®) OR Dexmedetomidine (Precedex®) is ordered as the  primary sedative agent.  Registered nurses administer and monitor the ordered sedation.   After the change, the nurses perceived that NEMBUTAL® provided more stable patient clinical parameters, less use of adjunctive medications, less fluid support, fewer process delays,  and a lower provisional cost than Dexmedetomidine (Precedex®).  Literature review provided important information regarding these two medications but no article could be found specifically comparing these medications during longer imaging exams (MRI/Nuclear Medicine) for clinical response, process flow and financial variances.   A prospective quality data analysis study was conducted by the nursing staff between September 2011 – December 2012 on 1700 pediatric patients ≥ 6 months  - ≤ 7 years 364 days of age, after provision of a sedated MRI or Nuclear medicine exam.   Ordering practitioners had no access to the data during the study so as not to bias their normal ordering practices.  The data obtained has been and/or will be used to define and reduce adverse clinical responses, adjust clinical management, clarify process flow concerns, decrease patient flow delays, decrease equipment downtime, and make recommendations to improve provisional expense and reimbursement.en_GB
dc.subjectPediatricen_GB
dc.subjectClinical Quality Improvementen_GB
dc.subjectImaging Sedationen_GB
dc.date.available2013-12-19T17:24:18Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:24:18Z-
dc.conference.date2013en_GB
dc.conference.name42nd Biennial Conventionen_GB
dc.conference.hostSigma Theta Tau International, the Honor Society of Nursingen_GB
dc.conference.locationIndianapolis, Indiana, USAen_GB
dc.description42nd Biennial Convention 2013 Theme: Give Back to Move Forward. Held at the JW Marriotten_GB
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.en_GB
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