2.50
Hdl Handle:
http://hdl.handle.net/10755/307962
Category:
Abstract
Type:
Presentation
Title:
Take the Time: Post operative care for the Inpatient
Author(s):
Thornbrugh, Jenifer M
Lead Author STTI Affiliation:
Non-member
Author Details:
Jenifer M Thornbrugh, Rn, BSN, Jennifer.Thornbrugh@va.gov
Abstract:

Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013

Veterans Health Care System of the Ozarks (VHSO) performs an average of 1,200 surgical cases per year that require general anesthesia. An average of 15 surgical cases per month requires admission for post operative care. Chart reviews revealed that no definitive policy existed regarding post operative inpatient assessments. Vital signs and post operative assessments were inconsistent. PICO: Does implementing a standard of care on nursing assessments and/or frequency of vital signs decrease the required level of care after unanticipated complications in the patients post general anesthesia?

Electronic search was conducted via EBSCOhost Web and the Veterans Integrated Service Network (VISN 16) comprehensive medical library.  Articles were selected based on linkage between post operative assessment and changes in level of care. There were no Level 1 studies and only five articles met criteria for inclusion into the summary. The literature did note that hypoxemia in the immediate 24 hours following administration of anesthesia agents could impact patient outcomes adversely. Proposal: To standardize the management of the post operative patient across the continuum of care, policy changes are proposed. These assessments will be charted electronically in an existing vital signs software package. The standardized post operative process will include assessment upon arrival, then every 30 minutes x 2, every hour x 2, and as ordered. Assessment will include bedside pulse oximetry measurement.

In addition to unit based champions, the change will be marketed as “Take the Time”. The unit based vital signs machines will be fitted with pulse oximetry to promote ease of use. Outcomes: Expected outcomes include early detection of post operative complications and reduction in moves to higher levels of care.

Standardized post operative nursing assessments have the potential to improve nursing practice, patient outcomes and reduce the need for level of care changes secondary to unanticipated complications.

Keywords:
Post operative; Nursing Assessment
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.titleTake the Time: Post operative care for the Inpatienten_GB
dc.contributor.authorThornbrugh, Jenifer Men_GB
dc.contributor.departmentNon-memberen_GB
dc.author.detailsJenifer M Thornbrugh, Rn, BSN, Jennifer.Thornbrugh@va.goven_GB
dc.identifier.urihttp://hdl.handle.net/10755/307962-
dc.description.abstract<p>Poster presented on: Sunday, November 17, 2013, Saturday, November 16, 2013</p>Veterans Health Care System of the Ozarks (VHSO) performs an average of 1,200 surgical cases per year that require general anesthesia. An average of 15 surgical cases per month requires admission for post operative care. Chart reviews revealed that no definitive policy existed regarding post operative inpatient assessments. Vital signs and post operative assessments were inconsistent. <b>PICO</b>: Does implementing a standard of care on nursing assessments and/or frequency of vital signs decrease the required level of care after unanticipated complications in the patients post general anesthesia? <b></b><p><b>Electronic search</b> was conducted via EBSCOhost Web and the Veterans Integrated Service Network (VISN 16) comprehensive medical library.  Articles were selected based on linkage between post operative assessment and changes in level of care. There were no Level 1 studies and only five articles met criteria for inclusion into the summary. The literature did note that hypoxemia in the immediate 24 hours following administration of anesthesia agents could impact patient outcomes adversely. <b>Proposal:</b> To standardize the management of the post operative patient across the continuum of care, policy changes are proposed. These assessments will be charted electronically in an existing vital signs software package. The standardized post operative process will include assessment upon arrival, then every 30 minutes x 2, every hour x 2, and as ordered. Assessment will include bedside pulse oximetry measurement. <p>In addition to unit based champions, the change will be marketed as “Take the Time”. The unit based vital signs machines will be fitted with pulse oximetry to promote ease of use. <b>Outcomes:</b> Expected outcomes include early detection of post operative complications and reduction in moves to higher levels of care. <p>Standardized post operative nursing assessments have the potential to improve nursing practice, patient outcomes and reduce the need for level of care changes secondary to unanticipated complications.en_GB
dc.subjectPost operativeen_GB
dc.subjectNursing Assessmenten_GB
dc.date.available2013-12-19T17:24:44Z-
dc.date.issued2013-12-19-
dc.date.accessioned2013-12-19T17:24:44Z-
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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