10.00
Hdl Handle:
http://hdl.handle.net/10755/622559
Category:
Full-text
Format:
Text-based Document
Type:
DNP Capstone Project
Level of Evidence:
Outcomes Research
Research Approach:
Translational Research/Evidence-based Practice
Title:
The Case for Procedural Capnography
Author(s):
Wright, Stewart A.
Additional Author Information:
Stewart Wright, CRNA, MSN
Advisors:
Barry, Marie-Elena; Morrisey, Carolyn; Graham, Leon
Degree:
DNP
Degree Year:
2017
Grantor:
Capella University
Abstract:

In health care today, patient safety is a top priority.  Regarding procedural sedation, one specific tool that improves patient safety is waveform capnography. The use of capnography can improve patient safety and outcomes. It offers a passive, yet continuous method to monitor a patient’s respiratory status while undergoing nurse-administered moderate sedation. Capnography gives indication much faster as compared to clinician recognition alone of respiratory, as well as, cardiac events. With overwhelming lack of proper training related to new technical devices such a capnography, a sound developmental training program regarding the use of capnography can positively effect patient safety and outcomes. This project attempts to answer the following question. In registered nurses administering procedural sedation (P), how does a nursing education program (I) regarding use of end-tidal CO2 monitoring decrease the occurrence of adverse events or outcomes by nursing staff's use of capnography (C), compared to the absence of end-tidal co2 monitoring (O), over a period of four weeks(T)?  The development of an education program regarding capnography for eight registered nurses in an endoscopy unit proves that with the appropriate instructive intervention, nurses can effectively utilize the capnography device as a sixth vital sign.  The knowledge gained by the educational initiative provides framework for policy development regarding use of capnography for all procedures that require sedation. 

Keywords:
Capnography; etco2; procedural sedation; moderate sedation; respiratory depression; apnea
CINAHL Headings:
Capnography; Carbon Dioxide--Analysis; Sedation; Sedation--Methods; Conscious Sedation; Respiratory Failure
Description:
This DNP capstone project provides evidence that adding a hands-on educational initiative regarding the use of capnography to a group of nurses who administer procedural sedation will promote the use of capnography. This initiative provided nurses who administer procedural sedation the insight needed to understand the importance capnography can have on improving patient outcomes.
Note:
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Repository Posting Date:
2017-08-30T20:17:43Z
Date of Publication:
2017-08-30

Full metadata record

DC FieldValue Language
dc.contributor.advisorBarry, Marie-Elenaen
dc.contributor.advisorMorrisey, Carolynen
dc.contributor.advisorGraham, Leonen
dc.contributor.authorWright, Stewart A.en
dc.date.accessioned2017-08-30T20:17:43Z-
dc.date.available2017-08-30T20:17:43Z-
dc.date.issued2017-08-30-
dc.identifier.urihttp://hdl.handle.net/10755/622559-
dc.descriptionThis DNP capstone project provides evidence that adding a hands-on educational initiative regarding the use of capnography to a group of nurses who administer procedural sedation will promote the use of capnography. This initiative provided nurses who administer procedural sedation the insight needed to understand the importance capnography can have on improving patient outcomes.en
dc.description.abstract<p>In health care today, patient safety is a top priority.  Regarding procedural sedation, one specific tool that improves patient safety is waveform capnography. The use of capnography can improve patient safety and outcomes. It offers a passive, yet continuous method to monitor a patient’s respiratory status while undergoing nurse-administered moderate sedation. Capnography gives indication much faster as compared to clinician recognition alone of respiratory, as well as, cardiac events. With overwhelming lack of proper training related to new technical devices such a capnography, a sound developmental training program regarding the use of capnography can positively effect patient safety and outcomes. This project attempts to answer the following question. <em>In registered nurses administering procedural sedation (P), how does a nursing education program (I) regarding use of end-tidal CO2 monitoring decrease the occurrence of adverse events or outcomes by nursing staff's use of capnography (C), compared to the absence of end-tidal co2 monitoring (O), over a period of four weeks(T)?</em>  The development of an education program regarding capnography for eight registered nurses in an endoscopy unit proves that with the appropriate instructive intervention, nurses can effectively utilize the capnography device as a sixth vital sign.  The knowledge gained by the educational initiative provides framework for policy development regarding use of capnography for all procedures that require sedation. </p>en
dc.formatText-based Documenten
dc.language.isoen_USen
dc.subjectCapnographyen
dc.subjectetco2en
dc.subjectprocedural sedationen
dc.subjectmoderate sedationen
dc.subjectrespiratory depressionen
dc.subjectapneaen
dc.titleThe Case for Procedural Capnographyen_US
dc.typeDNP Capstone Projecten
thesis.degree.grantorCapella Universityen
thesis.degree.levelDNPen
dc.description.noteThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.-
dc.primary-author.detailsStewart Wright, CRNA, MSNen
thesis.degree.year2017en
dc.type.categoryFull-texten
dc.evidence.levelOutcomes Researchen
dc.research.approachTranslational Research/Evidence-based Practiceen
dc.subject.cinahlCapnographyen
dc.subject.cinahlCarbon Dioxide--Analysisen
dc.subject.cinahlSedationen
dc.subject.cinahlSedation--Methodsen
dc.subject.cinahlConscious Sedationen
dc.subject.cinahlRespiratory Failureen
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