Digital Commons Network^™

Implementation Of A Veno Venous Ecmo Nurse Run Program, Erin Nutley

Nursing

Background/Introduction: ALGH expressed an interest in offering VenoVenous (VV) ECMO therapy but faced many challenges that prevented this from occurring. During the COVID-19 pandemic, evidence showed that conventional treatment measures failed however, VV ECMO therapy was proven to benefit this patient population. Globally, healthcare experienced overcrowding in the ICUs accompanied by bed shortages. Given the limited resources and support services available in addition to the knowledge that VV ECMO improved patient outcomes, ALGH decided to develop a formal ECMO program.

Local Problem: The challenge of implementing an ECMO program before COVID-19 was the lack of physician support and ownership of …

Overcoming Challenges In Conducting Mobillity Research During A Pandemic, Sheri Martin, Mathew Tritz, Sarah Glowinski, Mary Hook

Nursing

Background: Older adults are at risk for losing their ability to ambulate independently during hospitalization due to multiple barriers that limit walking. “MOVIN” (Mobilizing Older adult patients Via a systems-based INtervention), a mobility intervention, achieved promising pilot results and funded as a clinical trial at the start of the COVID-19 pandemic.

Study Aim: To implement the multicomponent nurse-led MOVIN intervention and monitor for change in nursing unit behavior/culture and outcomes before, during and after a 14-week intervention period.

Methodology: A cluster randomized controlled trial design was used to test the impact of MOVIN by sequentially implementing the intervention on …

The Psychological Effects Of Covid-19 On Pediatric Frontline Nurses, Marsha Walker, Wendy Tuzik Micek

Nursing

Background: COVID-19 affected children with lower rates of infections. However, the uncertainties pediatric nurses faced were similar and yet different from nurses caring exclusively for adults.

Purpose:

1) Describe the characteristics, work experiences, coping strategies and psychological effects experienced by nurses during the initial COVID-19 outbreak.

2) Identify factors associated with negative psychological effects in nurses.

Method: This study was a descriptive cross-sectional examination of nurses practicing in two pediatric campuses. Nurse participants were recruited via an e-mail message including a link to the electronic survey. A revised self-reported 96-item Health Care Worker Impact survey measuring seven domains was chosen …

Creating A Delivery Method For Covid-19: Monoclonal Antibody Therapy, Ashley Deford, Annette Coates

Nursing

Introduction: Monoclonal antibody therapy provided a treatment method for community members diagnosed with mild-to-moderate COVID-19 disease with comorbid conditions at risk of progression to severe morbidity. Nursing leadership, pharmacy and clinical informatics collaborated to implement an outpatient infusion therapy program.

Rationale: Establishing an outpatient COVID-19 infusion department provided patients with quick access to treatment while diminishing the need for hospitalization.

Method: Clinical informatics collaborated with nursing leadership, pharmacy, and patient access to create the applicable orders, appointments, education, and tip sheets. The Advocate Aurora Northern Illinois leadership team located a physical space and obtained the appropriate staff necessary to operate …

Impact Of Covid-19 Vaccines On Inr, Ashley Green, Jennifer Martinez

Nursing

Introduction:The FDA issued emergency use authorization (EUA) for the Pfizer-BioNTech COVID-19 vaccine, followed by the Moderna COVID-19 vaccine in December 2020. At the time, not much was known about these vaccines and how they would impact a patient’s warfarin therapy or INR levels.

Rationale:Other vaccines, such as the Influenza vaccine have been shown to increase INRs. Anecdotal patient observations prompted the anticoagulation nurses to further assess for the interaction between warfarin and the vaccines.

Method:Anticoagulation Clinic nurses developed and implemented an Epic SmartPhrase for patients that have a COVID-19 vaccine since their last INR. The Epic SmartPhrase …

Nascar Model: Racing To Meet Labor Needs During Covid, Michelle Young, Katherine Leistico

Nursing

Background: Due to severe national staffing shortages, system and site labor pools were created to support hospital front-line staff during a critical time

Local Problem: Ancillary and clinical departments at the site had significant staffing challenges due to Covid-19 and increased turnover. System labor pool solicited corporate and non-corporate team members to volunteer for open shifts. Site labor pool leaders had independent oversight of labor pool operations

Method: The site sought to provide a comprehensive, supportive approach to engage team members. Based on site needs, two role types were created. Clinical roles supported inpatient departments and non-clinical roles focused on …

The Implementation Of Health Care System Virtual Stroke Support Group During Covid-19 And Its Lasting Impact, Joy Rainey, Katherine Murczek

Nursing

Introduction: In the United States there are nearly 800,000 strokes per year. Approximately one-third of stroke survivors experience depression and decreased quality of life. Stroke support groups offer social support and have been shown to increase functional outcomes, increase the survivor’s sense of self-efficacy, and improve self-esteem. Unfortunately, in-person stroke support groups were unavailable due to social distancing and stay at home orders that were instituted during the peak of Covid-19.

Rationale: Stroke coordinators of the IL Advocate Aurora Health system recognized that it was important to provide a support group for their stroke survivors during this time. Therefore, the …

Covid-19 Impact On Admissions For Acute Congestive Heart Failure Patients, Orretta Dejonge, Jocelyn Williams, Trina Maxey

Nursing

Background: Congestive heart failure (CHF) is costly to treat because many patients are readmitted within 30 days of discharge. In the U.S. before the pandemic, approximately 25% of heart failure patients were readmitted within 30 days.

Local Problem: Pre-pandemic patient education and cardiac consultation on admission allowed for more efficient care coordination, enabling the patients to manage their CHF at home. Our hospital had a pre-pandemic readmission rate of 12.4%. During the pandemic CHF patients decreased the rate of admission because of social distancing and fear of exposure. This resulted in patients not receiving the care needed, including proper medication …

The Therapeutic Value Of Reflective Writing During The Covid-19 Pandemic, Meagan Cleary, Kim O'Connor, Lynn Hennessy, Betty Mushynski, Susan Massatt, Nick Nowak

Nursing

No abstract provided.