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Doctor of Nursing Practice Projects

Theses/Dissertations

2022

Sepsis

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Improving Intravenous Fluid Resuscitation Compliance Of Severe Septic And Septic Shock Adults In A Rural Emergency Room, Alison Douglas Oct 2022

Improving Intravenous Fluid Resuscitation Compliance Of Severe Septic And Septic Shock Adults In A Rural Emergency Room, Alison Douglas

Doctor of Nursing Practice Projects

Background: The Doctor of Nursing Practice (DNP) project focused on the delay in intravenous fluid (IVF) resuscitation of sepsis and septic shock patients in the emergency room (ER) before inpatient admission.

Purpose: The purpose of this project was to improve the time-sensitive administration of IVF resuscitation of adult patients diagnosed with sepsis or septic shock by enhancing ER nurses’ end-user knowledge of and adherence to evidence-based sepsis treatment recommendations over approximately six weeks (42 days).

Methods: Retrospective chart reviews were performed in December 2021 and focused on IVF resuscitation times. Pre-intervention questionnaires were completed, assessing baseline nursing knowledge. Nurse education …


Screening And Early Recognition Of Sepsis In Home Hospital And Home Care Patients, Tina S. Gronseth Aug 2022

Screening And Early Recognition Of Sepsis In Home Hospital And Home Care Patients, Tina S. Gronseth

Doctor of Nursing Practice Projects

Problem Statement: In 2018, septicemia was the number one diagnosis for hospital inpatient stays for ages 65-74 in the United States (Agency for Healthcare Research and Quality, 2018). Most hospital admissions due to sepsis come from the community- as many as 87% (Rhee et al., 2017). People over 65 are 13 times more likely to end up hospitalized due to sepsis (Sepsis Alliance, n.d.). Sepsis in Home Hospital Care (HHC) and Home Care (HC) patients is prevalent because these patients are typically over 65. HC and the HHC program within the project site have noted a rise in hospital readmissions …


Sepsis Identification In The Long-Term Care Facility, Shonna Bible Jan 2022

Sepsis Identification In The Long-Term Care Facility, Shonna Bible

Doctor of Nursing Practice Projects

BACKGROUND: Each year approximately 1.7 million people in the United States develop sepsis, and an estimated 270,000 Americans die from this disease (Center for Disease Control and Prevention [CDC], 2020). Early recognition, and identification is essential in decreasing potential for mortality in this population.

METHODS: During a two-week period six individual sessions via a one-hour presentation was provided on evidence based best practice of sepsis recognition. A pretest was utilized to determine prior knowledge of sepsis recognition. A post-test was provided to evaluate the effectiveness of the educational material. Finally, a survey was conducted to provide input for …