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Ultrasound-Guided Intravenous Access As A First-Line Approach By Nurses: A Quality Improvement Project, James Austin Burkhart, Pamela Hardesty, Melissa Mcdonald

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

Background: Up to 9% of patients admitted to EDs (Emergency Departments) have difficult intravenous insertion access issues (DIVA). This creates delays in patient care that includes interruptions for physicians providing medical emergency care. Often the utilization of RNs to perform US (ultrasound) IV insertions is limited related to lack of training and supportive policies.

Local Problem: The site for this project was an ED Level 1 Trauma Center associated with a large teaching hospital located in the southeastern U.S. Prior to the implementation of the process improvement project, there was no formal education of RNs in the use of US …

Quality Improvement Project To Improve Patients' Satisfaction Of Care With Implementation Of A Standardized Telephone Communications Pathway, Brandie Haga, Nicole Dunford, Karen Lasater

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

With more and more cancer care being delivered to patients in an outpatient setting, it is becoming essential for clinics to have a standardized telephone communication pathway system. A telephone communication pathway can positively impact patients' quality of life since we know that delaying medical care can negatively impact health, creating otherwise avoidable complications and stress and diminishing patients' confidence in their care. Without a well-developed telephone communication pathway system, symptom management and experience suffer, and the quality of patient care decreases. A strategy was formulated to assess patient satisfaction with a newly implemented standardized telephone communication pathway form using …