Medicine and Health Sciences Commons^™

Assessing Time From Door-To-Antibiotic Administration For Adult Cancer Patients With Neutropenic Fever In The Emergency Department, Sarah Roy, Tina Magsarili

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Background:

Infection, related to febrile neutropenia, in patients receiving chemotherapy for cancer remains a common complication and is a medical emergency. Fever is often the only sign of severe underlying infection in neutropenic patients due to the patient’s immunosuppressed state (Butts, et.al, 2017). Vigilant nursing assessment and immediate medical attention for neutropenic fever (NF) is imperative because the rate of major organ complication and mortality is as high as 30% and 11% respectively (Freifield et.al, 2011 & Taplitz et.al, 2018). In the setting of severe sepsis or septic shock the mortality rate may be as high as 50% (Taplitz et.al, …

The Turn Team Initiative: A Hospital Acquired Pressure Injury (Hapi) Reduction Technique, Amanda Grimes, Rebecca Choma

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Background:

Nurses are required to reposition patients at risk for HAPI every 2 hours, however finding timely assistance can be challenging, leading to increased length of time between, or missed turns. Previous studies have found that structured Turn Team assignments reduced HAPI rates up to 75%.

Purpose:

The purpose of this study is to investigate the implications of a team-initiated turning and repositioning technique every two hours. The study question was, “Does two-hour team nurse turning and repositioning rounds reduce incidence of HAPI in adult medical-surgical patients as compared to primary nurse initiated turning and repositioning?” This QI Project was …

Standardizing Spontaneous Awakening And Breathing Trials In Critical Care: A Pilot Project, Lynzy Elzinga, Deirdre Mcnally, Eddie Montes

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Background:

The ABCDEF Bundle (2017) is an evidence-based guide for clinicians working with critically ill patients to coordinate multidisciplinary care in the intensive care unit. The “B” of the ABCDEF Bundle represents both spontaneous awakening trials (SATs) and spontaneous breathing trials (SBTs). During an SAT, patients are slowly weaned off sedation to determine if they are capable of tolerating a smaller amount of sedating medications. In an SBT, ventilator settings are weaned on qualifying patients to determine readiness to extubate. A pairing of these trials is now the standard of care. Other bundle topics include: adequate pain control, properly choosing …

The Effects Of Music Intervention On Pain And Anxiety In The Immediate Postoperative Period In Adults Undergoing Total Knee Arthroplasty And Total Hip Arthroplasty, Peggy Olsen, Mary Waldo

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Background:

With the current opioid crisis in the United States, examining adjunct therapies for pain control is an important focus for nursing.

Music has demonstrated its value in treatment of pain in multiple settings including psychiatric medicine, palliative care, neurology and intensive care. Meta-analyses can be found supporting music intervention in reducing patients’ pain and anxiety.

“The Effects of Music Intervention in the Management of Chronic Pain, A Single-Blind, Randomized, Controlled Trial” (Clin J Pain, Vol 00, Number 00, 2011) details the study of Music Care in treating chronic pain patients and states that Music Care as an intervention “appears …