Open Access. Powered by Scholars. Published by Universities.®
Articles 1 - 2 of 2
Full-Text Articles in Medicine and Health Sciences
A New Approach To Sternal Precautions: Keep Your Move In The Tube, Kelijo Fernholz, Jayna Theis, Erik Anderson
A New Approach To Sternal Precautions: Keep Your Move In The Tube, Kelijo Fernholz, Jayna Theis, Erik Anderson
Nursing Posters
Purpose:
- To guide patients and staff in a new approach to sternal precautions following median sternotomy
Current Practice:
- 10-pound lifting restriction for 4 weeks
- 20-pound lifting restriction until 3 months post operation
- Limited arm exercises
- Sit to stand push restrictions
Why Change:
- Literature review demonstrates great variation in sternal precautions
- Currently too restrictive; may hinder recovery and long-term mobility. Too many restrictions can create fear of movement, resulting in short term rehab discharge needs
- To create more independence for the patient, less reliant on family members for ADLs and basic needs. Patients to return to regular home and work activities …
Routine Post Surgical Vital Signs: Time For A Change, Kristina Kjellberg, Elizabeth Plante, Sadie Seezs
Routine Post Surgical Vital Signs: Time For A Change, Kristina Kjellberg, Elizabeth Plante, Sadie Seezs
Nursing Posters
Purpose Statement:
The purpose of this evidence-based practice project is to evaluate the current routine post operative vital signs and determine if reduced frequency of vital signs is as effective in identifying deterioration after a post anesthesia care unit (PACU) discharge.
Synthesis of Evidence:
- Patient survival in the post operative time period is maximized with the recognition and management of abnormal vital signs
- Post op periods can carry great respiratory and circulatory complications, which are identified by abnormal vital signs especially heart rate and blood pressure
- Multiple sources have identified that current frequency of post operative vital signs is based …