Nursing Commons^™

Increasing The Use Of End Tidal Carbon Dioxide (Etco2) For Moderate Sedation, Christiane Pepitone, Bsn, Rn, Cen

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Telenephrologyimplementation In The Renal Center, Rachna Thakur Bsn, Rn, Cnn, Ana Lopez, Bsn, Rn, Csn

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Implementing Bedside Report In The Emergency Care Center 2.0: A Quality Improvement Initiative, Alexandra Rowen, Bsn, Rn, Cen

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Blood Culture Collection Standard Of Work, C.J. Pfeiffer, Msn, Rn, Cen, Elizabeth Winokur, Phd, Rn, Cen, Belinda N. Leos, Msn, Rn, Cen, Christiane Pepitone, Bsn, Rn, Cen

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Skin Is In! An Evidence-Based Practice Project In The Emergency Care Center (Ecc), Dixie Stiles, Dnp, Rn, Fnp-Bc, Gnp-Bc, Cen, Ccrn

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Bipap-Related Hapi In Dsu During The Covid-19 Pandemic, Carmyle Seville, Bsn, Rn, Pccn, Angelica Taneca, Bsn, Rn, Pccn

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Nutritional Supplementation To Reduce The Risk Of Malnutrition In The Dsu, Rebeca Zamora, Bsn, Rn, Pccn

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Hourly Rounding And Proactive Family Updating On A Medical Telemetry (Mt) Unit, Alison Kooistra, Rn, Msn, Pccn

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Providing Quality Patient Care Through Bedside Nurse Handoff & Shift Report, Chioma Elendu, Rn, Msn, Cmsrn

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Difficult Intravenous Starts Using Ultrasound Guided Technique, Nicole Evaro, Rn, Msn, Cen

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Human Donor Banked Breast Milk Patient Survey, Angela Maietta, Mph, Bsn, Bs, Rn, Phn, Mches, Ibclc

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Difficult Iv Access (Diva) Tool’S Impact On Assisting Rns In Determining When To Call The Vascular Access Team (Vat) Rn For Assistance, Diane Dimarco Davis, Bsn, Rn, Va-Bc

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

The Vascular Access Team: Joey Guinto, BSN, RN, VA-BC; Chynna Vu, RN; SabelaBarrios, RN, VA-BC; Summer Cortinas, BSN, RN, VA-BC; Jeremy Tan, BSN, RN; Lynda Fenton, RN, VA-BC; VinhLe, RN, VA-BC

2020 American Heart Association Guidelines: Updates, Education, & Compliance In The Emergency Care Center And The Acute Care Setting, Laura Derr, Rn, Cen, Cn Iv

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

National Early Warning Score (News): Medical Surgical Unit Pilot, Electronic Hospital-Wide Roll-Out, And Unit Educational Case Studies, Leslie Farrington, Rn, Bsn, Ccrn, Mackenzie Brown, Rn, Bsn, Molly Cody, Rn, Bsn, Megan Greco, Rn, Bsn, Cecille Lamorena Bsn, Rn, Ccrn-K, Crystal Martinez, Rn, Bsn, Jacoba Walsh, Rn, Bsn, Elizabeth Winokur, Phd, Rn, Cen

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Nursing Shift To Shift Bedside Handoff Reporting, Susan Hampton-Ash, Msn, Rn, Ocn, Fnp-Bc

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Improving The Chemotherapy Experience Through Telephone Communications: The Follow-Up Phone Call, Kathy Keener, Msn, Rn, Ocn

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Conference Agenda, St. Joseph Ebp Conference

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

Agenda for the 2021 Evidence Based Practice Annual Conference at St. Joseph Hospital.

Prevention Of Clabsi Through Nursing Interventions, Summer Cortinas

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Relationships Between Cortisol, Sleep, Stress, And Mood Among Night Shift Nurses, Teresa Bigand, Panshak P. Dakup, Devon Hansen, Marian Wilson, Benjamin Thomas, Steven James, Lois James, Shobhan Gaddameedhi

2021 Providence Nurse Research Conference

Background: Working night shift is a physical and emotional stressor related to negative health outcomes. Cortisol is a biomarker that has been related to an increased risk for metabolic syndrome among adults. Cortisol levels follow a circadian rhythm in humans; levels reach a peak in the early morning and drop to the lowest level in the late evening. Changes in cortisol levels have been related to changes in mood or sleep and to exposure to stressful situations. In a group of Registered Nurses, the impact of consecutive 12-hour night shifts on relationships between cortisol levels, sleep, stress, and mood, was …

Team Up Against Sepsis: Six Tasks In Sixty Minutes, Karin Kloppel, Barbara Richards

2021 Providence Nurse Research Conference

Background: Sepsis is the number one cause of mortality in hospitals nationwide. Our hospital system has identified sepsis mortality reduction as a top priority. Early recognition and treatment through improving sepsis bundle compliance was the selected focus in a 40-bed Emergency Department (ED) a community-based hospital.

Purpose: To evaluate the impact of a team response to sepsis alerts on sepsis outcomes in the ED in an acute care hospital.

Methods: Prior to implementing a team approach to sepsis alerts, ED staff were surveyed to describe awareness of SIRS and sepsis criteria and of sepsis bundle intervention metrics. Challenges identified …

Reducing Hospital Acquired Pressure Injuries On An Advanced Care Unit, Dawn Doud, Lynn Stapleton

2021 Providence Nurse Research Conference

BACKGROUND: Hospital-acquired pressure injuries (HAPIs) are increasing nationwide. HAPIs are a negative outcome of hospitalization and these conditions are not eligible for reimbursement, resulting in billions of dollars of healthcare costs to hospitals. HAPI rates were noted to climb on an advanced care unit in a community-based hospital in the Pacific Northwest. In order to reduce this patient harm event, the nurse manager partnered with the nursing professional development specialist to lead a HAPI prevention quality improvement plan.

PURPOSE: To decrease HAPI rates on the Advanced Care Unit.

METHODS: The nurse manager conducted a deep dive on all HAPI events …

Pain Management Trends Among Adults Hospitalized With Cellulitis: An Evidence-Based Practice Project, Nonna Dobyns, Teresa Bigand, Kristopher Darath, Denise Ogorek

2021 Providence Nurse Research Conference

Background: Cellulitis is an acute infection of the skin resulting in acute pain and often requires pharmacological analgesics. Past studies revealed that more than half of patients receiving inpatient medical care in the United States received opioid analgesics for pain management during the hospital stay. While opioids are regarded as the strongest analgesic available to ease physical pain, these are habit-forming drugs that contribute to negative outcomes such as opioid use disorder and increased risk for accidental overdose and death. Recommendations for acute pain management in the hospital setting include prescribing less than 50 morphine milligram equivalents (MME's) per day …

Break Habits Of Registered Nurses Working In The Acute Care Setting During The Covid-19 Pandemic, Michelle Bradberry, Gisele Nicole Bazan, Sahar Mihandoust, Jamie Roney, Marian Wilson, Teresa Bigand

2021 Providence Nurse Research Conference

Background: Nurses report high levels of burnout and stress while working in the acute care setting, especially during the current COVID-19 outbreak. Evidence suggests that taking a restorative break during an extended, 12-hour shift may help mitigate stress and translate to better patient and caregiver outcomes. Yet, little is known about how Registered Nurses report taking breaks in the context of the pandemic.

Purpose/Aims: The purpose of this project was to describe the frequency of breaks reported by nurses working 12-hour shifts during the COVID-19 pandemic, and to test for demographic differences between nurses reporting fewer compared to more breaks …

Pilot Testing A Novel Tool To Assess Resilience Among Nurses Delivering Direct Patient Care In Teams In The Hospital Setting, Tiara Benson, Ma Fe Chase, Amanda Miles

2021 Providence Nurse Research Conference

Background: With the appearance of the COVID-19 pandemic, nurse emotional well-being has suffered, with burnout being highly reported. Team resilience may mitigate feelings of burnout, and is defined as homeostasis among the healthcare team while experiencing continuous change. Strategies for enhancing resilience of individuals are prevalent, yet nurses often deliver care in a team setting. While some literature offers insight on nurse team resilience, no valid and reliable tools currently exist to measure this concept. Purpose: To develop and pilot test a tool to measure team resilience among nurses delivering direct patient care in an acute care hospital in …

Pediatric Surgery Nurses Lead And Coordinate Covid-19 Recovery Efforts, Shelly Johnson, Alice E. Dupler

2021 Providence Nurse Research Conference

Background: In early 2020, the appearance of the novel COVID-19 virus became a global concern, infecting hundreds of thousands of people. To reduce the spread of the virus, the United States government instituted social distancing and required hospitals to take steps to create extra beds for patient with COVID. One method to increase hospital capacity was the cancellation of scheduled, elective surgeries. In one large pediatric hospital in the Pacific Northwest, there was no formal process in place for cancelling elective procedures or for prioritizing when or how to reschedule the case. Because nurses were being called on to provide …

Covid In Our Backyard: The Lived Experiences Of Rn To Bsn Students Facing A Pandemic, Shelly Johnson, Alice E. Dupler, Deanna J. Koepke

2021 Providence Nurse Research Conference

Background: Relationships exist between improved patient outcomes and Registered Nurse (RN) caregivers with an earned Bachelor’s degree or higher compared to those with an associate’s or diploma in nursing. However, nurses who are working and attending a bridge program to obtain a Bachelor of Science in Nursing (BSN) report high levels of stress which may increase risk for withdrawing from the program or quitting work. Furthermore, providing direct patient care during the COVID-19 pandemic may significantly increase stress among those who are concurrently finishing a nursing advanced degree. Little is known about how front-line caregivers perceive the experience of working …

Reducing Specimen Labeling Errors To Promote Patient Safety: A Quality Improvement Project At An Inpatient Department In A Regional Acute Care Hospital, Jihye Johnson

2021 Providence Nurse Research Conference

Background: Mislabeled specimen can cause patient harm by delaying treatment or by inappropriately administering treatment based on incorrectly assigned results. National patient safety goals have consistently called for a reduction of these errors in the hospital setting to zero. The specimen labeling errors on one inpatient department (IPD) at an acute care hospital in Eastern Washington were noted to be elevated from 2019 to 2020, potentially threatening patient safety. An evidence-based technique called the Red Rule has been linked to an improvement in lab labeling performance in the hospital setting.

Purpose/aims: The primary purpose of the QI project was to …

Evaluation Of A Coronary Artery Bypass Graft Care Steps Program, Sheri Havel, Karen Colorafi, Mirjeta Beqiri

2021 Providence Nurse Research Conference

Background: Across the U.S., 20% of cardiothoracic surgery patients who are discharged to home experience unplanned readmission within 30 days of discharge. Readmissions and postsurgical complications are associated with poor patient outcomes, increased mortality rates, and increased cost of healthcare. Evidence-based recommendations for reducing preventable readmission are limited, although there is some indication that high quality pre-operative and discharge education can reduce this burden. Providing appropriate patient education at time of discharge from acute care to home regarding medication adherence, prescheduled follow-up appointments, wound management and monitoring, and symptom management education is theorized to have a significant positive impact on …

Postpartum Depression Screening To Improve Maternal Outcomes, Jill Goebel, Jeff Ramirez

2021 Providence Nurse Research Conference

Background: Postpartum depression (PPD) is correlated with worsened maternal and infant health outcomes, and an estimated10-20% of women experience this condition after giving birth. Universal depression screening for PPD in maternity and well-child appointments is the standard of care. However, PPD screening is not well-integrated into outpatient lactation visits which assist new moms with difficulties breastfeeding. To address this gap, routine PPD screening and education was implemented in an outpatient lactation clinic servicing postpartum women in Eastern Washington. Purpose: The purpose of this quality improvement project was to implement the use of PPD screening in a lactation clinic to …

Implementing Ideal Discharge Planning: A Quality Improvement Project On An Inpatient Unit​, Dawn Doud, Brenda Senger, Karen Colorafi, Teresa Bigand

2021 Providence Nurse Research Conference

Background: Effective discharge teaching reduces 30-day hospital readmissions, decreases unnecessary emergency room visits, improves patient satisfaction, and is cost effective for hospitals by improving the Centers for Medicare and Medicaid Services (CMS) measures for reimbursement. Evidence suggests that standardized discharge teaching templates embedded within the electronic health records lack patient engagement and can fail to meet individual patient discharge education needs. A need was identified to improve the discharge planning process on an advanced care unit in a community based hospital.

Purpose: The purpose of this project was to evaluate and assess the implementation of an evidence based toolkit, IDEAL …