Nursing Commons^™

Cognitive Aid For Anesthesia Providers Caring For Lactating Mothers, Danielle Pantella, Dana Lawrence

DNP Scholarly Projects

Evidence on the transfer of medications into breastmilk during the administration of anesthesia and sedation medications may not be well known by anesthesia providers. As they teach lactating mothers, anesthesia clinicians may not be comfortable explaining details about breastfeeding, such as the effects of anesthesia on breast milk and when mothers can safely resume breastfeeding. Lack of provider knowledge may be a safety threat that can be decreased by an evidence-based cognitive aid. The purpose of this patient safety project is to develop a cognitive aid that includes anesthetic agents and knowledge components to structure the provision of care to …

Evidence-Based Interprofessional Education For The Labor And Delivery Team On Nitrous Oxide Anesthesia For Laboring Mothers, Amanda Rota, Jessica Stoffey

DNP Scholarly Projects

Pain management in the laboring patient continues to arise with challenges of safety, efficacy and comfort. Nitrous oxide is an option for managing laboring women’s pain. However, the lack of education for perinatal teams across the United States regarding nitrous oxide administration in the labor patients omits a successful pain management option. The purpose of this Doctor of Nursing Practice project is to create an evidence-and theoretically-based education module for the labor and delivery team, incorporating an instructional video to build knowledge on the use of nitrous oxide in the laboring mother.

Development Of An Evidence-Based Process For Implementing Stanford Cognitive Aids In Offsite Anesthesia Practice Facilities, Christopher Delaney, Jennalise Eiswerth

DNP Scholarly Projects

Failure to rescue patients during medical emergencies often results in significant morbidity and mortality outcomes in outpatient surgical settings. The purpose of this Doctor of Nursing Practice project is to develop an implementation process with the Stanford Anesthesia Cognitive Aid manual (Stanford Anesthesia Cognitive Aid Group) for perioperative critical events in outpatient surgical sites to increase emergency preparedness for the surgical team, including anesthesia and other direct care providers. An educational intervention will be used for the surgical team, including anesthesia and other direct care providers, at outpatient surgical sites on utilization of the Stanford Anesthesia Cognitive Aid manual (Stanford …

Evidence-Based Educational Modules On Applying The Aana Infection Control Guidelines, Rachel Bassett, Keli Costa

DNP Scholarly Projects

Inadequate hand hygiene and contamination of the anesthesia workstation have resulted in pathogen transmission and subsequent healthcare-associated infections. This clinical problem poses a significant safety threat as healthcare-associated infections are one of the leading causes of preventable patient harm and death. Research literature and the American Association of Nurse Anesthetists illustrate the need for universal infection prevention precautions and standardized anesthesia workstation cleaning practices to decrease workstation contamination and healthcare-associated infections. The purpose of this project will be to create a teaching plan based on research literature and the American Association of Nurse Anesthetists infection prevention and control guidelines to …

Evidence-Based Educational Modules On The Safe Delivery Of Anesthesia In Mri Suites, Mandy Cesco-Cancian, Taylor Crofoot

DNP Scholarly Projects

Few citations were located on the formal education on MRI patient safety for anesthesia providers administering anesthesia services in MRI suites. Consequently, patients and staff may be at risk for injury or death during MRI procedures and health care institutions can be threatened with financial loss secondary to legal exposure, equipment damage and resultant morbidity and mortality associated with MRI patient safety events. This doctoral project will create three evidence-based continuing education modules to educate anesthesia providers on the operation of the MRI unit, potential MRI associated risks and complications, and specific anesthesia considerations for providers assigned to the MRI …

An Evidence-Based Teaching Plan To Increase Awareness Of Certified Registered Nurse Anesthetists To Patient Safety Threats Due To Provider Fatigue And To Offer Effective Strategies To Mitigate Fatigue, Tieneasha Hines, Lisa Alexander

DNP Scholarly Projects

The mental, physical, and emotional effects of stress and fatigue pose significant patient safety risks resulting from impaired concentration, coordination, and overall productivity in certified registered nurse anesthetists. Fatigue is commonly experienced by nurse anesthetists. Fatigue is an occupational hazard that affects not only nurse anesthetists but also patients, colleagues, and other healthcare stakeholders. Certified registered nurse anesthetists are most affected by fatigue due to the prolonged duration of extensive patient monitoring during surgical and complex medical procedures. Due to their central role in ensuring patient safety and comfort during surgery and other procedures requiring anesthesia, certified registered nurse anesthetists …

Quality Of Care Improvement: A Process To Standardize Handoff Communication Between Anesthesia Providers And Post-Anesthesia Care Unit Nurses, Maria Chernyak, Courtney Posten

DNP Scholarly Projects

Introduction: Transition of care is the process in which sending provider teams and receiving provider teams release the care of the patient from one provider team to the next utilizing a communication process. Review of the literature has identified several different protocols in place to systematize communication among providers, however, there is no standardized instrument or process that encompasses the post-anesthesia transfer of care process. Our project goal is to develop a standardized evidence-based handoff communication instrument to be utilized during the transition of care process between anesthesia care teams to the post-anesthesia care (PACU) teams to improve quality of …

Evidence-Based Trigger Videos Related To Distractions And Safety Threats To Anesthesia Care In The Operating Room, Alexandra Kendall, Dominique Sturdivant, Lynne Miller

DNP Scholarly Projects

Intraoperative distractions are considered exceedingly detrimental to the quality of anesthesia care. Distractions in the operating room (OR) cause an array of negative effects for healthcare providers and can represent major patient safety risks. At this time, there is no formal training for anesthesia providers targeting the impact of distractions or educating providers about the risks to their patients.

The primary aim of this project was to develop four trigger videos that will be utilized in future research to increase anesthesia providers’ awareness of the threats to patient care and quality of care that result from disruptions secondary to distractions. …

Perioperative Protocol To Prevent Emergence Delirium In Patients With Post-Traumatic Stress Disorder, Audrianna Bustos, Roxanne Sambuca

DNP Scholarly Projects

Introduction: Ten percent of adults will experience post-traumatic stress disorder (PTSD) at some point during their lifetime, 50% of which remain untreated and undiagnosed. Perioperative management of the patient with PTSD may create significant challenges for the anesthesia provider. Patients with PTSD are more likely to experience emergence delirium (ED), which poses a significant safety threat to patients and staff. Screening for PTSD is routine in the veteran population but has not yet translated into common practice. To our knowledge, no protocol currently exists for anesthetic management of patients with PTSD. Routine screening for PTSD in the preoperative period and …