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You searched for subject:(Postanesthesia Nursing). Showing records 1 – 2 of 2 total matches.

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Drexel University

1. Charsha, Dianne Susan. Impact on Health Outcomes of Boarding Postoperative Critically Ill Stable Older Patients.

Degree: 2016, Drexel University

Background: Optimizing patient flow can be one of the greatest challenges for nurse leaders in tertiary referral hospitals. It is essential to implement best processes to enhance the patient flow, to maximize bed availability and avoid boarding. Purpose: To evaluate the impact of PACU boarding on the health outcomes of critically ill stable older postoperative patients waiting for an ICU bed. Methods: This was a case-control study that used secondary data from the Project IMPACT Database populated between 2002 and 2010 in a tertiary referral safety net institution. A total of 145 patients age 65 to 85 years of age who were boarded in the PACU (> 6 hours) were matched 1:1 on admission year and gender to patients who were recovered (< 6 hours [control group]) in the PACU (total sample 290 patients, 145 pairs). Results: The average age of patients was 73 years, 53% were male, and were predominately White (71%). Hospital LOS (20.26 days + 37.2 days) was longer for boarded PACU patients than the control group (14.72 days + 13.55 days) which was clinically relevant (5.5 days) but not statistically significant (p = 0.054). As hypothesized, there was no statistically significant difference between those who boarded in the PACU or recovered in the PACU in terms of postoperative LOS, decline in functional status and hospital mortality. However, postoperative LOS was also clinically relevant with PACU boarders spending on average 4.5 days longer in the hospital than the control group (17.10 + 34.64 versus 12.60 + 12.47 respectively). When controlling for age and race with a postoperative LOS > 9 days, PACU boarders were 1.7 times (95% CI: 1.054-2.767, p = 0.03) the odds of having a longer postoperative LOS than the control group. Conclusions: Further research is needed to identify contributing factors associated with prolonged postoperative LOS in those critically ill older stable surgical patients who board in the PACU after surgery. Nurse leaders responsible for patient flow may also need to consider the potential financial implications of boarding along with quality of care metrics.

Dr.N.P., Nursing Practice  – Drexel University, 2016

Advisors/Committee Members: DiMaria-Ghalili, Rose Ann, College of Nursing and Health Professions.

Subjects/Keywords: Nursing; Postanesthesia Nursing; Treatment Outcome

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Charsha, D. S. (2016). Impact on Health Outcomes of Boarding Postoperative Critically Ill Stable Older Patients. (Thesis). Drexel University. Retrieved from http://hdl.handle.net/1860/idea:6658

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16th Edition):

Charsha, Dianne Susan. “Impact on Health Outcomes of Boarding Postoperative Critically Ill Stable Older Patients.” 2016. Thesis, Drexel University. Accessed October 26, 2020. http://hdl.handle.net/1860/idea:6658.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7th Edition):

Charsha, Dianne Susan. “Impact on Health Outcomes of Boarding Postoperative Critically Ill Stable Older Patients.” 2016. Web. 26 Oct 2020.

Vancouver:

Charsha DS. Impact on Health Outcomes of Boarding Postoperative Critically Ill Stable Older Patients. [Internet] [Thesis]. Drexel University; 2016. [cited 2020 Oct 26]. Available from: http://hdl.handle.net/1860/idea:6658.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Charsha DS. Impact on Health Outcomes of Boarding Postoperative Critically Ill Stable Older Patients. [Thesis]. Drexel University; 2016. Available from: http://hdl.handle.net/1860/idea:6658

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

2. Slagle, Joan Abigail. Implementation of a Warming Protocol to Prevent Inadvertent Perioperative Hypothermia in the Ambulatory Surgical Setting.

Degree: MSN, 2015, University of San Francisco

The implementation of a standardized warming protocol aims to improve patient outcomes by preventing inadvertent perioperative hypothermia (IPH) and its complications in the ambulatory surgical setting. All patients, regardless of age or gender, are at risk for experiencing a 1-2° C drop in body core temperature within thirty minutes of anesthesia induction. The global aim of this project is to prevent IPH and its complications in the ambulatory surgical setting by implementing a warming protocol at a freestanding ambulatory surgery center. While an audit of the microsystem revealed a normothermia rate of 28%, a standardized warming protocol is expected to increase the normothermia rate to 90%. The project is vital because it reduces costs from postoperative complications, promotes best safe practices and quality care, and enhances the patient’s surgical experience and satisfaction. Based on clinical best practice guidelines recommended by the National Institute for Health and Care Excellence and American Society of Perianesthesia Nursing, a temperature management policy and warming protocol were implemented. Staff was educated about IPH and its complications, and post-tests and follow-up meetings with each department were held to assess staff understanding. The project is currently an ongoing change, and evaluation of the results is expected to occur in December 2015. The nursing profession is constantly pressured to find innovative ways to improve patient care, eliminate waste, and maintain affordability through process improvement projects. A process improvement project, such as the warming protocol, is both essential and meaningful when adopted in the ambulatory surgery setting. Advisors/Committee Members: Catherine Coleman.

Subjects/Keywords: hypothermia; perioperative; warming interventions; ambulatory surgery; anesthesia; postanesthesia care unit; Perioperative, Operating Room and Surgical Nursing

…more expensive the costs become. Without a warming protocol, the nursing staff was using an… …leading to a longer PACU LOS and higher costs associated with overtime nursing hours and… …Nursing, Administrator, Managers of each department, Infection Control Nurse, Quality… …Perioperative Nursing (AORN) recommendation of 68°-75°F degrees (NICE, 2008). The… …change process. Members of the nursing staff and interdisciplinary team will be invited to… 

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APA · Chicago · MLA · Vancouver · CSE | Export to Zotero / EndNote / Reference Manager

APA (6th Edition):

Slagle, J. A. (2015). Implementation of a Warming Protocol to Prevent Inadvertent Perioperative Hypothermia in the Ambulatory Surgical Setting. (Thesis). University of San Francisco. Retrieved from https://repository.usfca.edu/capstone/161

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Chicago Manual of Style (16th Edition):

Slagle, Joan Abigail. “Implementation of a Warming Protocol to Prevent Inadvertent Perioperative Hypothermia in the Ambulatory Surgical Setting.” 2015. Thesis, University of San Francisco. Accessed October 26, 2020. https://repository.usfca.edu/capstone/161.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

MLA Handbook (7th Edition):

Slagle, Joan Abigail. “Implementation of a Warming Protocol to Prevent Inadvertent Perioperative Hypothermia in the Ambulatory Surgical Setting.” 2015. Web. 26 Oct 2020.

Vancouver:

Slagle JA. Implementation of a Warming Protocol to Prevent Inadvertent Perioperative Hypothermia in the Ambulatory Surgical Setting. [Internet] [Thesis]. University of San Francisco; 2015. [cited 2020 Oct 26]. Available from: https://repository.usfca.edu/capstone/161.

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

Council of Science Editors:

Slagle JA. Implementation of a Warming Protocol to Prevent Inadvertent Perioperative Hypothermia in the Ambulatory Surgical Setting. [Thesis]. University of San Francisco; 2015. Available from: https://repository.usfca.edu/capstone/161

Note: this citation may be lacking information needed for this citation format:
Not specified: Masters Thesis or Doctoral Dissertation

.