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Implementing Cardiac Surgical Unit-Advanced Life Support Through Simulation-Based Learning: A Quality Improvement Project.
Dimens Crit Care Nurs
March 2021
Gregory S. Marler, DNP, APRN, ACNP-BC, FCCP has nearly 15 years' experience as a nurse practitioner in cardiothoracic surgery and is an assistant professor in the Department of Nursing at Appalachian State University in Boone, North Carolina. He is board certified as an acute care nurse practitioner. Margory A. Molloy, DNP, RN, CNE, CHSE, is the director of the Center for Nursing Discovery at the Duke University School of Nursing, Durham, North Carolina, and actively involved in developing interprofessional collaborative experiences that focus on patient safety, effective teamwork, and communication. Jill R. Engel, DNP, ACNP, FNP, NEA-BC, FAANP, is associate vice president for Heart Services Operations, Nursing, and Patient Care Services for Duke University Hospital System and clinical associate with Duke University School of Nursing in Durham, North Carolina. Gloria Walters, PhD, RN, RN-BC, CCRN-K, is a nurse scientist with Novant Health Forsyth Medical Center in Winston-Salem, North Carolina. Melanie B. Smitherman, BSN, RN-BC, CCRN-CSC, has 10 years' experience in cardiothoracic surgery critical care nursing and is currently pursuing a master of science in nursing degree in adult-gerontology acute care nurse practitioner at Duke University in Durham, North Carolina. Valerie K. Sabol, PhD, ACNP, GNP, ANEF, CNE, CHSE, FAANP, FAAN, is the chair for the Division of Healthcare in Adult Populations at Duke University School of Nursing, Durham, North Carolina. Dr Sabol has more than 25 years of acute and critical care experience and is board certified as an acute care and a gerontology nurse practitioner.
Background: The European Association for Cardio Thoracic Surgery and the Society of Thoracic Surgeons endorse Cardiac Surgical Unit-Advanced Life Support, a protocol designed specifically for cardiothoracic surgical patients who suffer postoperative cardiac arrests. To enhance patient outcomes and to reduce death rates, cardiothoracic intensive care unit nurses must be able to perform the protocol with confidence, proficiency, and without delays. To this end, simulation-based learning (SBL) is a pedagogical method ideal for optimized learning.
View Article and Find Full Text PDFA Study of Tolerability, Satisfaction, and Cost Reduction Using a 10% Immunoglobulin Product at Higher Administration Rates.
J Infus Nurs
April 2020
American Outcomes Management, LP, Fort Worth, Texas. Susan Bauer, BSN, RN, CRNI®, VA-BC, is director of patient services for American Outcomes Management. She has been employed in the home infusion industry for the past 30 years and has 20 years of experience with patients requiring immune globulin therapies. Michael Fadeyi, PharmD, MS, is the chief pharmacy officer for American Outcomes Management. He has more than 30 years' pharmacy experience (both academic and home infusion). Dr Fadeyi has published numerous journal articles pertaining to the home infusion industry. Sheryl Chan, RPH, is director of pharmacy for the New York branch of American Outcomes Management. She has been employed in the home infusion industry for the past 24 years.
Gammaplex 10% (immune globulin intravenous [human], Bio Products Laboratory, Ltd) can be administered with a 15-minute rate-escalation protocol. This analysis examined safety, patient satisfaction, and cost savings in 49 patients administered Gammaplex 10% via rapid infusion over 11 months. Fourteen patients reported 38 adverse reactions, 37 of which were deemed minor/moderate.
View Article and Find Full Text PDFImplementation of a Vascular Access Team to Reduce Central Line Usage and Prevent Central Line-Associated Bloodstream Infections.
J Infus Nurs
August 2019
Baptist Health Paducah Hospital, Paducah, Kentucky (Mr Savage, Ms Lynch, and Mrs Oddera). Thomas J. Savage, BSN, RN, CEN, CFRN, is a member and original developer of the vascular access team (VAT) at Baptist Health Paducah in Paducah, Kentucky. He also has 10 years' emergency department, cardiac catheter laboratory, and flight nurse experience. Amanda D. Lynch, BSN, RN, VA-BC, is a member of the VAT at Baptist Health Paducah. She has 15 years of critical care and cardiac stress laboratory experience. She joined the VAT shortly after its inception. Stacey E. Oddera, BSN, RN-BC, has 26 years' medical-surgical and interventional radiology experience. Mrs Oddera is also a member and original developer of the VAT at Baptist Health Paducah.
Central line-associated bloodstream infections (CLABSIs) account for one-third of all hospital-acquired infections and can cost the health care system between $21,000 and $100,000 per infection. A dedicated vascular access team (VAT) can help develop, implement, and standardize policies and procedures for central line usage that address insertion, maintenance, and removal as well as educate nursing staff and physicians. This article presents how 1 hospital developed a VAT and implemented evidence-based guidelines.
View Article and Find Full Text PDFHealth Coaching for Patients With Type 2 Diabetes Mellitus to Decrease 30-Day Hospital Readmissions.
Prof Case Manag
May 2019
Veronica H. Sullivan, DNP, MSN, RN, is a clinical assistant professor at The University of Alabama in Huntsville. Dr. Sullivan is an instructor in the BSN program. She has 15 years' experience as a nurse. Her prior experience includes medical-surgical, community health, geriatric, and psychiatric-mental health nursing. Mary M. Hays, DSN, MSN, RN, is associate professor emeritus at The University of Alabama in Huntsville, where her 17-year career included teaching pathophysiology and nursing administration. Dr. Hays' clinical experiences for more than 30 years include intensive cardiac care and step-down units and long-term care as director of nursing and administrative consultant. Susan Alexander, DNP, ANP-BC, ADM-BC, is an associate professor at the University of Alabama in Huntsville, working with graduate students in doctoral and master's programs since 2009. Her clinical areas of interest includes older adults with chronic diseases, specifically diabetes. Her prior experiences include acute, home-based, hospice, and palliative care.
Purpose/objectives: The purpose of this program was to provide health coaching to patients with a primary or secondary diagnosis of Type 2 diabetes mellitus (T2DM) to increase self-management skills and reduce 30-day readmissions.
Primary Practice Setting: The setting was a 273-bed, acute care not-for-profit hospital in the southern region of the United States.
Findings/conclusions: Health coaching that emphasized self-management, empowered patients to set healthy goals, and provided support through weekly reminders to improve self-management for patients with T2DM in this pilot program.
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