KU Group Three EBP Discussion

bnickel · Jan 31, 2009

Okay, you're definitely a patient soul!

So, on the EBP question, we have talked about patient compliance based on instructions regarding NPO and rationale for NPO ascertained by an interview prior to or post-procedure.

The other possibility is as you suggested, the topic of what is the amount of time a patient should be NPO without risk of aspiration.

It sounds as though we pick one then formulate the question. What do you think?

rhiannonwolf · Jan 31, 2009

How about the idea of either number of hours it takes to be NPO before risk of aspiration is lowered in preoperative patients, or with regards to patients who have been educated to what NPO actually means and patients who have not, how long did they fast before the surgery, or we could do compliance rates of patients who are supposed to NPO. Just some suggestions

abbyroad · Jan 31, 2009

Hello. Abby here.

rhiannonwolf · Jan 31, 2009

:yeah:Hey Brenda, so glad your on the site and found the forum, I hope everyone else does, do you think Dr. Sousa would be receptive to how many hours it takes for people to truly be NPO before the rates of aspiration increase? This would help us in our practice as clinical nurses with regards to what we tell our patients if they are to have a surgical procedure the next day and we could definitely find information on this. This may also help patient satisfaction rates so they wouldn't be starving. I know with my patients who are in labor or having a c-section the next morning, they are told NPO at midnight, although their procedure may be scheduled for 9:00 a.m. the next day and then after the procedure they are on clear liquids advanced as tolerated or even stay on ice chips.

Allyson:heartbeat:smokin: :idea:

Just having fun with these little guys:angryfire

rhiannonwolf · Jan 31, 2009

Hey Abby!! Just keep hitting your refresh button to see what we are posting. Welcome and glad you found us. Brenda and I are here and are discussing the NPO thing. Do you have any ideas or thoughts are what angle we should approach this?

bnickel · Jan 31, 2009

I'm also doing a quick scan of your articles and see that suggested "search" words for research are "patient compliance-evaluation", "aspiration".

All three of your suggestions are possibilities. If we opt for the education piece or compliance, our research could actually be done not only in the clinical setting, but in the medical home setting as the referring health provider could educate, as well as a nurse who may be visiting in the home and the patient has questions.

Regarding the number of hours it takes to be NPO before risk of aspiration is lowered, this may be good as it's a very narrow topic. Would this then be a systematic search of literature and research? And if so, what would we do to implement and evaluate? Does this bring us back to interview with patients or a review of the medical record for complications during the procedure?

rhiannonwolf · Jan 31, 2009

We also talked about who could do the editing and APA checks on our paper and Brenda stated that she is good at this.

bnickel · Jan 31, 2009

Hey, Abby! Delighted that you're on!

bnickel · Jan 31, 2009

Hey, Abby! Glad you're here, too! ( : This is my way of posting a little smile until I figure out this site!

I know you're reading what we've posted. What's your thoughts? I do think we're getting it narrowed down. I'm frankly not sure what Dr. Sousi may think, but if we could get our question to him (I need to revisit the exact instructions of what we're to send to him), it would still give us time to edit and refine our question prior to the 8th.

abbyroad · Jan 31, 2009

Hey Allyson and Brenda

Sorry I am late -- long story but to wrap it up internet stopped working, so I drove to neighboring town to parents house so I could use internet!

I like the NPO to avoid aspiration. When we posted our topic, Dr. Sousa wanted us to clarify the outcomes so I also wondered if we could tie in (related to Kamalas posting) the patients post operative fluid status to avoid post operative complication. What do you think?

bnickel · Jan 31, 2009

Allyson,

I work with the Maternal and Child Health program. Although I'm not the Perinatal Consultant, I am somewhat knowledgeable regarding the work with pregnant women as I oversee a home visitation program through local health departments and with M & I programs that serve pregnant women. So, we could narrow down our population to be pregnant women undergoing any procedure that requires NPO, including C-section.