KU Group Three EBP Discussion

[rhiannonwolf]

Hello everyone, I am here. I am going to see if I can find this post through the search option.

Allyson

[rhiannonwolf]

Abby, could you clarify the patients post operative fluid status to avoid post operative complication? Would it be too simple to state that our topic would be, what is the exact amount of time a patient has to be NPO in order to avoid asperation and complications from surgery so that we as clinical nurses can educate our patients as to the exact amount of time or critical window that they need to stop eating before they go under for anesthetic? Therefore our outcome would be I guess, and this goes along the lines of what you were saying Abby, outcomes would be lowered postsurgical patient complications, and post operative fluid status.

[rhiannonwolf]

:yeah:Brenda, I would love to do the topic of C-sections, but I think we need to keep it braos enough to where everyone in the group could use this information we are working on since they work in different clinical areas. Most C-section patients do not undergo general anesthesia, they just recieve lumbar spinals and that would open a whole new sac-o-cats.

[abbyroad]

I think all of the ideas posted are very good and I think we could tie it all in. Correct me if I am wrong, but I think the main thing that we approach Dr. Sousa with is the problem and what we want the outcomes to be for the patient. I brought my syllabus and I am going to pull out the guidelines to our projec to help "guide" us. (I like those too!)

Problem: Most patients do not like to be NPO for any length of time

Keeping patients NPO too long could affect post operative fluid status

Not keeping patients NPO long enough could lead to aspiration

What are the best recommendations for keeping patients NPO without making it too long or not long enough?

What do you guys thing of my line of thinking?

[bnickel]

Allyson, your question of "what is the exact amount of time a patient has to be NPO in order to avoid aspiration and complications from surgery so that we as clinical nurses can educate our patients as to the exact amount of time or critical window that they need to stop eating before they go under for anesthetic?"

If this is our question, then are we looking for that information to then develop policy or guidelines for teaching patients?

So to assess the outcomes of lowered post-surgical patient complications and fluid status, we would audit medical records?

[rhiannonwolf]

:yeah:Sorry Abby, I'm having way to much fun with these little icons in my post, I definitely like your idea and thank you for bringing the syllabus along. I do not have it in front of me, how many sections are there to the EBP project and can you list them for us so we can hash out as to who will do what, like someone can write the intro, state the problem, summarize the research, etc.

Thanks!

[rhiannonwolf]

Good questions Brenda. I would say that we would be developing new hospital protocols for patients with regards to how many hours and what time a patient should go 'NPO' before surgery. We could look at medical records to audit rates of aspiration and postsurgical complications for patients who have lowered fluid levels who were NPO for longer periods of time, I think that is a good idea. It may be the only way in which we could gather that kind of data.

[abbyroad]

Ok Syllabus help here:

Is it just me, or have not all things been real clear in this clas so far? Ok moving on !

Each team will select a problem arising from practice and obtain approval of the problem from faculty.

1. Introduction

Identify and describe clinical problem

What is significance? Why is it important?

2. Background

summarize research findings

include data avaiable to support project

use PICO format

state rationale for undertaking the project

3. EBP Model

Choose model to guide project

Describe characteristics

4. Project Plan

Design

Setting and Sample

Describe intervention

Describe variables and measures

Procedure/Protocol

Plan for data analysis

Time frame

Hope this helps.......

[rhiannonwolf]

It says up there that we have three members and three guests, I hope you are there Judith and Kamala. If you want to join the discussion, just log into allnurses.com by registering we would love your input!

[rhiannonwolf]

Right there with you Abby, about how things have been clarified in this class so far :angryfire. Well, I would be willing to write about the research side of the project, I think that is part two. I can do lots of it, although I don't know what PICO form means. What the heck is that? Anyone know? :icon_roll

[bnickel]

Okay,

Before I can continue to concentrate, how are you adding the little dancing people? Are you typing in the text that the site says will get you the icon? These little things are too cute and I want one too! ( :

[bnickel]

I know what PICO means. Give me a minute and I'll pull up the paper I posted the other evening.

[abbyroad]

Brenda

Go to "Post Reply" and next to the typing box there are several little emoticons to choose from -- they are fun!