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Discussion

Quality Improvement Issues

What do you think are the biggest nurse-sensitive quality improvement issues in Surgical ICUs? I am a senior nursing student and I'm currently doing my practicum in a SICU. I am going to write a research paper, and I know the obvious choices: VAP, DVT prophylaxis, etc. I'd really like to research something that not everyone and their brother has already researched.

Any ideas? I'll let you know what I come up with re: best nursing practice :)

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    This is probably too late for you but other things my SICU looks at besides those things are --

    1. Extubation times after CABG surgery (faster is better)

    2. Pressure ulcer incidence/prevalence

    3. central line infection rates

    4. phlebitis rates

    5. UTI rates related to indwelling catheters/foleys

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    I work in an SICU and our biggest problem is VAP....

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    OUr off pump cabg population is coming out extubated... alternatives in pain control as to not depress resperatory status is an issue.

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