Effective Patient Education in the Emergency Department LTSC108 9:30 am-10:00 am
Evaluating the Effectiveness of Current Practice in Preventing Post-Operative Nausea and Vomiting
Presenter(s): Amie Bauer
LTSC108 10:00 am-10:30 am
Faculty Sponsor(s): Dr. Elizabeth Gephart
Presenter(s): Amanda Durbin
Abstract/Description: The environment of the emergency department is typically loud and disruptive. The emergency nurse is focused on saving and stabilizing the patient, which could leave little time for effective patient education. The lack of efficient and effective patient education is causing repeated emergency room visits and hospital admissions leading to an increase in cost and poor patient outcomes. Patient education continues to be a core component in the practice of nursing. The purpose of this project is to review the current evidence relating to patient and family education in the emergency department, because patient outcomes are being negatively affected. The goal is to identify gaps in the literature and include evidence-based recommendations to implement into the current nursing practice.
Faculty Sponsor(s): Dr. Elizabeth Gephart
P. 18
Abstract/Description: Postoperative nausea and vomiting (PONV) delays a patient’s return to normal function, raises health care costs, and results in a lower degree of patient satisfaction. The numerous adverse outcomes of PONV has resulted in the Centers for Medicare and Medicaid Services (CMS) identifying PONV prevention as an important patient centered outcome of anesthesia care. It is recommended that in order to reduce the occurrence of PONV, patients undergoing general anesthesia should receive a PONV risk assessment and receive preemptive combination therapy based upon their score (AMA, 2015). A central Illinois hospital is currently utilizing the guidelines outlined by CMS
for PONV risk assessments and selection of antiemetic therapy. However, the facility had not yet completed a systematic assessment to determine if patients at high-risk for PONV are receiving appropriate and effective prophylactic antiemetic therapy. To determine if patients found to be at high-risk for PONV are continuing to experience PONV despite current preemptive antiemetic treatments preoperatively and intraoperatively, a chart audit was performed. The audit determined if patients at high-risk were needing additional medications post-operatively and if additional recommendations for improvement needed to be made based on CMS guidelines. Ensuring patients are receiving appropriate and effective prophylactic antiemetic treatment is necessary to promote high quality care, leading to improved patient outcomes. ------------------------------------------
Characteristics of Patients Who Self-Manage Chronic Illness: Questions for Patient Discharge LTSC108 10:30 am-11:00 am Presenter(s): Ekaterini Pliakos Faculty Sponsor(s): Dr. Jo Carter