Implementation of a Standardized Handout for Perioperative Care of Patients with Pacemakers and Automatic Implantable Cardioverter-Defibrillators: A Doctor of Nursing Practice Project
Author
Whittington, Laura
Abstract
Cardiac implantable electronic devices (CIEDs) are implanted in patients to treat life-threatening cardiac arrhythmias and other heart rhythm abnormalities. The current process for anesthesia providers delivering perioperative care for patients with CIEDs lacks standardization. The purpose of this quality improvement project was to assess anesthesia providers’ perceptions of a standardized AICD/PPM Handout as a useful instrument to improve perioperative CIED management and patient safety. The tool was developed following a synthesis of literature and was distributed in person to CRNAs at a partnering facility. Both the handout and an educational PowerPoint with voiceover were also electronically delivered to participants for review. Participants utilized the handout for two weeks. The CRNAs responded to pre- and post-intervention surveys regarding their perceptions of the usefulness of the intervention. Results indicated the anesthesia providers felt more comfortable assessing patients with CIEDs and identifying and managing high risk for EMI cases following the implementation period. There was also a decrease in the amount of time to find reference material to answer CIED questions after the intervention. This could positively impact the affiliate organization’s workflow, supporting the rapid room turnover and fast-paced working environment. The primary limitation of this project was the limited sample size. Recommendations for future versions of this project include incorporating on-site and in-person educational sessions at the facility to increase awareness of both the project and resources.
Date
2023-12-07
Citation:
APA:
Whittington, Laura.
(December 2023).
Implementation of a Standardized Handout for Perioperative Care of Patients with Pacemakers and Automatic Implantable Cardioverter-Defibrillators: A Doctor of Nursing Practice Project
(DNP Scholarly Project, East Carolina University). Retrieved from the Scholarship.
(http://hdl.handle.net/10342/13220.)
MLA:
Whittington, Laura.
Implementation of a Standardized Handout for Perioperative Care of Patients with Pacemakers and Automatic Implantable Cardioverter-Defibrillators: A Doctor of Nursing Practice Project.
DNP Scholarly Project. East Carolina University,
December 2023. The Scholarship.
http://hdl.handle.net/10342/13220.
April 29, 2024.
Chicago:
Whittington, Laura,
“Implementation of a Standardized Handout for Perioperative Care of Patients with Pacemakers and Automatic Implantable Cardioverter-Defibrillators: A Doctor of Nursing Practice Project”
(DNP Scholarly Project., East Carolina University,
December 2023).
AMA:
Whittington, Laura.
Implementation of a Standardized Handout for Perioperative Care of Patients with Pacemakers and Automatic Implantable Cardioverter-Defibrillators: A Doctor of Nursing Practice Project
[DNP Scholarly Project]. Greenville, NC: East Carolina University;
December 2023.
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