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Reduction of Intradialytic Complications Using Interactive Fluid Volume Technology

dc.contributor.advisorMarshburn, Dianne
dc.contributor.authorHopper, Jessica
dc.contributor.departmentGraduate Nursing Scienceen_US
dc.date.accessioned2022-07-25T15:15:10Z
dc.date.available2022-07-25T15:15:10Z
dc.date.issued2022-07-25
dc.description.abstractThe Reduction of Intradialytic Complications Using Interactive Fluid Volume Technology is a quality improvement (QI) project that used Crit-line technology to manage intradialytic fluid volume during hemodialysis at the project site. Improved patient blood volume management during hemodialysis is instrumental in shortening the length of inpatient hospital stays for hemodialysis patients, decreasing fluid volume overload, and limiting intradialytic adverse events while improving the utilization of existing resources. The goal of this project is to fully integrate existing Crit-line technology, an FDA-approved medical device, to improve euvolemia in hemodialysis patients during their inpatient stay. Specific areas addressed in this project included changes to the current hemodialysis order set, provider training, and nursing education. All adult patients receiving hemodialysis during the six-week implementation period were included in this project. Evaluation measures included the utilization of the order set modifications by the providers ordering hemodialysis and if the optimal Crit-line profile was met during each hemodialysis treatment using the modified order set. During the implementation period, data was collected weekly through order set utilization review within the electronic medical record, ending Crit-line profile within the hemodialysis service provider’s billing software, and intradialytic complications were identified through chart reviews. The utilization of the modified order set exceeded the initial project goal and continues to remain at approximately 70%. Key project findings included enhanced volume assessment during hemodialysis, decreased intradialytic complications, increased nurse autonomy, and improved workflow for providers and nursing staff.en_US
dc.description.degreeD.N.P.en_US
dc.identifier.citationHopper, J. (2022) Reduction of Intradialytic Complications Using Interactive Fluid Volume Technology. [Doctor of Nursing Practice project report, East Carolina College of Nursing]. The Scholarship. End citation: (Hopper, 2022). Narrative citation: Hopper (2022)en_US
dc.identifier.urihttp://hdl.handle.net/10342/10919
dc.language.isoen_USen_US
dc.subjectrelative fluid volume, intravascular refill, intradialytic fluid management, Crit-line CliC, hemodialysisen_US
dc.titleReduction of Intradialytic Complications Using Interactive Fluid Volume Technologyen_US
dc.title.alternativeReduction of Intradialytic Complicationsen_US
dc.typeDNP Scholarly Projecten_US
ecu.campusonlyOpen Accessen_US

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