Preferred Name

Selena Truban

Creative Commons License

Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 4.0 License.

Date of Graduation

12-10-2020

Document Type

Dissertation

Degree Name

Doctor of Nursing Practice (DNP)

Department

School of Nursing

Advisor(s)

Maria deValpine

Bethann Mendez

Abstract

Abstract

The use of invasive catheters to monitor hemodynamic readings is common in the critical care setting and requires the use of specialized equipment. Variation in equipment set-up impacts operational efficiency and creates the potential for improper patient treatment based on inaccurate readings. The methodology of setting up and maintaining hemodynamic pressure lines in the critical care units lacked structural and processional measures, creating the potential for patient harm. Multimodal strategies, guided by the Model for Improvement, were used to increase the use of evidence-based methods for setting up and maintaining invasive hemodynamic lines in the critical care units. A project team was assembled. Related compliance data was collected for two weeks prior to implementation of project interventions. Team members acted as unit champions and assisted with educational activities within their units. All necessary equipment was made readily available to aid enabling behaviors. After two weeks of interventions, data measures were collected for two weeks. Pre and post-interventional data showed increased compliance in all areas..

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