Implementation of Capnography Monitoring in Patients under Opioid Sedation: Evidence
Based Practice Project
Opioid-induced respiratory depression (OIRD) is the most dangerous and frightening of the opioid adverse effects (Pasero, 2012). Opioids slow down the central nervous system (CNS), which can lead to fatal respiratory depression, sedation, and coma (Zedler et al., 2015). The Joint Commission noted that 29% of opioid-related respiratory depression events were associated with improper patient monitoring (Carlisle, 2015). Older patients with co-morbidities like obesity and chronic obstructive pulmonary disease (COPD) are at higher risk to develop OIRD (Zedler et al, 2015). Even though pain management is a critical aspect during patient care, …show more content…
In addition, team leaders can discuss the capnography information with colleagues in order to assess possible barriers to the EBP-project implantation (Melnyk & Fineout-Overholt, 2011). Another way to promote engagement in EBP is to involve a group of medical/surgical nurses in the production of a staff education video about OIRD and capnography (Carlisle, 2015).
The Model for Evidence-Based Practice Change
The first step in the model of EBP change is the collaboration between the hospital clinical management and the nursing staff. Following the interdisciplinary group collaboration, it is important to prioritize the clinical issues. Next, influential staff should be selected to instruct the EBP guidelines in the nursing personnel.
Rolll Out Plan
Steps Definition Timeframe
Step 1 Building Relationships
• Involves the healthcare institution and nursing …show more content…
Next, the interdisciplinary team will develop an education module about OIRD, respiratory sedation assessment, use of capnography, and differences between use of capnography and pulse oximetry monitoring (Carlisle, 2015). Also, a short and concise handout about capnography can be distributed around the other units of the hospital. In addition, monthly collaboration meetings can help to share EBP projects results and outcomes between the company’s healthcare institutions around the state.
Another way to disseminate the new capnography practice is to involve a group of registered nurses (RNs) in the publishing of a paper about OIRD and capnography in a nursing journal. Later, RNs students working towards their BSN degree will develop a staff education video about the new capnography protocol. Finally, the EBP project and the staff education video can be incorporated in the nursing orientation meetings of the Bayfront hospitals
Based Practice Project
Opioid-induced respiratory depression (OIRD) is the most dangerous and frightening of the opioid adverse effects (Pasero, 2012). Opioids slow down the central nervous system (CNS), which can lead to fatal respiratory depression, sedation, and coma (Zedler et al., 2015). The Joint Commission noted that 29% of opioid-related respiratory depression events were associated with improper patient monitoring (Carlisle, 2015). Older patients with co-morbidities like obesity and chronic obstructive pulmonary disease (COPD) are at higher risk to develop OIRD (Zedler et al, 2015). Even though pain management is a critical aspect during patient care, …show more content…
In addition, team leaders can discuss the capnography information with colleagues in order to assess possible barriers to the EBP-project implantation (Melnyk & Fineout-Overholt, 2011). Another way to promote engagement in EBP is to involve a group of medical/surgical nurses in the production of a staff education video about OIRD and capnography (Carlisle, 2015).
The Model for Evidence-Based Practice Change
The first step in the model of EBP change is the collaboration between the hospital clinical management and the nursing staff. Following the interdisciplinary group collaboration, it is important to prioritize the clinical issues. Next, influential staff should be selected to instruct the EBP guidelines in the nursing personnel.
Rolll Out Plan
Steps Definition Timeframe
Step 1 Building Relationships
• Involves the healthcare institution and nursing …show more content…
Next, the interdisciplinary team will develop an education module about OIRD, respiratory sedation assessment, use of capnography, and differences between use of capnography and pulse oximetry monitoring (Carlisle, 2015). Also, a short and concise handout about capnography can be distributed around the other units of the hospital. In addition, monthly collaboration meetings can help to share EBP projects results and outcomes between the company’s healthcare institutions around the state.
Another way to disseminate the new capnography practice is to involve a group of registered nurses (RNs) in the publishing of a paper about OIRD and capnography in a nursing journal. Later, RNs students working towards their BSN degree will develop a staff education video about the new capnography protocol. Finally, the EBP project and the staff education video can be incorporated in the nursing orientation meetings of the Bayfront hospitals