The Case for Procedural Capnography
Review TypeNone: Degree-based Submission
Repository Posting Date2017-08-30T20:17:43Z
Author(s)Wright, Stewart A.
TypeDNP Capstone Project
Level of EvidenceOutcomes Research
Research ApproachTranslational Research/Evidence-based Practice
CINAHL HeadingsCapnography; Carbon Dioxide--Analysis; Sedation; Sedation--Methods; Conscious Sedation; Respiratory Failure
In health care today, patient safety is a top priority. Regarding procedural sedation, one specific tool that improves patient safety is waveform capnography. The use of capnography can improve patient safety and outcomes. It offers a passive, yet continuous method to monitor a patient’s respiratory status while undergoing nurse-administered moderate sedation. Capnography gives indication much faster as compared to clinician recognition alone of respiratory, as well as, cardiac events. With overwhelming lack of proper training related to new technical devices such a capnography, a sound developmental training program regarding the use of capnography can positively effect patient safety and outcomes. This project attempts to answer the following question. In registered nurses administering procedural sedation (P), how does a nursing education program (I) regarding use of end-tidal CO2 monitoring decrease the occurrence of adverse events or outcomes by nursing staff's use of capnography (C), compared to the absence of end-tidal co2 monitoring (O), over a period of four weeks(T)? The development of an education program regarding capnography for eight registered nurses in an endoscopy unit proves that with the appropriate instructive intervention, nurses can effectively utilize the capnography device as a sixth vital sign. The knowledge gained by the educational initiative provides framework for policy development regarding use of capnography for all procedures that require sedation.
DescriptionThis DNP capstone project provides evidence that adding a hands-on educational initiative regarding the use of capnography to a group of nurses who administer procedural sedation will promote the use of capnography. This initiative provided nurses who administer procedural sedation the insight needed to understand the importance capnography can have on improving patient outcomes.
Degree GrantorCapella University
Date of Publication2017-08-30
NotesThis work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
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