title: Change to a standardized airway clearance protocol for children with bronchiolitis leads to improved care.
abstract: Nurses at a pediatric hospital identified the liberal utilization of deep nasopharyngeal (NP) suction as the primary airway clearance modality in young children with bronchiolitis. This invasive practice lacked supporting evidence and a standardized approach. Nurses created an interdisciplinary team to develop a less invasive airway clearance protocol. Data from 2years, both pre and post protocol implementation, were analyzed. An 11% decrease in deep NP suctioning resulted in improved or unchanged balancing measures and perceptions of quality of care.
authors: Children's Mercy Hospitals and Clinics, Children's Mercy South Hospital, Overland Park, KS. Electronic address: kmjarvis@cmh.edu.
authors: Kristen
authors: K
authors: Jarvis
authors: Children's Mercy Hospitals and Clinics, Children's Mercy South Hospital, Overland Park, KS.
authors: Daniela
authors: D
authors: Pirvu
authors: Children's Mercy Hospitals and Clinics, Children's Mercy South Hospital, Overland Park, KS.
authors: Kim
authors: K
authors: Barbee
authors: Children's Mercy Hospitals and Clinics, Children's Mercy South Hospital, Overland Park, KS.
authors: Nancy
authors: N
authors: Berg
authors: Children's Mercy Hospitals and Clinics, Children's Mercy South Hospital, Overland Park, KS.
authors: Michelle
authors: M
authors: Meyer
authors: Children's Mercy Hospitals and Clinics, Children's Mercy South Hospital, Overland Park, KS.
authors: Lenny
authors: L
authors: Gaulke
authors: Children's Mercy Hospitals and Clinics, Children's Mercy South Hospital, Overland Park, KS.
authors: Brian M
authors: BM
authors: Pate
authors: Children's Mercy Hospitals and Clinics, Children's Mercy South Hospital, Overland Park, KS.
authors: Cristine
authors: C
authors: Roberts
mesh_terms: D000328:Adult; D058109:Airway Management / Q000379:methods / Q000592:standards; D001988:Bronchiolitis / Q000175:diagnosis / Q000451:nursing / Q000628:therapy*; D002648:Child; D002675:Child, Preschool; D003430:Cross-Sectional Studies; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data; D006776:Hospitals, Pediatric; D006801:Humans; D008297:Male; D010371:Pediatric Nursing / Q000592:standards*; D058996:Quality Improvement; D011787:Quality of Health Care; D012138:Respiratory Therapy / Q000451:nursing / Q000592:standards*; D013396:Suction / Q000451:nursing / Q000592:standards; D016896:Treatment Outcome; D014481:United States
keywords: Bronchiolitis; Infants; Standardized protocols; Suctioning