Benefits of standardizing additional airway clearance in the trauma patient population.
The objective of this project was the development of a systematic preventative approach toward the treatment of respiratory complications among the trauma population. The team used and documented existing treatment regimens within specific study groups, to determine an effective structure to combat respiratory complications. The project included retrospective data collected from the Trauma Registry of an American College of Surgeons verified Level 1, adult rural, academic facility. Review data indicated significant inconsistencies in the pulmonary treatment among the trauma population. Pulmonary hygiene orders lacked consistency, and the patient-focused standards of care led to the creation of nonspecific or omitted orders. The results of the analysis revealed that the overall rate of unplanned upgrades to the higher level of care and intubations due to respiratory compromise were significantly impacted by the design of a collaborative pulmonary care regimen defining role delineation, timelines, and education. This project provided support to the credence of the designated pathway.
West Virginia University Hospitals, Morgantown.
Valerie D
VD
Hanlon
Freda
F
White
Amanda E
AE
Hustosky
Christopher A
CA
McCormick
Eric J
EJ
Hayes
Alison
A
Wilson
D000328:Adult; D058109:Airway Management / Q000451:nursing / Q000592:standards*; D005260:Female; D019538:Health Care Surveys; D006801:Humans; D007362:Intensive Care Units; D008297:Male; D008875:Middle Aged; D009746:Nursing, Team / Q000458:organization & administration*; D011787:Quality of Health Care; D012138:Respiratory Therapy / Q000379:methods*; D012141:Respiratory Tract Infections / Q000517:prevention & control*; D018570:Risk Assessment; D011795:Surveys and Questionnaires; D014193:Trauma Centers / Q000458:organization & administration; D015599:Trauma Severity Indices; D014481:United States; D014947:Wounds and Injuries / Q000175:diagnosis / Q000628:therapy*