Areas of Expertise
Profiles of Excellence
The 2011 Professional Practice Awards for Evidence-Based Practice, Research, Innovation
The Professional Practice Awards for Evidence-Based Practice, Research, and Innovation recognizes a nurse who has utilized published research to explore the safest and best practice for patients and the practice environment or who has contributed to the general ized nursing knowledge base through research. As a result of this registered nurses’ implementation of the evidence into practice one or more of the following outcomes have been achieved
- Improvement in Patient Care
- Improved Nursing Satisfaction/ Improvement in the Work Environment
- Improvement in Organizational Outcomes (fiscal, operational, increase in resource allocation).
Professional Practice Award for Evidence Based Practice 2011
Andrew Wuthrich, BSN, RN, Virginia Brosnan, BSN, RN, and the Nursing Staff of C1 PACU
Decreasing Length of Stay (LOS) in NYUHJD
Problem: The Length of Stay in the ASC was prolonged by having low-risk patients void prior to being discharge.
Purpose: To decrease the average LOS in PACU by 20 minutes by discharging low-risk patients home without voiding based on a review of the literature and benchmarking against AMC in our geographical area.
Implications for Practice: The pilot project began on January 3rd, 2012 with over 97 patients enrolled by the end of January of 2012. Baseline line data was completed in the 1st Q of 2012. The preliminary data analysis shows a significant decrease in the LOS of post-op knee patients in the PACU setting without any readmissions for post op residual urinary retention. This pilot has demonstrated positive patient outcomes for LOS and patient satisfaction. Additionally there has been an improvement in patient flow and nursing satisfaction.
Professional Practice Award for Innovation for 2011
Deana Bynum APN, MSN, RN and the Nursing Staff of C2-PACU
Effects of Music on Orthopedic Postoperative Patients
Problem: Improving the total joint patients experience in the Post-Anesthesia Care Unit C2-PACU.
Deana Byrun, ANP, MSN, RN, Nurse Practitioner working in the Post-Anesthesia Care Unit C2-PACU setting in conjunction with the nursing staff of C2-PACU implemented an innovative evidence-based music therapy program in the PACU. The program offers patients the opportunity to use music to decrease their anxiety and improve their satisfaction with their PACU experience.
Implications for Practice: Music therapy in the medical setting gives patients a familiar and positive way to cope with their hospitalization. The PACU staff encourages all total joint replacement patients to participate in the music therapy program. Participating patients receive a coded compact disc player with head phones. The patients listen to a selection of music from the PACU that he/she had chosen prior to surgery. The music is available to patients for the entire PACU stay. The music therapy program demonstrated positive outcomes in our patients’ usage of pain medications and in reducing their anxiety. The pilot C2-PACU music program was so highly successful it is currently under evaluation by the Periopeartive Council for dissemination in additional units in the Perioperative setting.
Professional Practice Award for Nursing Research 2011
Principal Investigator: Frantzces Alabre, ANP, MSN, RN
Effective Post Surgical Pain Control during Transition from Epidural to Oral Analgesia: Patient and Treatment Related Factors
The Research Question: What are the treatment-related factors and patient-related factors associated with effective post-surgical pain control during the transition from epidural to oral analgesia in total knee replacement patients and total hip replacement patients?
Implications for Practice: The preliminary findings of this study highlighted several important factors which may influence analgesic gap during that transition:
- BMI and Pain
- Complex pain history
- Variability in the timing of premedication
- Inconsistency of pain reassessment