Publisher
University of Tennessee at Chattanooga
Place of Publication
Chattanooga (Tenn.)
Abstract
Bedside intensive care unit (ICU) staff are essential in evaluating, caring for, and treating patients with cardiogenic shock. Early recognition and diagnosis of cardiogenic shock by a bedside clinician can prevent further deterioration and improve outcomes. The frontline members of the healthcare team in the Cardiovascular Intensive Care Unit (CVICU) include critical care nurses and extracorporeal membrane oxygenation (ECMO) specialists. It is important to provide resources, protocols, and education to these clinicians to utilize their knowledge, expertise, and skills to escalate the needs of appropriate patients. The driving question for this quality improvement project to be addressed is in the CVICU registered nurses and ECMO specialists, how does the implementation of a cardiogenic shock protocol and education program, compare to the current practice, impact the self-efficacy and competency to recognize cardiogenic shock and refer to the ECMO team. The project will evaluate the competency, knowledge, and self-efficacy of the CVICU nurses and ECMO specialists before and after the implementation of a cardiogenic shock protocol and educational program. One goal is to improve self-efficacy and competency in CVICU nurses and ECMO specialists. Another goal of the implementation process is to impact referrals to the ECMO team for advanced cardiac support. In conclusion, I feel that utilizing a multidisciplinary approach to include the ICU staff may aid in early detection and escalation to the next-level provider. An educational program and cardiogenic shock protocol are expected to increase the knowledge, skills, and confidence of the bedside clinicians and guide them in the process of escalation of care. The combination of education and a standardized protocol to escalate care will be an initial intervention that could lead to improvement in the clinical area. Overall, the outcome of this QI project is to improve patient care and quality for this patient population.
Document Type
presentations
Language
English
Rights
http://rightsstatements.org/vocab/InC/1.0/
License
http://creativecommons.org/licenses/by/4.0/
Recommended Citation
Boggess, Kristi, "Implementation of a Cardiogenic Shock Protocol". ReSEARCH Dialogues Conference proceedings. https://scholar.utc.edu/research-dialogues/2023/proceedings/5.
Implementation of a Cardiogenic Shock Protocol
Bedside intensive care unit (ICU) staff are essential in evaluating, caring for, and treating patients with cardiogenic shock. Early recognition and diagnosis of cardiogenic shock by a bedside clinician can prevent further deterioration and improve outcomes. The frontline members of the healthcare team in the Cardiovascular Intensive Care Unit (CVICU) include critical care nurses and extracorporeal membrane oxygenation (ECMO) specialists. It is important to provide resources, protocols, and education to these clinicians to utilize their knowledge, expertise, and skills to escalate the needs of appropriate patients. The driving question for this quality improvement project to be addressed is in the CVICU registered nurses and ECMO specialists, how does the implementation of a cardiogenic shock protocol and education program, compare to the current practice, impact the self-efficacy and competency to recognize cardiogenic shock and refer to the ECMO team. The project will evaluate the competency, knowledge, and self-efficacy of the CVICU nurses and ECMO specialists before and after the implementation of a cardiogenic shock protocol and educational program. One goal is to improve self-efficacy and competency in CVICU nurses and ECMO specialists. Another goal of the implementation process is to impact referrals to the ECMO team for advanced cardiac support. In conclusion, I feel that utilizing a multidisciplinary approach to include the ICU staff may aid in early detection and escalation to the next-level provider. An educational program and cardiogenic shock protocol are expected to increase the knowledge, skills, and confidence of the bedside clinicians and guide them in the process of escalation of care. The combination of education and a standardized protocol to escalate care will be an initial intervention that could lead to improvement in the clinical area. Overall, the outcome of this QI project is to improve patient care and quality for this patient population.