Implementation of a Sepsis Resource Nurse in the Emergency Department: A Quality Improvement Project

dc.contributor.advisorRusch, Lorraineen_US
dc.contributor.authorKipfer, Meganen_US
dc.date.accessioned2020-04-29T21:37:42Z
dc.date.available2021-05-16T08:40:27Z
dc.date.issued2020-05-16
dc.degree.committeePritchard, Jonathanen_US
dc.degree.disciplineDoctor of Nursing Practice (DNP) Programen_US
dc.degree.levelDNPen_US
dc.degree.nameDoctor of Nursing Practiceen_US
dc.description.abstractSample/Setting: The setting is the emergency department at a private, not-for-profit, teaching hospital with 80-90,000 emergency center visits annually. The sample included 312 total patient's presenting to the ED with ICD 10 codes (A40.3-A.41.9).|Methods: Data were collected through retrospective chart review 3 months prior to implementation of the sepsis resource nurse for comparison to data during two-month project implementation. Data points evaluated included: average hospital length of stay (days), percent of door to antibiotic administration less than 60 minutes, median minutes door to antibiotic order, median minutes door to antibiotic administration, median minutes antibiotic order to administration.|Results: Average length of hospital stay was unchanged throughout the project. October data revealed a decrease in the number of patients who received antibiotics within 60 minutes of presentation and an increase in the median minutes from antibiotic order to administration. November revealed 42% increase in number of patients that received antibiotics within 60 minutes and a 13.9% decrease in the median minutes from antibiotic order to administration.|Conclusion: The implementation of the sepsis resource nurse showed a significant impact on the variables studied for this project. The initial increase in time variables during the first month of implementation (October) could potentially be attributed to the initiation of practice change, supported by the fact that as staff became used to the role/workflow, data improved in the second month (November).en_US
dc.embargo.terms2021-05-16
dc.identifier.urihttp://hdl.handle.net/10504/126872
dc.rightsCopyright is retained by the Author. A non-exclusive distribution right is granted to Creighton Universityen_US
dc.rights.holderKipfer, Meganen_US
dc.subject.meshSepsisen_US
dc.subject.meshEmergency Service, Hospitalen_US
dc.subject.meshQuality Improvementen_US
dc.titleImplementation of a Sepsis Resource Nurse in the Emergency Department: A Quality Improvement Projecten_US
dc.typeManuscripten_US
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