Date of Award
12-2024
Degree Type
Dissertation/Thesis
Degree Name
Doctor of Nursing Practice (DNP)
School
Leadership and Advanced Nursing Practice
Committee Chair
Dr. Nina McLain
Committee Chair School
Leadership and Advanced Nursing Practice
Committee Member 2
Dr. Mary Jane Collins
Committee Member 2 School
Leadership and Advanced Nursing Practice
Abstract
Objective: To evaluate the effectiveness of an educational workshop using an Objective Structured Clinical Examination (OSCE) on quantitative neuromuscular monitoring. The goal was to improve the knowledge and skills among certified registered nurse anesthetists (CRNAs) and student registered nurse anesthetists (SRNAs) in identifying residual paralysis. The specific aim was to determine the effectiveness of quantitative monitoring in the Post Anesthesia Care Unit (PACU).
Background: Residual paralysis following the administration of neuromuscular blocking drugs (NMBDs) is a significant postoperative complication. Neuromuscular blocking drugs (NMBD) facilitate airway management and manipulation of surgical fields. Quantitative monitoring can be crucial in early detection and prevention of residual paralysis.
Methods: A workshop assessed participants' understanding of neuromuscular blockade, quantitative monitoring, and the ability to differentiate between residual paralysis and other causes of respiratory depression. A literature review was conducted prior to the workshop. Pre- and post-test assessments were administered to measure knowledge acquisition.
Results: A significant mean-score increase was observed between pre-and post-tests, indicating improved knowledge and skills in quantitative neuromuscular monitoring. Participants demonstrated an enhanced understanding of key concepts, including the proper placement of electrodes, the significance of TOF ratios, and the appropriate use of reversal agents. Overall, the participants agreed that the workshop was beneficial.
Conclusion: The OSCE-based workshop effectively improved participants' knowledge and skills in quantitative neuromuscular monitoring. Implementing such educational initiatives can contribute to safer patient care by reducing the incidence of residual paralysis and associated complications.
Copyright
Kathryn Elizabeth Nokes and Erin Moran Travis, 2024
Recommended Citation
Nokes, Kathryn Elizabeth and Travis, Erin Moran, "Utilization of Quantitative Monitoring to Promptly Detect and Reduce the Occurrence of Residual Paralysis in the Post-Anesthesia Care Unit" (2024). Doctoral Projects. 274.
https://aquila.usm.edu/dnp_capstone/274
Included in
Equipment and Supplies Commons, Other Analytical, Diagnostic and Therapeutic Techniques and Equipment Commons, Surgical Procedures, Operative Commons