The Beat Stops Here: A Nurse-Driven Protocol to Manage Telemetry Orders

Bibliographic Details
Main Author: Dripps, Holly
Language:English
Published: Otterbein University / OhioLINK 2020
Subjects:
Online Access:http://rave.ohiolink.edu/etdc/view?acc_num=otbn1587679616511666
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spelling ndltd-OhioLink-oai-etd.ohiolink.edu-otbn15876796165116662021-08-03T07:14:40Z The Beat Stops Here: A Nurse-Driven Protocol to Manage Telemetry Orders Dripps, Holly Nursing Telemetry Cardiac Protocol Nurse-Driven Usage Discontinuation At a large midwestern healthcare organization, cardiac telemetry monitoring orders are not aligned with clinical guidelines developed by the American Heart Association (AHA). A nurse-driven protocol, based on AHA guidelines, to manage cardiac telemetry orders may reduce telemetry usage. Donabedian's quality improvement framework of structure-process-outcomes was utilized as the theorical framework for this project, with the purpose to reduce telemetry days within 30 days on a selected acute care unit utilizing AHA guidelines. Project objectives included developing an assessment tool based on AHA guidelines, educating pertinent stakeholders on the nurse assessment tool, and implementation of the tool on the chosen acute care unit for 30 days. Pre- and post-implementation data that included the date telemetry was started and stopped were obtained from the organization's Central Monitoring Unit (CMU). Upon commencement of the implementation, submitted assessment tools were reviewed for completion accuracy and paired with post-implementation data provided by the CMU resulting in 14 patients with complete data for analysis. Data analysis indicates a potential 30.5% decrease in telemetry monitored days and a potential savings of over $2 million annually to the identified healthcare organization. 2020-05-12 English text Otterbein University / OhioLINK http://rave.ohiolink.edu/etdc/view?acc_num=otbn1587679616511666 http://rave.ohiolink.edu/etdc/view?acc_num=otbn1587679616511666 unrestricted This thesis or dissertation is protected by copyright: all rights reserved. It may not be copied or redistributed beyond the terms of applicable copyright laws.
collection NDLTD
language English
sources NDLTD
topic Nursing
Telemetry
Cardiac
Protocol
Nurse-Driven
Usage
Discontinuation
spellingShingle Nursing
Telemetry
Cardiac
Protocol
Nurse-Driven
Usage
Discontinuation
Dripps, Holly
The Beat Stops Here: A Nurse-Driven Protocol to Manage Telemetry Orders
author Dripps, Holly
author_facet Dripps, Holly
author_sort Dripps, Holly
title The Beat Stops Here: A Nurse-Driven Protocol to Manage Telemetry Orders
title_short The Beat Stops Here: A Nurse-Driven Protocol to Manage Telemetry Orders
title_full The Beat Stops Here: A Nurse-Driven Protocol to Manage Telemetry Orders
title_fullStr The Beat Stops Here: A Nurse-Driven Protocol to Manage Telemetry Orders
title_full_unstemmed The Beat Stops Here: A Nurse-Driven Protocol to Manage Telemetry Orders
title_sort beat stops here: a nurse-driven protocol to manage telemetry orders
publisher Otterbein University / OhioLINK
publishDate 2020
url http://rave.ohiolink.edu/etdc/view?acc_num=otbn1587679616511666
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