Evenstar Forbach

AGACNP Student @ U of A

[Evenstar Forbach @EvenstarForbach]

M12: The most important point of EBP in my future APRN practice is establishing and maintaining patient safety through prompt response and quality interventions associated with code and rapid response teams as delineated by research that supports a team-led approach.
#NURS751

[Evenstar Forbach @EvenstarForbach]

M12: @AACNursing is the American Association of Critical Care Nursing that provides resources for advanced nursing care to acutely ill adult-gerontology patients. As an active member, I will use this partnership to disseminate and support my future work. #NURS751

[Evenstar Forbach @EvenstarForbach]

M11: EBP in difficult IV access encourages quick and accurate application of access (IO), especially in trauma with transfusion needs. PBE encourages assessment of cultural values i.e. hold your horses on transfusion of blood products for some religious groups.
#NURS751

[Evenstar Forbach @EvenstarForbach]

WK10: @American_Heart provides a myriad of population health resources including valued data compiled from the @CDCgov and @WHO and provides recommendations for heart healthy living and strategies to prevent precursors to heart failure and coronary artery disease #NURS646SS18

[Evenstar Forbach @EvenstarForbach]

M10: CDSSs are handy in the ability to provide alerts, recommendations and suggestions. With difficult IV access, a useful CDSS might flag recurrent patients who have a history of difficult access or a printed reminder on code sheet forms to highlight emergent IO use. #NURS751

[Evenstar Forbach @EvenstarForbach]

@AlissaRN_UofA I got a giggle out of this... thought you might too

[Evenstar Forbach @EvenstarForbach]

M9: @ENAorg's CPG for difficult IV placement is policy strong in that its knowledge is collaborative and networked. The CPG also involves a wide range of evidence and works with policy makers to define its boundaries. #NURS751

[Evenstar Forbach @EvenstarForbach]

Dr. Mensik, Thank you for dropping into our course and adding to our learning! To what extent should nurse managers give cart blanche to charge RNs? I have found myself as a unit RN and as a Charge RN in ICU to be leery of unnecessary 1:1 assignments. #JMNURS751

[Evenstar Forbach @EvenstarForbach]

M8: For healthcare providers and patients finding emergency vascular access difficult, @ENAorg developed a decision aide that proposes options for alternative access measures. #difficultivaccess
#NURS751

[Evenstar Forbach @EvenstarForbach]

WK8: A key feature of effective decision support is to display relevant patient-specific information and alerts at pertinent times within the EHR workflow to deter pop-ups from disrupting provider workflow #NURS646SS18

[Evenstar Forbach @EvenstarForbach]

M7: Greatest challenge for difficult IV access CPG, pushing for IO placement, will be beliefs abut consequences in perceived risk/threat with change of practice. The key to overcoming this challenge: identify authority in practice and make these members agents of change.
NURS751

[Evenstar Forbach @EvenstarForbach]

M6: A great model to help implement a difficult IV access CPG would be the Ottawa Model of Research Use by Graham and Logan. This model helps to adapt valid research into practice by using assessment, monitoring and evaluation to establish practice guidelines.
#NURS751

[Evenstar Forbach @EvenstarForbach]

WK6: With the development of CPOE, providers who struggle to enter their own orders often push responsibility onto nursing staff, leading to mistakes in Rx dosing. A potential solution would be to implement speech recognition software for stat medication orders.
#NURS646SS18

[Evenstar Forbach @EvenstarForbach]

M5: Adult Critical Care is BLESSED by CPGs. CPGs provide an instrument that strengthens clinical practice by creating a "rule" for interventions to be performed consistently and are continuously updated to best allow useful and practical care by healthcare providers
#NURS751

[Evenstar Forbach @EvenstarForbach]

@LydiaMoor It's from the Sandlot! She's listening to his heart beat, I assume!

[Evenstar Forbach @EvenstarForbach]

M4: In the team approach of in-hospital RRT and code team, a meta-analysis by Solomon, et. al contributes to EBP by supporting a team approach as evidenced by increased discharge of in-hospital cardiopulmonary arrests #NURS751

[Evenstar Forbach @EvenstarForbach]

WK4: Providers are the most accountable person to EHR; however, the EHR SHOULD be contributed to by the patient, autofill from previous encounters, AI and the Provider. Care is often impeded by time consumption for EHR, a hand held body CT would sure be helpful!
#NURS646SS18

[Evenstar Forbach @EvenstarForbach]

M3: EBP should be supported by valid and trustworthy research and evidence. Depends on if we are looking for numbers to support or defer methods (quantitative) or reasons and motivation (qualitative). Either way, if it's garbage, may as well toss it out. #NURS751

[Evenstar Forbach @EvenstarForbach]

@LydiaMoor I'm not gonna lie... I've told a whole lot of people to stop talking.. such a bossy pants!

[Evenstar Forbach @EvenstarForbach]

@LydiaMoor You're giving up all our secrets!!!

[Evenstar Forbach @EvenstarForbach]

M2: Evidence level -NIBP PracticeAlert: B, D, E. B) Reference of multiple controlled trials D) Peer review trials provide recommendation E) Expert opinion-recommendation. The suggested practice is already established best practice, not useful by itself, but good support!
#NURS751