• Login
    View Item 
    •   UMB Digital Archive
    • School of Nursing
    • Doctor of Nursing Practice (DNP) Projects
    • View Item
    •   UMB Digital Archive
    • School of Nursing
    • Doctor of Nursing Practice (DNP) Projects
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Browse

    All of UMB Digital ArchiveCommunitiesPublication DateAuthorsTitlesSubjectsThis CollectionPublication DateAuthorsTitlesSubjects

    My Account

    LoginRegister

    Statistics

    Display statistics

    Perioperative Corneal Abrasion Prevention Protocol in Prone and Lateral Positioned Patients

    • CSV
    • RefMan
    • EndNote
    • BibTex
    • RefWorks
    Thumbnail
    Name:
    Cortez_PerioperativeCornealAbr ...
    Size:
    697.9Kb
    Format:
    PDF
    Download
    Author
    Cortez, Alison R.
    Advisor
    Conley, Richard
    Date
    2022-05
    Type
    DNP Project
    
    Metadata
    Show full item record
    Other Titles
    Perioperative Corneal Abrasion Prevention Protocol
    Abstract
    Problem & Purpose: Corneal abrasions (CAs) are the most common anesthesia-related perioperative ocular injury in non-ocular surgery. Studies show the most common patient-related risk factors include advanced age, dry eyes, and an ophthalmic history. Procedure-related risk factors include general anesthesia, lateral or prone positioning, longer procedures, and robotic surgery. Properly taping eyes closed prior to airway manipulation can prevent corneal abrasions. Anesthesia providers at a medium-sized community hospital found approximately five CAs out of 500 cases occurred in adult surgical patients despite preventative efforts. This Quality Improvement (QI) project implemented a preoperative CAs risk assessment and intraoperative CA prevention protocol to improve the detection of risk factors and implement intraoperative prevention methods. Methods: Inclusion criteria for the preoperative risk assessment were adult patients, scheduled for elective surgery, and receiving general anesthesia. Exclusion criteria included pediatrics, parturient, non-elective surgery, and not receiving general anesthesia. The inclusion and exclusion criteria for the intraoperative prevention protocol remained the same, with the addition of those placed in lateral or prone position to be included and other positions to be excluded. Ocular occlusive dressings were stocked in all operating rooms. Implementation of yes/no checklist forms included a Preoperative CA Risk Assessment of Patient-Related Factors (five-item) and Procedure-Related Factors (four-item), and an Intraoperative CA Prevention Protocol (15-item). Education was provided to preoperative nurses and anesthesia providers. Completed forms were deposited into a locked box in the anesthesia lounge. Baseline data collection began at the start of the implementation period, and weekly thereafter. Data was recorded without identifiers using a secure data management Excel spreadsheet based on inclusion and exclusion criteria. Outcome measures included use of the preoperative risk assessment and the intraoperative prevention protocol with compliance rates displayed using run charts. Results and Conclusion: The risk assessment had compliance rates from 5% to 61% (median=30%). The prevention protocol had compliance rates from 6% to 100% (median=89%). The occurrence of corneal abrasion decreased from 2 to zero per week. A QI project implementing a preoperative CA risk assessment and an intraoperative prevention protocol will improve the delivery of quality care and patient outcomes in the perioperative period.
    Keyword
    Corneal Injuries--prevention & control
    Quality Improvement
    Postoperative Complications--surgery
    Anesthesia, General--adverse effects
    Risk Assessment
    Identifier to cite or link to this item
    http://hdl.handle.net/10713/18755
    Collections
    Doctor of Nursing Practice (DNP) Projects

    entitlement

     
    DSpace software (copyright © 2002 - 2023)  DuraSpace
    Quick Guide | Policies | Contact Us | UMB Health Sciences & Human Services Library
    Open Repository is a service operated by 
    Atmire NV
     

    Export search results

    The export option will allow you to export the current search results of the entered query to a file. Different formats are available for download. To export the items, click on the button corresponding with the preferred download format.

    By default, clicking on the export buttons will result in a download of the allowed maximum amount of items.

    To select a subset of the search results, click "Selective Export" button and make a selection of the items you want to export. The amount of items that can be exported at once is similarly restricted as the full export.

    After making a selection, click one of the export format buttons. The amount of items that will be exported is indicated in the bubble next to export format.