Home
|
Inbox
|
Search
|
View Abstract
Assessment of Knowledge and Practices for Identifying Patients with Sepsis Among RNs and CNAs on a General Medical Floor in a Tertiary Care Center: A Pilot Study
Description
.abstract img { width:300px !important; height:auto; display:block; text-align:center; margin-top:10px } .abstract { overflow-x:scroll } .abstract table { width:100%; display:block; border:hidden; border-collapse: collapse; margin-top:10px } .abstract td, th { border-top: 1px solid #ddd; padding: 4px 8px; } .abstract tbody tr:nth-child(even) td { background-color: #efefef; } .abstract a { overflow-wrap: break-word; word-wrap: break-word; }
A3625 - Assessment of Knowledge and Practices for Identifying Patients with Sepsis Among RNs and CNAs on a General Medical Floor in a Tertiary Care Center: A Pilot Study
Author Block: A. Thakkar1, P. Poojary2, K. McKenna3, R. Schneider3, R. Ernest Jean4; 1Department of Internal Medicine, Mount Sinai St. Luke's-West, New York, NY, United States, 2School of Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 3Department of Quality Improvement, Mount Sinai St. Luke's-West, New York, NY, United States, 4Division of Pulmonary Critical Care, Mount Sinai St.Luke's-West, New York, NY, United States.
Introduction: Sepsis is among the most common reasons for hospitalizations and in-hospital mortality worldwide. Early identification and timely management of sepsis is key to reducing morbidity and mortality. Registered Nurses (RNs) and Certified Nursing Attendants (CNAs) are an integral part of the health care team and often the first to recognize important subtle changes in a patient’s clinical status. We aim to assess the knowledge gap and areas of improvement in sepsis identification and management. Methods:We designed a questionnaire for RNs and CNAs on one general medical floor. We aimed to assess knowledge and comfort in recognition and escalation in management of a potentially septic patient. We calculated the frequency and percentage of the questionnaire responses using SAS 9.4. Results:The total sample size was 30 which comprised of 17 RNs and 13 CNAs. 65% of RNs and 38% of CNAs received prior sepsis education 35% of RNs could correctly identify SIRS criteria compared to zero percentage of the CNAs. 70% and 77% of RNs and CNAs respectively were able to correctly identify patients meeting sepsis criteria. 88% of RNs would first notify the MD when patient met SIRS criteria, 6% would notify a fellow RN and only 6% % would assess for possible infection. 92% of CNAs would notify the RN if a patient met SIRS criteria. 59% of RNs reported comfort in notifying the MD when a patient met sepsis criteria. 82% of RNs would administer ordered antibiotics within 3 hours of identifying sepsis. 27.3% of RNs with prior sepsis education correctly answered all questions related to SIRS, sepsis and antibiotics. Conclusion: Our results indicate there is a potential gap in the knowledge of SIRS and sepsis among RNs and CNAs. Dedicated education for RNs and CNAs is necessary to improve early sepsis recognition and escalation of care for timely management.
Author Block: A. Thakkar1, P. Poojary2, K. McKenna3, R. Schneider3, R. Ernest Jean4; 1Department of Internal Medicine, Mount Sinai St. Luke's-West, New York, NY, United States, 2School of Public Health, Icahn School of Medicine at Mount Sinai, New York, NY, United States, 3Department of Quality Improvement, Mount Sinai St. Luke's-West, New York, NY, United States, 4Division of Pulmonary Critical Care, Mount Sinai St.Luke's-West, New York, NY, United States.
Introduction: Sepsis is among the most common reasons for hospitalizations and in-hospital mortality worldwide. Early identification and timely management of sepsis is key to reducing morbidity and mortality. Registered Nurses (RNs) and Certified Nursing Attendants (CNAs) are an integral part of the health care team and often the first to recognize important subtle changes in a patient’s clinical status. We aim to assess the knowledge gap and areas of improvement in sepsis identification and management. Methods:We designed a questionnaire for RNs and CNAs on one general medical floor. We aimed to assess knowledge and comfort in recognition and escalation in management of a potentially septic patient. We calculated the frequency and percentage of the questionnaire responses using SAS 9.4. Results:The total sample size was 30 which comprised of 17 RNs and 13 CNAs. 65% of RNs and 38% of CNAs received prior sepsis education 35% of RNs could correctly identify SIRS criteria compared to zero percentage of the CNAs. 70% and 77% of RNs and CNAs respectively were able to correctly identify patients meeting sepsis criteria. 88% of RNs would first notify the MD when patient met SIRS criteria, 6% would notify a fellow RN and only 6% % would assess for possible infection. 92% of CNAs would notify the RN if a patient met SIRS criteria. 59% of RNs reported comfort in notifying the MD when a patient met sepsis criteria. 82% of RNs would administer ordered antibiotics within 3 hours of identifying sepsis. 27.3% of RNs with prior sepsis education correctly answered all questions related to SIRS, sepsis and antibiotics. Conclusion: Our results indicate there is a potential gap in the knowledge of SIRS and sepsis among RNs and CNAs. Dedicated education for RNs and CNAs is necessary to improve early sepsis recognition and escalation of care for timely management.
|
Home
|
Inbox
|
Search
|