Decreasing Post-Operative Ventilator Time in the Cardiovascular Surgical Patient: A Nursing Education Quality Initiative
Date of Award
College or School
Program or Major
Doctorate of Nursing Practice
Clarissa Michalak, DNP, ACNPC-AG, CCRN
Kristin Laberis, MTS
Felicia Azzi, BSN, RN
Extended mechanical ventilation times after open heart surgery can contribute to complications prolonging recovery and length of stay, as well as increasing mortality. Standardized staff education of immediate post-open-heart recovery and ventilator weaning protocols, combined with the use of ABCDE and VAP bundles can reduce these complications. At Hospital X during summer of 2022, the average length of time patients remained mechanically ventilated after open heart surgery increased. After an initial needs survey was distributed to nursing staff, a set of novel QR codes was created to simplify and centralize training for staff in the ICU to facilitate early extubation and mobility, as well as increase adherence to standards of care. As a result, average post operative ventilator times showed a downward trend and staff reported increased confidence in their skills. In addition, QR codes have led to an electronic resource of protocols that could be updated as needed. Use of QR codes can be extended to other areas of education and patient care.
Bruno Roberts, Amanda J., "Decreasing Post-Operative Ventilator Time in the Cardiovascular Surgical Patient: A Nursing Education Quality Initiative" (2023). DNP Scholarly Projects. 83.
Critical Care Nursing Commons, Perioperative, Operating Room and Surgical Nursing Commons