Malignant Hyperthermia Crisis: Improving Knowledge, Recognition, and Preparedness of the Labor and Delivery Registered Nurse

UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
John Garland (Creator)
Institution
The University of North Carolina at Greensboro (UNCG )
Web Site: http://library.uncg.edu/
Advisor
Terry Wicks

Abstract: Background: Malignant Hyperthermia or Malignant Hyperpyrexia (MH) is a rare, potentially lethal patient syndrome caused by a hyper-metabolic state that can be precipitated by the administration of volatile inhalational anesthetic agents or a depolarizing neuromuscular blocking agent. Purpose: The purpose of this DNP project is to provide education, increase awareness, and increase proficiency in early recognition and management of an MH crisis, specifically relating to labor and delivery nurses. Methods: A quantitative methods design was used to evaluate knowledge and confidence following the education and mock MH scenario. The quantitative data collected was divided into two categories, category A and category B. Category A consisted of the entire sample of participants (n=20) who completed either the pre-evaluation survey or the post-evaluation survey. Category B was the sample of participants who completed both the pre-evaluation and post-evaluation surveys (n=20). Each category underwent descriptive statistical analysis while the paired questionnaires were evaluated using paired t-tests to determine statistical significance. Results: Results provided information consistent with increased average mean scores of both knowledge and confidence across all categories. The education provided will be incorporated into the unit’s annual competency training and orientation program for L&D nurses at this facility. Recommendations and Conclusion: The results of this project have shown that knowledge and confidence improved for the L&D registered nurse. It is recommended that MH crisis management training be incorporated into the new employee orientation and annual continuing education program.“Key Words” Malignant Hyperthermia simulation, Malignant Hyperthermia in Labor and Delivery, crisis management, simulation.

Additional Information

Publication
Dissertation
Language: English
Date: 2022
Keywords
Malignant Hyperthermia

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