Improving Knowledge, Recognition, and Management of Local Anesthetic Systemic Toxicity (LAST) in Labor and Delivery Nurses
- UNCG Author/Contributor (non-UNCG co-authors, if there are any, appear on document)
- Sheena Hilton (Creator)
- Institution
- The University of North Carolina at Greensboro (UNCG )
- Web Site: http://library.uncg.edu/
- Advisor
- Terry Wicks
Abstract: Background: Local anesthetic systemic toxicity (LAST) is a high-impact, low-occurrence complication of administering local anesthesia, which can potentially be lethal to the patient if not recognized quickly. Purpose: This DNP project aims to provide education and increase awareness and proficiency in early recognition and management of a LAST event, specifically in labor and delivery nurses. Methods: A mixed-method design, including quantitative and qualitative methods. A quantitative method was used to evaluate recognition, knowledge, and confidence levels, and a qualitative method allows for an improved understanding of barriers to practice. Data were grouped into two categories. Group A comprised the entire sample of participants who completed the pre-intervention survey (n=22). Group B comprised the entire sample of participants who completed the post-intervention survey (n=22). Each group underwent statistical analysis using a two-sample T-test to determine statistical significance. Results: The average mean scores for knowledge and confidence increased across all categories. The education provided will be included in the annual competency training and orientation program for L&D nurses at this facility. Recommendations and Conclusions: It is recommended that LAST training be incorporated into the annual continuing education program. The results of this project have shown that knowledge and confidence improved for the L&D registered nurse.
Improving Knowledge, Recognition, and Management of Local Anesthetic Systemic Toxicity (LAST) in Labor and Delivery Nurses
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Created on 6/27/2024
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Additional Information
- Publication
- Other
- Language: English
- Date: 2024
- Keywords
- Local Anesthetic Systemic Toxicity simulation, Local Anesthetic Systemic Toxicity in Labor and Delivery, Local Anesthetic Systemic Toxicity education