Wicks, Terry

uncg

There are 22 item/s.

TitleDateViewsBrief Description
Impact of Nurse Education in PACU on Opioid Minimization Compliance in Bariatric Surgery Patients 2022 378 Background: Opioids have significant side effects, especially for bariatric surgery patients, yet are still frequently administered in the Post Anesthesia Care Unit (PACU). Multimodal analgesics effectively relieve pain, minimize opioid consumption, ...
The Effect of the CALM Scale on Narcotic Use in Laboring Women 2022 260 Background: Standardized, numerical (0-10) pain scales are ineffective methodologies for assessing pain in laboring women. Pain associated with labor is a physiologically expected experience, differentiating labor pain from other pain etiologies. Lab...
CRNA perception of lung protective ventilation for the intubated patient 2022 177 Background: Alveolar collapse [atelectasis] occurs in over 90% of intubated patients and leads to altered lung mechanics. Atelectasis can lead to postoperative pulmonary complications (PPCs), which increase morbidity and mortality. Lung Protective Ve...
Can postpartum breastfeeding mothers Safely undergo anesthesia? A knowledge and comfort assessment of CRNAs Pre- and Post-Education Presentation with cognitive aid adjunct 2022 209 Background: Uncertainty in providing anesthesia to breastfeeding patients has been a concern for anesthesia providers for many years. Hospitals lack written protocols and standard guidelines for breastfeeding patients receiving anesthesia care. Pur...
Malignant Hyperthermia Crisis: Improving Knowledge, Recognition, and Preparedness of the Labor and Delivery Registered Nurse 2022 408 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 depolari...
Improving the Knowledge and Comfort Levels of Nurses Caring for Breastfeeding Mothers 2022 184 The purpose of this project is to enhance the quality-of-care breastfeeding patients receive in the PACU setting. This is accomplished by improving PACU nurses’ knowledge and level of comfort when caring for breastfeeding patients and a self-reported...
Opioid-sparing Anesthesia in Cardiac Surgery: Discovering Certified Registered Nurse Anesthetist Barrier to Implementation 2022 159 Background: Opioids have been heavily used in cardiac surgery for decades and continue to be the mainstay in cardiac anesthesia despite their adverse effects. Priority has been placed on improved clinical outcomes and increased patient satisfaction s...
CRNA Perception and Implementation of Lung Protective Ventilation 2022 274 Background General anesthesia causes the collapse of the alveoli, known as (atelectasis) in roughly 90% of anesthetized patients. Postoperative atelectasis may persist for several hours to days and significantly increases the risk for postoperative ...
Nursing Presence Enhancement Using the CALM Scale for Pain Assessment in Laboring Women 2022 348 Background: Pain is associated with negative patient outcomes and dissatisfaction. The use of the Numerical Rating Scale (NRS) has not improved patient outcomes in laboring women. The NRS fails to account for several factors that influence pain. Nur...
Healthcare Providers Knowledge, Attitudes, and Beliefs Toward the CALM Coping Scale 2022 164 Background: One of the most effective ways to diagnose and treat laboring women’s breakthrough pain is to use a high-quality pain scale. The antiquated 0-10 numeric pain scale does not adequately assess laboring women’s pain, as zero is not a realis...
Prior to Matriculation, Student Registered Nurse Anesthetist Anxiety Mitigation By Participation in an Onboarding Student-Led Session 2022 242 Background: Prolonged stress leads to anxiety and potential motivation but can also lead to physical and mental issues in students. Student Registered Nurse Anesthetists have proven to be a population with increased stress and anxiety because of vari...
Utility of Viscoelastic Hemostatic Analysis During Postpartum Hemorrhage 2024 72 Postpartum hemorrhage (PPH) remains a leading cause of maternal morbidity and mortality worldwide. Traditional coagulation tests (TCT) have limitations in diagnosing and managing PPH effectively, prompting interest in viscoelastic testing (VET) for i...
Education on Lung Protective Ventilation and Anesthesia Provider Perception in the Intraoperative Period 2024 64 Background: Post-operative pulmonary complications (PPCs) are one of the leading causes of morbidity and mortality during the postoperative period. These complications add over $3.5 billion annually to the healthcare system. With induction of general...
Improving the early identification of malignant hyperthermia, neuroleptic malignant syndrome, and serotonin syndrome for anesthesia providers 2024 117 Background: Serotonin syndrome (SS), Neuroleptic Malignant Syndrome (NMS) and Malignant Hyperthermia (MH) are all potentially life-threatening conditions that share similar clinical features. Anesthesia providers need to be able to recognize the hall...
Prevention Initiative for Postoperative Delirium 2024 173 Background: With an aging population, postoperative delirium is one of the most common anesthesia complications in those over 60, and 40% of reported cases could have been prevented. Postoperative delirium is associated with a decline in activities o...
Preventing Local Anesthetic Systemic Toxicity Associated with Liposomal Bupivacaine Use 2024 160 Background: Local anesthetic administration has become an integral part of pain management in the perioperative setting. However, all local anesthetics have the potential for causing local anesthetic systemic toxicity (LAST), a condition that may res...
Identifying Knowledge Gaps and Attitude Barriers Amongst Certified Registered Nurse Anesthetists to Improve Utilization of Opioid-Sparing Anesthesia Techniques in Cardiac Surgery 2022 538 Background: Opioids have been a mainstay in cardiac anesthesia for many years with providers often administering up to twenty milliliters of fentanyl per case. With the existence of the opioid crisis and enhanced recovery after surgery (ERAS) protoco...
Prior to Matriculation, Student Registered Nurse Anesthetist Stress Mitigation by Participation in an On-Boarding Student Led Session 2022 543 Background: Each year thousands of students across the country apply to nurse anesthesia programs. Due to the rigorous nature of the nurse anesthesia concentration, only a select few are accepted to each program. Nurse anesthesia school is highly str...
Implementation of a Best Practice Advisory to Reduce Postoperative Delirium Rates in Elderly Surgical Patients 2024 141 There is a growing proportion of elderly patients (sixty-five years and older) in the United States using a disproportionate amount of healthcare resources. The elderly population is at the highest risk for postoperative delirium which can be associa...
Quantitative Neuromuscular Monitoring: The Safest Practice 2024 157 Background: The administration of neuromuscular blocking drugs often accompanies general anesthesia. Subjective neuromuscular monitoring techniques do not consistently detect residual neuromuscular blockade before tracheal extubation. The current rec...
Measuring and Reducing Noise Levels in the Operating Room during Induction and Emergence 2024 171 This DNP project seeks to apply the existing evidence linking noise and workplace distractions to safety in the operative room and use an educational intervention to address knowledge deficits to change practice to reduce distractions during inductio...
Improving Knowledge, Recognition, and Management of Local Anesthetic Systemic Toxicity (LAST) in Labor and Delivery Nurses 2024 199 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...