Date of Graduation

Fall 12-18-2015

Document Type

Restricted Project/Capstone - USF access only

Degree Name

Master of Science in Nursing (MSN)

College/School

School of Nursing and Health Professions

First Advisor

Dr. Elena Capella

Abstract

Extubation failures in the Pediatric Intensive Care Unit setting can be prevented by use of End Tidal C02 monitoring during the acute post extubation period. The primary goal of this project is to increase the use of ETC02 NC over regular NC after extubating patients by 5% quarterly. The secondary goal is to decrease the percentage of reintubation rates by 3% quarterly. The site for this project is a twenty-eight bed PICU in southern California. This facility is a children’s hospital, Level 1 trauma center and cares for the most critically ill patients in the region ages 0 to 20 years old. Chart audits support the need for this project. In 2014 18% of extubations failed and were emergently reintubated within two hours. A survey was dispersed to staff before implementation, which identified project barriers and education deficits. Prior and during project launch the project was presented to PICU staff, management and hospital staff at various meetings through a formal PowerPoint format and discussion forum. Currently, the project is in the first quarter since launching and the focus is to increase staff compliance of using ETC02 NC instead of regular NC after patients are extubated. The first quarterly chart audit will take place in February 2016 and will measure compliance trends quarterly form that point on.

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