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Quality improvement for bedrest practice following outpatient diagnostic cardiac catheterization using manual pressure sheath removal

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TitleInfo
Title
Quality improvement for bedrest practice following outpatient diagnostic cardiac catheterization using manual pressure sheath removal
TitleInfo (type = alternative)
Title
Bedrest practice change
Name (type = personal)
NamePart (type = family)
Tuozzo
NamePart (type = given)
Kristin Ann
NamePart (type = date)
1981-
DisplayForm
Kristin Ann Tuozzo
Role
RoleTerm (authority = RULIB)
author
Name (type = personal)
NamePart (type = family)
Chao
NamePart (type = given)
Ying-Yu
DisplayForm
Ying-Yu Chao
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
chair
Name (type = personal)
NamePart (type = family)
Mauro
NamePart (type = given)
Ann Marie P
DisplayForm
Ann Marie P Mauro
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
co-chair
Name (type = personal)
NamePart (type = family)
Keller
NamePart (type = given)
Ronald
DisplayForm
Ronald Keller
Affiliation
Advisory Committee
Role
RoleTerm (authority = RULIB)
co-chair
Name (type = corporate)
NamePart
Rutgers University
Role
RoleTerm (authority = RULIB)
degree grantor
Name (type = corporate)
NamePart
School of Nursing - RBHS
Role
RoleTerm (authority = RULIB)
school
TypeOfResource
Text
Genre (authority = marcgt)
theses
OriginInfo
DateCreated (qualifier = exact)
2019
DateOther (qualifier = exact); (type = degree)
2019-01
CopyrightDate (encoding = w3cdtf); (qualifier = exact)
2019
Language
LanguageTerm (authority = ISO 639-3:2007); (type = text)
English
Abstract
Purpose: The American College of Cardiology 2012 cardiac catheterization guidelines recommend bedrest for one to two hours for 4 to 5-French sheaths and two to four hours for 6 to 8-French sheaths. Research supports that raising the head of bed (HOB) to 60 degrees after one hour and ambulation after two hours of bedrest is safe for transfemoral diagnostic cardiac catheterizations with manual sheath removal. In winter 2018, an academic medical center piloted a quality improvement project to reflect this practice guideline. Methodology: A 2017 database was used to retrospectively obtain control findings on the prior bedrest practice involving four-hours bedrest and HOB no greater than 15 degrees. The intervention group was a convenience sample and collected information on groin complications, discharge times, and patient satisfaction for all patients who met the reduced bedrest protocol criteria. Descriptive statistics, t-tests, Kruskal-Wallis, and chi-square statistical tests were used to analyze the data. Results: The control group had 2 hematomas and intervention group had no groin complications, χ(1) = 2.53, p = .11. The length of stay in minutes was significantly different for the control group (M = 283, SD = 55.3) and intervention group (M = 184, SD = 57); t(285) = 15.3, p < .01. There were statistically significant increases in patient experience related to pain (t(27) = -2.45, p = 0.02) and procedural delay (t(27) = -2.73, p = .01). Implications for Practice: This cardiac catheterization department optimized its utilization of recovery space and procedural costs while improving patient satisfaction and maintaining safe outcomes. Future research will identify best practices for bedrest following closure devices and percutaneous coronary interventions.
Subject (authority = RUETD)
Topic
Post-Master's DNP Practice
Subject (authority = ETD-LCSH)
Topic
Bed rest
Subject (authority = ETD-LCSH)
Topic
Cardiac catheterization
RelatedItem (type = host)
TitleInfo
Title
Rutgers University Electronic Theses and Dissertations
Identifier (type = RULIB)
ETD
RelatedItem (type = host)
TitleInfo
Title
School of Nursing (RBHS) DNP Projects
Identifier (type = local)
rucore10004500001
Identifier
ETD_9409
Identifier (type = doi)
doi:10.7282/t3-1201-vm67
PhysicalDescription
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application/pdf
InternetMediaType
text/xml
Extent
1 online resource (66 pages) : illustrations
Note (type = degree)
DNP
Note (type = bibliography)
Includes bibliographical references
Location
PhysicalLocation (authority = marcorg); (displayLabel = Rutgers, The State University of New Jersey)
NjNbRU
Genre (authority = ExL-Esploro)
ETD doctoral
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Rights

RightsDeclaration (ID = rulibRdec0006)
The author owns the copyright to this work.
RightsHolder (type = personal)
Name
FamilyName
Tuozzo
GivenName
Kristin Ann
Role
Copyright Holder
RightsEvent
Type
Permission or license
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2018-12-07 09:32:06
AssociatedEntity
Name
Kristin Tuozzo
Role
Copyright holder
Affiliation
Rutgers University. School of Nursing - RBHS
AssociatedObject
Type
License
Name
Author Agreement License
Detail
I hereby grant to the Rutgers University Libraries and to my school the non-exclusive right to archive, reproduce and distribute my thesis or dissertation, in whole or in part, and/or my abstract, in whole or in part, in and from an electronic format, subject to the release date subsequently stipulated in this submittal form and approved by my school. I represent and stipulate that the thesis or dissertation and its abstract are my original work, that they do not infringe or violate any rights of others, and that I make these grants as the sole owner of the rights to my thesis or dissertation and its abstract. I represent that I have obtained written permissions, when necessary, from the owner(s) of each third party copyrighted matter to be included in my thesis or dissertation and will supply copies of such upon request by my school. I acknowledge that RU ETD and my school will not distribute my thesis or dissertation or its abstract if, in their reasonable judgment, they believe all such rights have not been secured. I acknowledge that I retain ownership rights to the copyright of my work. I also retain the right to use all or part of this thesis or dissertation in future works, such as articles or books.
RightsEvent
Type
Embargo
DateTime (encoding = w3cdtf); (qualifier = exact); (point = start)
2019-01-31
DateTime (encoding = w3cdtf); (qualifier = exact); (point = end)
2021-01-30
Detail
Access to this PDF has been restricted at the author's request. It will be publicly available after January 30th, 2021.
Copyright
Status
Copyright protected
Availability
Status
Open
Reason
Permission or license
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Technical

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2018-12-07T09:26:24
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2019-04-24T12:23:19
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