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Institution of an evidence-based protocol to reduce time for antibiotic administration for open fractures in the emergency department: a pilot study
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Ray, Jessica. Institution of an evidence-based protocol to reduce time for antibiotic administration for open fractures in the emergency department: a pilot study. Retrieved from https://doi.org/doi:10.7282/t3-6grd-s807

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TitleInstitution of an evidence-based protocol to reduce time for antibiotic administration for open fractures in the emergency department: a pilot study
NameRay, Jessica (author); Kamienski, Mary (chair); Unadkat, Deven (co-chair); Rutgers University; School of Nursing - RBHS
Date Created2019
Other Date2019-05 (degree)
SubjectFamily Nurse Practitioner in Emergency Care, Fractures, Open -- Treatment, Antibiotics
Extent1 online resource (55 pages) : illustrations
DescriptionPurpose: Timely antibiotics administration within 60 minutes has shown to be one of the main components in preventing infections and further complications with open fractures. However, without a protocol, antibiotics are being administered at varying times. This project evaluated if the introduction of an evidence-based protocol will reduce the time for antibiotics administration for open fractures in the emergency department.
Methodology: This was a retrospective/prospective comparative cohort study that took place at a level two trauma center in New Jersey. An educational in-service utilized a pre/post test to educate the staff on the protocol which administered antibiotics within one hour. A chart review was conducted to see if there is a reduction in timing after protocol implementation. The sample size for both chart reviews was 18.
Results: There was a significant difference in score for the pretest (M= 76.02, SD=19.62) and posttest (M= 99.44, SD= 4.29); t(107)= -12.283, p < 0.00. The retrospective chart review showed that 50% of patients had antibiotics administered within 60 minutes. The prospective chart review showed that 88.9% of patients had antibiotics administered within 60 minutes. There was a statistical significance in the number of patients that received the antibiotics within 60 minutes post protocol implementation, p= 0.039.
Implications for Practice: Since there was a small sample size, future projects should have a larger sample size to see if the findings remain statistically significant. All emergency departments should utilize a protocol to ensure that antibiotics are administered within one hour. This can subsequently improve care and outcomes for this patient population.
NoteDNP
NoteIncludes bibliographical references
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/t3-6grd-s807
LanguageEnglish
CollectionSchool of Nursing (RBHS) DNP Projects
Organization NameRutgers, The State University of New Jersey
RightsThe author owns the copyright to this work.
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