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Improving the care of adult sickle cell disease patients presenting with acute vaso-occlusive crisis to the emergency department via education
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Granai, Kimberly & Dial, Alexis. Improving the care of adult sickle cell disease patients presenting with acute vaso-occlusive crisis to the emergency department via education. Retrieved from https://doi.org/doi:10.7282/t3-8vkz-bg89

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TitleImproving the care of adult sickle cell disease patients presenting with acute vaso-occlusive crisis to the emergency department via education
NameGranai, Kimberly (author); Dial, Alexis (author); Benenson, Irina (chair); Rutgers University; School of Nursing - RBHS
Date Created2020
Other Date2020-05 (degree)
SubjectSickle cell disease, Vaso-occlusive crisis, Pain management, Emergency department, Family Nurse Practitioner in Emergency Care
Extent1 online resource (70 pages) : illustrations
DescriptionPurpose: The purpose of this project was to improve pain management of sickle cell disease (SCD) patients presented to the emergency department (ED) with painful vaso-occlusive crisis (VOC).

Methodology: This project used a quasi-experimental pre-test post-test design. Registered nurses and other healthcare providers working in the adult ED participated in this project. A 30-min educational intervention on evidence-based pain management of SCD patients with VOC was carried out over a two-week period. A chart review was performed pre- and post- intervention to determine the impact of the intervention on pain management outcomes.

Results: Thirty RNs and four providers attended the educational sessions. The data analysis was based on review of 15 charts pre- and 12 charts post-intervention. There was no statistically significant improvement in assigning a higher triage level (p =0.482), starting a first dose of analgesics within 30 minutes after being triaged (p >0.05), reassessing pain within 30 minutes (p = 0.082), escalating a dose of pain medications (p = 0.765), and documenting pain at the end of the ED stay (0.542).

Implications for Practice: Future interventions should incorporate a pain management protocol in addition to educational sessions.
NoteDNP
NoteIncludes bibliographical references
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/t3-8vkz-bg89
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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