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Application of the pediatric anesthesia emergence delirium scale to enhance recognition in the PACU
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Dillman, Jedd & DiCicco, Matthew. Application of the pediatric anesthesia emergence delirium scale to enhance recognition in the PACU. Retrieved from https://doi.org/doi:10.7282/t3-fmwg-dj65

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TitleApplication of the pediatric anesthesia emergence delirium scale to enhance recognition in the PACU
NameDillman, Jedd (author); DiCicco, Matthew (author); McLaughlin, Michael (chair); Rutgers University; School of Nursing - RBHS
Date Created2020
Other Date2020-05 (degree)
SubjectEmergence delirium, Nurse Anesthesia
Extent1 online resource (52 pages) : illustrations
DescriptionPurpose of Project: The Pediatric Anesthesia Emergence Delirium (PAED) scale is a validated assessment tool with high sensitivity and specificity. Unfortunately, the PAED scale is under-utilized and current literature shows that pediatric emergence delirium assessment is not consistently performed by anesthesia providers and PACU nurses. Using principles of the Ottawa model of research, the aim of this quality improvement project was to improve pediatric emergence delirium assessment among interprofessional healthcare providers.

Methodology: The authors objectives for this quality improvement project were to determine provider knowledge gaps, improve pediatric emergence delirium assessment, and enhance pediatric ED recognition. The project design incorporated a quantitative and qualitative, multiple cohort presentation for Rutgers University nurse anesthesia residents, PACU registered nurses, and anesthesia providers at a large tertiary academic hospital in northern New Jersey.

Results: All survey responses for second year RRNA and third year Rutgers Resident Nurse Anesthetists showed statistical improvements for understanding signs and symptoms (m=2.82, m=4.43, p<0.01), use of the PAED scale (m=2.23, m=4.42, p<0.01), and confidence with assessment skills (m=1.21, m=4.08, p<0.01).There were similarities in the scores, but no statistical significance among MDAs, CRNAs, and PACU nurses understanding of the major defining behaviors of emergence delirium.

Implications for Practice: The optimal effectiveness and longevity of the PAED scale in clinical practice has the potential to manufacture many beneficial outcomes. Adopting a standardized assessment tool improves overall pediatric anesthesia recovery. Pediatric ED will continue to be clinically significant as anesthetic techniques evolve and the demand for specialized pediatric surgeries grows. This project serves as a platform to improve the overall care for pediatric surgical patients through evidence-based interventions. Above all else, this quality improvement project was effective in increasing participants overall knowledge of pediatric emergence delirium.
NoteDNP
NoteIncludes bibliographical references
Genretheses, ETD doctoral
Persistent URLhttps://doi.org/doi:10.7282/t3-fmwg-dj65
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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