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Emergency Department Developmentally appropriate action plans

N5350 Roles of the Advanced Practice Nurse

Peter Gruman

on 19 November 2009

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Transcript of Emergency Department Developmentally appropriate action plans

Emergency Department Developmentally
Appropriate Asthma Action Plans by Peter Gruman BSN, RN
Carmen Pemberton, BSN, RN
Sarah Rogers BSN, RN in partial fulfillment of N5350
Roles of the Advanced Practice Nurse Problem:
-Patients suffering from asthma are being discharged from emergency departments with persistent symptoms as well as poor instruction.

-Education provided in the ED is often missing information regarding symptom recognition, medication management, and appropriate places to go to seek proper care.
National Data

- Asthma affects 1 in 8 Americans today.
- Asthma accounted for 3.73 ED visits per minute in 2005.
- The number of ED beds decreased from 1995 to 2005 while ED patient volume continues to rise.
- Healthy People 2010: Increase the number of people who have care that meets NAEPP guidelines.
Regional Data

- DFW area failed air quality standards for pollutants that may contribute to asthma.
- 1.5 million TX adults and 389,000 TX children suffer from asthma.
- The highest admission rates among patients with asthma is for children less than 5 y.o.
- Texans are responsible for 25,000 hospitalizations per year.
- From 1999-2005, there were 2,058 deaths caused by asthma.
Local Data

- From November 2008-November 2009, there were 44,369 ED patients seen, of which 460 had a primary diagnosis of asthma.
- Of the 460 patients, 417 were discharged home from the ED.

- Creation of developmentally appropriate asthma action plans.
- Nurse practitioner recognition of asthma severity, level of control, and appropriate stepwise management.
- Customization and delivery of the developmentally appropriate asthma action plans.

- Follow-up phone calls will be made at months 3, 6, and 12 after intervention initiation.
- A 10 item scripted questionnaire will be utilized during the follow-up phone calls.
- Compilation of the data set will be utilized to evaluate the effectiveness of the intervention and support or refute the need for intervention modification.
Thank you Intervention

- In-services will be provided to nursing staff at their routine monthly staff meeting.
- In-services will be provided to medical providers at their monthly staff meeting.
- After appropriate staff education, the intervention will begin.
presented to Reni Courtney PhD, APRN, BC, FNP
Full transcript