Alexandra Kracht, Matthew Billion, Kevin Feldhaus, Mir Ali
{"title":"切换到护士管理的氧化亚氮镇静是否可行和有效？质量改进项目。","authors":"Alexandra Kracht, Matthew Billion, Kevin Feldhaus, Mir Ali","doi":"","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Nitrous oxide (N2O) is used for minimal and moderate sedation procedures. It has an advantage against other sedative drugs due to its quick onset of action and resolution of effects making it effective for various pediatric procedures. Currently, pediatric intensivists at Sanford Children's Hospital administer N2O.</p><p><strong>Methods: </strong>A survey was completed by nurses on the Pediatric Outpatient Sedation Unit after they administered N2O that determined the nursing comfort level with administering N2O while transitioning from physician administration to nursing at Sanford Children's Hospital. This questionnaire aimed to identify the perspectives of the nursing team while progressing through the switch.</p><p><strong>Results: </strong>A total of 46 surveys were collected from May 2023 to May 2024. Nursing ratings of their comfort with administering N2O increased over the data collection period. Their knowledge of the mechanism of action of N2O and adverse effects of N2O increased. The patients' comfort during their sedation did not significantly change.</p><p><strong>Conclusion: </strong>Over the course of one year, the survey showed improvements in nursing comfort levels with administering N2O, while maintaining patient satisfaction. As time went on, the nurses' knowledge of the mechanism of action and adverse effects increased significantly. Concerns for patient safety showed a significant decrease. These correlated trends suggest applicability for a nurse-administered N2O program at Sanford Children's Hospital.</p>","PeriodicalId":39219,"journal":{"name":"South Dakota medicine : the journal of the South Dakota State Medical Association","volume":"78 1","pages":"20-23"},"PeriodicalIF":0.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Is a Switch to Nurse Administered Nitrous Oxide Sedation Feasible and Effective? A Quality Improvement Project.\",\"authors\":\"Alexandra Kracht, Matthew Billion, Kevin Feldhaus, Mir Ali\",\"doi\":\"\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Nitrous oxide (N2O) is used for minimal and moderate sedation procedures. It has an advantage against other sedative drugs due to its quick onset of action and resolution of effects making it effective for various pediatric procedures. Currently, pediatric intensivists at Sanford Children's Hospital administer N2O.</p><p><strong>Methods: </strong>A survey was completed by nurses on the Pediatric Outpatient Sedation Unit after they administered N2O that determined the nursing comfort level with administering N2O while transitioning from physician administration to nursing at Sanford Children's Hospital. This questionnaire aimed to identify the perspectives of the nursing team while progressing through the switch.</p><p><strong>Results: </strong>A total of 46 surveys were collected from May 2023 to May 2024. Nursing ratings of their comfort with administering N2O increased over the data collection period. Their knowledge of the mechanism of action of N2O and adverse effects of N2O increased. The patients' comfort during their sedation did not significantly change.</p><p><strong>Conclusion: </strong>Over the course of one year, the survey showed improvements in nursing comfort levels with administering N2O, while maintaining patient satisfaction. As time went on, the nurses' knowledge of the mechanism of action and adverse effects increased significantly. Concerns for patient safety showed a significant decrease. These correlated trends suggest applicability for a nurse-administered N2O program at Sanford Children's Hospital.</p>\",\"PeriodicalId\":39219,\"journal\":{\"name\":\"South Dakota medicine : the journal of the South Dakota State Medical Association\",\"volume\":\"78 1\",\"pages\":\"20-23\"},\"PeriodicalIF\":0.0000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"South Dakota medicine : the journal of the South Dakota State Medical Association\",\"FirstCategoryId\":\"1085\",\"ListUrlMain\":\"\",\"RegionNum\":0,\"RegionCategory\":null,\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q4\",\"JCRName\":\"Medicine\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"South Dakota medicine : the journal of the South Dakota State Medical Association","FirstCategoryId":"1085","ListUrlMain":"","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q4","JCRName":"Medicine","Score":null,"Total":0}
Is a Switch to Nurse Administered Nitrous Oxide Sedation Feasible and Effective? A Quality Improvement Project.
Background: Nitrous oxide (N2O) is used for minimal and moderate sedation procedures. It has an advantage against other sedative drugs due to its quick onset of action and resolution of effects making it effective for various pediatric procedures. Currently, pediatric intensivists at Sanford Children's Hospital administer N2O.
Methods: A survey was completed by nurses on the Pediatric Outpatient Sedation Unit after they administered N2O that determined the nursing comfort level with administering N2O while transitioning from physician administration to nursing at Sanford Children's Hospital. This questionnaire aimed to identify the perspectives of the nursing team while progressing through the switch.
Results: A total of 46 surveys were collected from May 2023 to May 2024. Nursing ratings of their comfort with administering N2O increased over the data collection period. Their knowledge of the mechanism of action of N2O and adverse effects of N2O increased. The patients' comfort during their sedation did not significantly change.
Conclusion: Over the course of one year, the survey showed improvements in nursing comfort levels with administering N2O, while maintaining patient satisfaction. As time went on, the nurses' knowledge of the mechanism of action and adverse effects increased significantly. Concerns for patient safety showed a significant decrease. These correlated trends suggest applicability for a nurse-administered N2O program at Sanford Children's Hospital.
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