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Titre : | Cervical Spine Collar Removal by Emergency Room Nurses : A Quality Improvement Project (2018) |
Auteurs : | Guillaume Fontaine ; Massimo Forgione ; Francis Lusignan ; et al. |
Type de document : | Article |
Dans : | Journal of Emergency Nursing (Vol. 44, n°3, May 2018) |
Article en page(s) : | p. 228-235 |
Note générale : | DOI: https://doi.org/10.1016/j.jen.2017.07.018 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Démarche qualité ; Infirmiere d'urgence ; Microcéphalie fusions des vertèbres cervicales |
Mots-clés: | Collier cervical |
Résumé : |
Introduction
The Canadian C-Spine Rule (CCR) is a clinical decision aid to facilitate the safe removal of cervical collars in the alert, orientated, low-risk adult trauma patient. Few health care settings have assessed initiatives to train charge nurses to use the CCR. This practice improvement project conducted in a secondary trauma center in Canada aimed to (1) train charge nurses of the emergency room to use the CCR, (2) monitor its use throughout the project period, and (3) compare the assessments of the charge nurses with those of emergency physicians. Methods The project began with the creation of an interdisciplinary team. Clinical guidelines were established by the interdisciplinary project team. Nine charge nurses of the emergency room were then trained to use the CCR (3 on each 8-hour shift). The use of the CCR was monitored throughout the project period, from June 1 to October 5, 2016. Results The 3 aims of this practice improvement project were attained successfully. Over a 5-month period, 114 patients were assessed with the CCR. Charge nurses removed the cervical collars for 54 of 114 patients (47%). A perfect agreement rate (114 of 114 patients, 100%) was attained between the assessments of the nurses and those of physicians. Discussion This project shows that the charge nurses of a secondary trauma center can use the CCR safely on alert, orientated, and low-risk adult trauma patients as demonstrated by the agreement in the assessments of emergency room nurses and physicians. Image 1 Contribution to Emergency Nursing Practice A practice improvement program to monitor the use of the Canadian C-Spine Rule (CCR) by emergency room charge nurses and compare their assessments with those of physicians An overview of challenges and key elements to take into account when training charge nurses to use the CCR to facilitate the safe removal of cervical collars in the alert, orientated, low-risk adult trauma patient An overview of the training and clinical coaching should accompany the implementation of CCR guidelines for nurse-led cervical collar removal in nonspecialized centers. |
Disponible en ligne : | Non |
Exemplaires (1)
Cote | Support | Localisation | Section | Disponibilité |
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REV | Périodique papier | Woluwe | Espace revues | Consultation sur place uniquement Exclu du prêt |