147 - Mini Incision for Renal Transplantation: Is Smaller Better?
Description: Mini Incision for Renal Transplantation: Is Smaller Better? Kim Naderer RN, CNOR; Judy Bird, BSN, RN, CNOR; Leeann Jones AAS, CST, Adallie Penate, CST; Sherry Jones, BSN, RN, CC; Mary Szostakowski MSN, RN, CNOR Problem Statement Open procedures has been the standard of care for renal transplants for many year. Introducing a new procedure requires analysis of risk, benefits and outcomes to assure the highest standard of perioperative nursing is delivered. Mini Incision procedures improve patient comfort and outcomes. Therefore a process change was created for the Urology nursing team to educate them about this new procedure. Objectives * Develop standardized process for mini incision renal transplants * Educate team members about appropriate procedures and safety * Evaluate process for effectiveness Description of Team A multidisciplinary project team was created and included nurses, surgical technologists, physicians, sterile processing, and surgical leadership Preparation and Planning * Current open transplant process were evaluated * A project team was mobilized to identify improvement strategies * An educational program was developed to introduce appropriate processes for mini incision transplantations * Open communication was enhanced * Collaboration between the surgical nursing, surgeons, and central processing team was established Assessment The current OR kidney transplant program was evaluated for effectiveness and a knowledge deficit was identified around mini incision practices. Transplant patients were compared for needed changes. Implementation * An education program focused on procedural changes was presented to front line staff * A communication process was established so appropriate patients could be identified prior to incision. * Evaluation of potential procedural risks and benefits was included in the preoperative time out * Appropriate instrumentation process was established in conjunction with sterile processing * Supplies were placed in the transplant OR’s * Regular evaluation occurred through staff meetings where updates and suggestions for improvement were discussed Outcome * Improved patient safety * Improved transplant processes * Improved patient outcomes Implications for Perioperative Nursing Smaller incisions reduce the length of hospitalization, pain, and improve outcomes for perioperative patients. Evidence based practices that highlight patient safety are an essential part of perioperative practice. Nurses. The perioperative team needs to be educated about new innovative process so appropriate assessment, communication
Co-Authors: Mary Szostakowski, Judith Bird, Leeann Jones, Sherry Jones