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Implementation of ASRA Checklist to Enhance Knowledge and Awareness of Last
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Implementation of ASRA Checklist to Enhance Knowledge and Awareness of Last
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Dissertation
Implementation of ASRA Checklist to Enhance Knowledge and Awareness of Last
2024
Overview
Purpose: The purpose of this project was to determine if the implementation of the American Society of Regional Anesthesia and Pain Medicine (ASRA) checklist would enhance knowledge and awareness of local anesthetic systemic toxicity (LAST) among certified registered nurse anesthetists (CRNAs) at a northwestern Louisiana hospital facility and increase the frequency of lipid emulsion administration during LAST occurrences to improve patient safety.Procedure: A pre-implementation knowledge and awareness survey was administered to 10 CRNAs. Next, the project leader conducted a didactic session utilizing the ASRA checklist as an educational tool. Then, a post-implementation survey was administered after a 2-week interval to reassess knowledge and awareness of LAST. Finally, a 5-question simulated scenario of LAST was administered to project participants to assess the frequency of lipid emulsion administration. A Wilcoxon-signed rank test and descriptive statistics were used to compare the pre- and post-implementation data sets as well as the frequency of lipid emulsion administration.Results: There were statistically significant changes between pre- and post-implementation survey scores based on an alpha value of .05 and p = .007. The mean pre-implementation survey score of 69% improved to a mean post-implementation survey score of 100%. Additionally, all participants (N = 10) successfully administered lipid emulsion correctly.Conclusions: The ASRA checklist can be successfully utilized as a viable educational tool to enhance knowledge and awareness of LAST and to increase the frequency of lipid emulsion administration.
Publisher
ProQuest Dissertations & Theses
Subject
ISBN
9798346761761
