Abstract
Purpose
The purpose of this quality improvement project was to improve consistency of discharge
teaching in women who used progesterone-containing hormonal contraceptive medications
and received sugammadex during general anesthesia, as there is a risk of unintended
pregnancy for 1 week after administration of sugammadex.
Design
This project used a predesign and postdesign using two separate sample groups of patients
and postanesthesia care unit (PACU) nurses.
Methods
The sample consisted of 31 total women of childbearing age and 59 PACU nurses. Simplification
of sugammadex discharge instructions was achieved by incorporating evidence-based
recommendations for electronic discharge instructions and nursing education. PACU
nurses were educated and surveyed before and after regarding frequency of discharge
teaching, clarity, and comprehension of the after-visit summary and knowledge of sugammadex.
Patients were called via telephone postoperatively to assess recall of sugammadex
discharge teaching.
Findings
Postoperative patient phone calls identified a small increase in patient recall of
discharge instructions from 5 of 14 patients (35.7%) before implementation to 7 of
17 after implementation (41.2%). PACU nurse surveys indicated an increase in self-reported
frequency of sugammadex discharge teaching (34.8% vs 64.2%, P = .024) and that new discharge instructions contained more clear, comprehensive information
as compared with previous instructions (29.4% vs 75.5%, P = .001).
Conclusions
This quality improvement project successfully implemented more consistent and comprehensive
discharge instructions for women who receive sugammadex intraoperatively. Limitations
of the project included a small sample size and short implementation intervals. As
a result of switching to uniform discharge instructions, more patients received important
discharge teaching from PACU nurses, and the percentage of patients who recalled this
information increased.
Keywords
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Article info
Publication history
Published online: March 18, 2021
Footnotes
Conflict of interest: None to report.
The authors would like to acknowledge Susan Silva, PhD, for statistical support, Angela Duffey BSN, RN, CPAN, the PACU nurses at Duke University Hospital, and Elizabeth Callis (patient education committee member at Duke University Hospital) for their clinical support.
Identification
Copyright
© 2020 American Society of PeriAnesthesia Nurses. Published by Elsevier, Inc. All rights reserved.
