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Best Practice|Articles in Press

Education for Registered Nurses Completing Preoperative Anesthesia Interviews: A Quality Improvement Project

Published:January 05, 2023DOI:https://doi.org/10.1016/j.jopan.2022.06.003

      Abstract

      Purpose

      This quality improvement project implemented job-related education for registered nurses (RNs) completing preoperative anesthesia interviews (PAIs) to increase their knowledge and confidence, improve completeness of documented preoperative interviews, and decrease day of surgery (DOS) cancellations.

      Design

      Pre/post implementation design and retrospective chart review.

      Methods

      An educational module on PAIs was created and RNs working in the pre-admission testing (PAT) clinic were asked to complete the module. Pre and post implementation data was collected on RN knowledge and confidence, assessment completeness, and DOS cancellations.

      Findings

      Knowledge and confidence increases were not statistically significant, although several interview components within PAI documentation improved with statistical significance. Overall DOS cancellations, although not statistically significant, were found to decrease, 1.3% to 1.2%.

      Conclusions

      Registered nurses’ knowledge, confidence and PAI completeness improved after completing the educational module with anesthetic considerations. Patients seen at the PAT clinic for PAIs before the DOS allowed for patient optimization and education leading to decreased preventable DOS cancellations.

      Keywords

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      References

        • Turunen E
        • Miettinen M
        • Setälä L
        • Vehviläinen-Julkunen K.
        The impact of a structured preoperative protocol on day of surgery cancellations.
        J Clin Nurs. 2018; 27: 288-305https://doi.org/10.1111/jocn.13896
        • Leite KA
        • Hobgood T
        • Hill B
        • Muckler VC.
        Reducing preventable surgical cancellations: improving the preoperative anesthesia interview process.
        J Perianesth Nurs. 2019; 34: 929-937https://doi.org/10.1016/j.jopan.2019.02.001
        • Nelson SE
        • Li G
        • Shi H
        • Terekhov M
        • Ehrenfeld JM
        • Wanderer JP.
        The impact of reduction of testing at a preoperative evaluation clinic for elective cases: value added without adverse outcomes.
        J Clin Anesth. 2019; 55: 92-99https://doi.org/10.1016/j.jclinane.2018.12.027
        • Taylor SK
        • Andrzejowski JC
        • Wiles MD
        • Bland S
        • Jones GL
        • Radley SC.
        A prospective observational study of the impact of an electronic questionnaire (ePAQ-PO) on the duration of nurse-led pre-operative assessment and patient satisfaction.
        PLoS ONE. 2018; 13e0205439https://doi.org/10.1371/journal.pone.0205439
        • Desta M
        • Manaye A
        • Tefera A
        • et al.
        Incidence and causes of cancellations of elective operation on the intended day of surgery at a tertiary referral academic medical center in Ethiopia.
        Patient Saf Surg. 2018; 12: 25https://doi.org/10.1186/s13037-018-0171-3
        • Wittkugel E
        • Varughese A.
        Development of a nurse-assisted preanesthesia evaluation program for pediatric outpatient anesthesia.
        Pediatr Anesth. 2015; 25: 719-726https://doi.org/10.1111/pan.12640
        • Tobias JD.
        Preoperative anesthesia evaluation.
        Semin Pediatr Surg. 2018; 27: 67-74https://doi.org/10.1053/j.sempedsurg.2018.02.002
        • Al Talalwah N
        • McIltrot KH
        Cancellation of surgeries: integrative review.
        J Perianesth Nurs. 2019; 34: 86-96https://doi.org/10.1016/j.jopan.2017.09.012
        • McDermott KW
        • Liang L.
        Overview of operating room procedures during inpatient stays in U.S. hospitals, 2018.
        Agency Healthcare Res Qual. 2021; (Published online. Accessed November 11, 2021): 1-18
        • Karaca Z
        • McDermott KW
        High-Volume Invasive, Therapeutic Ambulatory Surgeries Performed in Hospital-Owned Facilities, 2016. HCUP Statistical Brief #252. Agency for Healthcare Research and Quality, Rockville, MD2019 (Accessed October 28, 2021)
        • Lee CM
        • Rodgers C
        • Oh AK
        • Muckler VC.
        Reducing surgery cancellations at a pediatric ambulatory surgery center.
        AORN J. 2017; 105: 384-391https://doi.org/10.1016/j.aorn.2017.01.011
        • Olson RP
        • Dhakal IB.
        Day of surgery cancellation rate after preoperative telephone nurse screening or comprehensive optimization visit.
        Perioperat Med. 2015; 4: 12
        • Hines S
        • Munday J
        • Kynoch K.
        Effectiveness of nurse-led preoperative assessment services for elective surgery: a systematic review update.
        JBI Database System Rev Implement Rep. 2015; 13: 279-317https://doi.org/10.11124/jbisrir-2015-1996
        • Apfelbaum Jl
        • Connis RT
        • Nickinovich DG
        • et al.
        Practice advisory for preanesthesia evaluation: an updated report by the American Society of Anesthesiologists task force on preanesthesia evaluation.
        Anesthesiology. 2012; 116: 522-538https://doi.org/10.1097/ALN.0b013e31823c1067