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Ventricular Assist Devices: An Overview
PAGE 110
JOURNAL OF VASCULAR NURSING www.jvascnurs.net
a level almost equilvent to that in non-smokers. I work for the vascular surgery group which consist of 4 surgeons in Cooperstown NY, a rural area in central NY. As a group, they practice at multiple out-reach sites to see their patients. I have partnered with the Center for Smoking Cessation in Albany NY to provide informational packets to patients in the out-reach sites and to help educate the nurses at those sites to use the five ‘A’s’. Ask, Advise, Assess, Assist, Arrange. Follow-up of the patient interested in quitting would then be referrred to the vascular nurse. By helping patients understand the pathophysiologic effects of smoking on circulation and nicotine addiction; my goal of this poster is to show that consistant smoking cessation counsiling utilizing the stages of change is a great benefit to patients with PAD to stop smoking and maintain abstinence. On the main campus site where we see the majority of our vascular patients I have found that people are responsive and appreciative of the information provided to them.
Program: Poster 6 Thoracic Outlet Syndrome Jessica Roach, RN, ASN, Jaclyn Flinchum, RN, BSN St. Vincent Hospital, Indianapolis, Indiana Thoracic Outlet Syndrome is a term used to describe a group of conditions where nerves and/or vascular structures in the shoulder region are compressed, resulting in various symptoms. TOS is listed as a rare condition by the National Organization for Rare Diseases, or NORD. There are several types of TOS, including neurogenic, venous, and arterial. Neurogenic TOS accounts for about ninety-five percent of all TOS cases, leaving venous with four percent, and arterial with less than one percent. TOS develops when structures such as the brachial plexus and/or subclavian vessels become compressed. The etiology for TOS may include variations in structural anatomy, repetitive use of the affected extremity, traumatic injury, or thrombus formation. The compression may lead to pain, weakness, numbness, cyanosis, or swelling in the upper extremity. Diagnosis is made based on subjective complaints, history, physical examination, and tests including postural maneuvers. Various imaging techniques may also be utilized. Once the diagnosis of TOS is confirmed, a treatment plan is devised based on the type of TOS presenting. Most cases of TOS are treated with nonsurgical methods including physical therapy, and pharmacologic agents. On occasion, surgery is warranted to relieve the compression. Surgical techniques include, but are not limited to, first rib resection, removal of clavicular callus formation, resection of muscles in the affected region, angioplasty, and others. Although not commonly seen, thoracic outlet syndrome is a condition that may be encountered by the vascular nurse; awareness of this condition is beneficial to nurses specializing in the vascular field.
Program: Poster 7 Ventricular Assist Devices: An Overview Jaclyn Flinchum, RN, BSN, Jessica Roach, RN, ASN St. Vincent Hospital, Indianapolis, Indiana Thoracic Outlet Syndrome is a term used to describe a group of conditions where nerves and/or vascular structures in the shoulder region are compressed, resulting in various symptoms. TOS is listed as a rare condition by the National Organization for Rare Dis-
SEPTEMBER 2010
eases, or NORD. There are several types of TOS, including neurogenic, venous, and arterial. Neurogenic TOS accounts for about ninety-five percent of all TOS cases, leaving venous with four percent, and arterial with less than one percent. TOS develops when structures such as the brachial plexus and/or subclavian vessels become compressed. The etiology for TOS may include variations in structural anatomy, repetitive use of the affected extremity, traumatic injury, or thrombus formation. The compression may lead to pain, weakness, numbness, cyanosis, or swelling in the upper extremity. Diagnosis is made based on subjective complaints, history, physical examination, and tests including postural maneuvers. Various imaging techniques may also be utilized. Once the diagnosis of TOS is confirmed, a treatment plan is devised based on the type of TOS presenting. Most cases of TOS are treated with nonsurgical methods including physical therapy, and pharmacologic agents. On occasion, surgery is warranted to relieve the compression. Surgical techniques include, but are not limited to, first rib resection, removal of clavicular callus formation, resection of muscles in the affected region, angioplasty, and others. Although not commonly seen, thoracic outlet syndrome is a condition that may be encountered by the vascular nurse; awareness of this condition is beneficial to nurses specializing in the vascular field.
Program: Poster 8 Bedside Handoff; Yes You Can and Patients Love It Polly H. Willis, MSN, RN, PCCN Emory University Hospital Midtown, Atlanta, Georgia Patient satisfaction was flagging on our busy 38 bed interventional cardiac and vascular floor. The average discharges and admits for Tuesday through Friday is 16. We were struggling to provide more patient centered care. Enter the bedside change of shift report. The cultural change was stymied by a lack of agreement on the part of nurses and the lack of a consistent format. We tweaked a suggested system wide format that incorporates a detailed cath lab/EP lab report, a consistent review of important patient variables and jogs the memory regarding our framework for practice (Synergy). The bedside change of shift report has been embraced by most of the staff, especially the patients and early results saw overall patient satisfaction increase from the 85th percentile to the 92nd percentile (Press Ganey) for our floor. Actual documents will be provided to the learners. We have recently implemented our bedside change of shift bundle which will also be presented to learners.
Program: Poster 9 Gearing Patient Education that is Multifaceted and Patient Satsifaction Driven Gail Davis, MSN, CCRN, ACNS, BC, Elizabeth Cox, RN, MSN, CMSRN Barnes-Jewish Hospital, St. Louis, Missouri Purpose: Improving patient satisfaction is important for a hospital and department to keep volume sustained and to ensure patients and families are satisfied with their care. Much of the patient’s perception of care is related to how we educate them during their hospital stay and for discharge. Patient education is key to decrease hospital readmissions and key to increase patient satisfaction.
JOURNAL OF VASCULAR NURSING www.jvascnurs.net
a level almost equilvent to that in non-smokers. I work for the vascular surgery group which consist of 4 surgeons in Cooperstown NY, a rural area in central NY. As a group, they practice at multiple out-reach sites to see their patients. I have partnered with the Center for Smoking Cessation in Albany NY to provide informational packets to patients in the out-reach sites and to help educate the nurses at those sites to use the five ‘A’s’. Ask, Advise, Assess, Assist, Arrange. Follow-up of the patient interested in quitting would then be referrred to the vascular nurse. By helping patients understand the pathophysiologic effects of smoking on circulation and nicotine addiction; my goal of this poster is to show that consistant smoking cessation counsiling utilizing the stages of change is a great benefit to patients with PAD to stop smoking and maintain abstinence. On the main campus site where we see the majority of our vascular patients I have found that people are responsive and appreciative of the information provided to them.
Program: Poster 6 Thoracic Outlet Syndrome Jessica Roach, RN, ASN, Jaclyn Flinchum, RN, BSN St. Vincent Hospital, Indianapolis, Indiana Thoracic Outlet Syndrome is a term used to describe a group of conditions where nerves and/or vascular structures in the shoulder region are compressed, resulting in various symptoms. TOS is listed as a rare condition by the National Organization for Rare Diseases, or NORD. There are several types of TOS, including neurogenic, venous, and arterial. Neurogenic TOS accounts for about ninety-five percent of all TOS cases, leaving venous with four percent, and arterial with less than one percent. TOS develops when structures such as the brachial plexus and/or subclavian vessels become compressed. The etiology for TOS may include variations in structural anatomy, repetitive use of the affected extremity, traumatic injury, or thrombus formation. The compression may lead to pain, weakness, numbness, cyanosis, or swelling in the upper extremity. Diagnosis is made based on subjective complaints, history, physical examination, and tests including postural maneuvers. Various imaging techniques may also be utilized. Once the diagnosis of TOS is confirmed, a treatment plan is devised based on the type of TOS presenting. Most cases of TOS are treated with nonsurgical methods including physical therapy, and pharmacologic agents. On occasion, surgery is warranted to relieve the compression. Surgical techniques include, but are not limited to, first rib resection, removal of clavicular callus formation, resection of muscles in the affected region, angioplasty, and others. Although not commonly seen, thoracic outlet syndrome is a condition that may be encountered by the vascular nurse; awareness of this condition is beneficial to nurses specializing in the vascular field.
Program: Poster 7 Ventricular Assist Devices: An Overview Jaclyn Flinchum, RN, BSN, Jessica Roach, RN, ASN St. Vincent Hospital, Indianapolis, Indiana Thoracic Outlet Syndrome is a term used to describe a group of conditions where nerves and/or vascular structures in the shoulder region are compressed, resulting in various symptoms. TOS is listed as a rare condition by the National Organization for Rare Dis-
SEPTEMBER 2010
eases, or NORD. There are several types of TOS, including neurogenic, venous, and arterial. Neurogenic TOS accounts for about ninety-five percent of all TOS cases, leaving venous with four percent, and arterial with less than one percent. TOS develops when structures such as the brachial plexus and/or subclavian vessels become compressed. The etiology for TOS may include variations in structural anatomy, repetitive use of the affected extremity, traumatic injury, or thrombus formation. The compression may lead to pain, weakness, numbness, cyanosis, or swelling in the upper extremity. Diagnosis is made based on subjective complaints, history, physical examination, and tests including postural maneuvers. Various imaging techniques may also be utilized. Once the diagnosis of TOS is confirmed, a treatment plan is devised based on the type of TOS presenting. Most cases of TOS are treated with nonsurgical methods including physical therapy, and pharmacologic agents. On occasion, surgery is warranted to relieve the compression. Surgical techniques include, but are not limited to, first rib resection, removal of clavicular callus formation, resection of muscles in the affected region, angioplasty, and others. Although not commonly seen, thoracic outlet syndrome is a condition that may be encountered by the vascular nurse; awareness of this condition is beneficial to nurses specializing in the vascular field.
Program: Poster 8 Bedside Handoff; Yes You Can and Patients Love It Polly H. Willis, MSN, RN, PCCN Emory University Hospital Midtown, Atlanta, Georgia Patient satisfaction was flagging on our busy 38 bed interventional cardiac and vascular floor. The average discharges and admits for Tuesday through Friday is 16. We were struggling to provide more patient centered care. Enter the bedside change of shift report. The cultural change was stymied by a lack of agreement on the part of nurses and the lack of a consistent format. We tweaked a suggested system wide format that incorporates a detailed cath lab/EP lab report, a consistent review of important patient variables and jogs the memory regarding our framework for practice (Synergy). The bedside change of shift report has been embraced by most of the staff, especially the patients and early results saw overall patient satisfaction increase from the 85th percentile to the 92nd percentile (Press Ganey) for our floor. Actual documents will be provided to the learners. We have recently implemented our bedside change of shift bundle which will also be presented to learners.
Program: Poster 9 Gearing Patient Education that is Multifaceted and Patient Satsifaction Driven Gail Davis, MSN, CCRN, ACNS, BC, Elizabeth Cox, RN, MSN, CMSRN Barnes-Jewish Hospital, St. Louis, Missouri Purpose: Improving patient satisfaction is important for a hospital and department to keep volume sustained and to ensure patients and families are satisfied with their care. Much of the patient’s perception of care is related to how we educate them during their hospital stay and for discharge. Patient education is key to decrease hospital readmissions and key to increase patient satisfaction.