Displaced Gastrostomy Tube in the Pediatric Emergency Department: Implementing an Evidence-based Algorithm and Quality Improvement Project.

Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association
Sandra M WeszelitsAnn O'Connor

Abstract

ED visits for gastrostomy tube-related complications are common, and many are related to tube displacement. Evidence-based practices can provide standardized care. This study was an evidence-based project to develop and implement an algorithm for the care of patients with a displaced gastrostomy tube in the emergency department. Providers were educated on the algorithm, and clinical practice change was evaluated. Provider knowledge was assessed using pretest and posttest; analyses included paired t test. Descriptive statistics of electronic medical record data on confirmation method, documentation, and referral were reported. Provider knowledge was improved after the education (n = 22; t(21) = -3.80; P = 0.001). After the education, procedure notes were used and completed in 95% of the cases. Appropriate use of the confirmation method was present in 95% of the cases, and all cases were referred to the gastrostomy/specialty clinic. Educating providers regarding care for displaced gastrostomy tubes increased their knowledge. A standardized algorithm improved care by decreasing the use of contrast studies, improving documentation, and referring patients to the gastrostomy/specialty clinic. This evidence-based algorithm offered hea...Continue Reading

References

Jun 6, 2009·The American Journal of Emergency Medicine·Gregory JacobsonKeith Wrenn
Aug 14, 2010·Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a·Jessica A NaiditchKatherine A Barsness
Feb 7, 2012·The American Journal of Emergency Medicine·Cory D ShowalterNathan Timm
Mar 4, 2014·Journal of Pediatric Health Care : Official Publication of National Association of Pediatric Nurse Associates & Practitioners·Michelle SchweitzerDori Taylor Sullivan
Jun 7, 2014·Journal of Pediatric Nursing·Lisa KirkCynthia Latty
Jun 10, 2014·The Journal of Surgical Research·Irving J ZamoraJose Ruben Rodriguez
Jan 21, 2017·Journal of Pediatric Gastroenterology and Nutrition·Marjorie J ArcaAdam B Goldin
Jun 15, 2017·The Western Journal of Emergency Medicine·Shiloni BhambaniAndrea W Thorp
Dec 2, 2017·Pediatric Emergency Care·Susan Fuchs
Dec 22, 2017·Journal of Clinical Nursing·Ashleigh TownleyShauna Kingsnorth
Nov 23, 2018·The Journal of Surgical Research·Cameron A MasonBrian T Bucher

❮ Previous
Next ❯

Citations

Jan 5, 2021·Journal of Emergency Nursing : JEN : Official Publication of the Emergency Department Nurses Association·Jessica Castner

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.

Related Papers

A.M.A. Archives of Otolaryngology
J A PERRONE
Nihon rinsho. Japanese journal of clinical medicine
N Sato, K Hatakeyama
The Journal of Pediatrics
Philip E Putnam
© 2021 Meta ULC. All rights reserved