Intravenous Push Cephalosporin Antibiotics in the Emergency Department: A Practice Improvement Project

Advanced Emergency Nursing Journal
Julie M McLaughlinScott W Mueller

Abstract

Delays in administration of appropriate antibiotics to patients with septic shock are associated with increased mortality. To improve the care of patients with sepsis within our 73-bed emergency department (ED), a "first-dose" intravenous push (IVP) cephalosporin antibiotic protocol was initiated. This project was aimed at improving the time from provider order of antibiotic to administration, which follows the Sepsis Core Measure of timely antibiotic administration.This was a single-center, retrospective analysis of a practice improvement study. Time from provider order of an IV cephalosporin antibiotic to administration was compared between postprotocol dates of March to May 2016 (n = 1110) and preprotocol dates of November 2015 to January 2016 (n = 1146). The cost of supplies for IVP was compared with traditional infusion. Prior to implementation of the IVP protocol, ED nursing staff completed a survey of administration preferences and then received one-on-one instruction about the protocol from the clinical nurse specialist and clinical nurse educator. In addition, a tip sheet was developed and IVP kits complete with all needed supplies were made available in the automated medication dispensing system.Median time from IV ce...Continue Reading

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Citations

May 30, 2020·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·William Blake Hays, Tara Flack
Jun 17, 2020·Critical Care Medicine·Alex J GregorowiczMichael A Ward
Dec 28, 2018·Clinical Infectious Diseases : an Official Publication of the Infectious Diseases Society of America·Kap Sum FoongYasir Hamad
Aug 28, 2018·Hospital Pharmacy·Samantha SpencerMichael Gabay
Oct 18, 2020·Journal of Clinical Pharmacy and Therapeutics·Kassandra MarshCristian Merchan
Dec 12, 2020·Journal of Pharmacy Practice·Emmeline C AcademiaJulie M McLaughlin
Apr 16, 2020·The American Journal of Emergency Medicine·Abdulkareem AgunbiadeJordan Moskoff
Aug 4, 2020·The American Journal of Emergency Medicine·Abdulkareem AgunbiadeJordan Moskoff
Apr 27, 2020·American Journal of Health-system Pharmacy : AJHP : Official Journal of the American Society of Health-System Pharmacists·Kassandra MarshCristian Merchan
Aug 24, 2021·Annals of Emergency Medicine·Megan A Rech, Michael Gottlieb

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