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Sugammadex Effects on Hormonal Contraception Effectiveness: Implementation of Uniform Postoperative Teaching.
- Source :
-
Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses [J Perianesth Nurs] 2021 Aug; Vol. 36 (4), pp. 351-358. Date of Electronic Publication: 2021 Mar 18. - Publication Year :
- 2021
-
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.<br />Design: This project used a predesign and postdesign using two separate sample groups of patients and postanesthesia care unit (PACU) nurses.<br />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.<br />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).<br />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.<br /> (Copyright © 2020 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights reserved.)
Details
- Language :
- English
- ISSN :
- 1532-8473
- Volume :
- 36
- Issue :
- 4
- Database :
- MEDLINE
- Journal :
- Journal of perianesthesia nursing : official journal of the American Society of PeriAnesthesia Nurses
- Publication Type :
- Academic Journal
- Accession number :
- 33745828
- Full Text :
- https://doi.org/10.1016/j.jopan.2020.10.007