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Pain Control in the Laboring Patient Dr John Gianopoulos MD Dr Ku-mie Kim MD Sandra Swanson RN MSOD Maureen Davey RNC Denise Goray RN BSN.

Published byClara Willis Modified over 8 years ago

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Presentation on theme: "Pain Control in the Laboring Patient Dr John Gianopoulos MD Dr Ku-mie Kim MD Sandra Swanson RN MSOD Maureen Davey RNC Denise Goray RN BSN."— Presentation transcript:

1 Pain Control in the Laboring Patient Dr John Gianopoulos MD Dr Ku-mie Kim MD Sandra Swanson RN MSOD Maureen Davey RNC Denise Goray RN BSN

2 Project Aim Statement Reduce the response time of anesthesia personnel from the time they are paged to arrival at the patient’s bedside to 30 minutes The laboring patient will have a decrease in her VAS score post epidural placement Confidential Quality Improvement Material

3 Forces of Magnetism Force 7: Quality Improvement Force 13: Interdisciplinary relationships: Collaboration with nurses & physicians to improve quality of care Confidential Quality Improvement Material

4 Solutions Implemented Measure the response time of anesthesia personnel from the time they are paged to arrival at the patient’s bedside VAS scores were documented pre & post epidural placement Confidential Quality Improvement Material

5 Solutions Implemented contd. Project start date: July 2005 Educate anesthesia & nursing staff regarding project Audit charts for response time (response time & VAS scores) July 2007: Charts were audited for documented delay reasons of longer than 5 minutes from the goal time Follow up meetings with anesthesia to bring awareness of time delays: Monthly Results reported to to key stake holders & to Perinatal Task Force: Quarterly Confidential Quality Improvement Material

6 Analysis Anesthesia response time has decreased from an average of 29 minutes in 2005 to 18 minutes in 2008 Patients reported VAS scores of 7/10 prior to epidural placement Patients reported VAS scores of 0/10 after epidural placement Individual feedback to anesthesia personnel was most beneficial Confidential Quality Improvement Material

7 Goal: 30 minutes Goal 25 minutes Goal 20 minutes Project start date?

8 Next Steps Discuss with Perinatal Quality Task Force & Anesthesia Leadership to further decrease goal wait time to 15 minutes Assess Hospital Consumer Assessment of Healthcare Providers & Systems (HCAHPS) scores to monitor patient satisfaction with labor pain management Confidential Quality Monitoring Monitoring

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