Aortic Valve Replacement Resource Manual Molina Allen Overview Identified need for resource manual Transcatheter Aortic Valve Replacement TAVR Transition of Care A2 A3 TAVR is approved for Severe symptomatic native aortic valve stenosis who have been determined by a cardia ID: 909851
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Slide1
Leadership Project:Transcatheter Aortic Valve Replacement Resource Manual
Molina Allen
Slide2Overview
Identified need for resource manual:
Transcatheter
Aortic Valve Replacement (TAVR)
Transition of CareA2 A3TAVR is approved for “. . . Severe symptomatic native aortic valve stenosis who have been determined by a cardiac surgeon to be inoperable for open aortic valve replacement, and in who existing co-morbidities would not preclude the expected benefit from correction of the aortic stenosis” (Edwards Life Sciences, 2015).
Slide3Overview
Nursing Care Considerations
High Risk Patients
Co-morbidities
Stroke - 9% increase risk up to 30 days post op (Nuis et al., 2012)Occlusion/Bleeding Complications
Acute Kidney Injury
Post-Anesthesia Care
Slide4Goals
“
Compile a comprehensive manual (physical and electronic) for the pre and post care of patients receiving a TAVR for use by Unit A3 critical care nurses by March 14, 2015” (M. Allen, personal communication, February 8, 2015)
Slide5Objectives
Slide6Quality & Safety
Magnet Status
Munson (2011) maintains a culture of safety with a focus to:
Promote quality care in a setting that supports professional nursing practice
Identify excellence in the delivery of nursing services to patients and residencesDisseminate best practice in nursing servicesInterdisciplinary focusStructural Heart TeamA3 NursesA3 Clinical Nurse Specialist
Slide7Process and Progress
Project Scope and Plan
Budget
$5,925
Team DevelopmentFeedbackProject GoalsTasks and deadlines
Executing the project
Slide8Completion
Manuals include:
Receiving Process/Pre-op Orders
Post-op Room Set-up
Nursing Care Phase InstructionsImmediate/Critical PhaseStep-Down PhaseCommon Complications/InterventionsMedicationsProtocolsNIH Stroke ScaleDischarge Instructions
EBP Articles
Slide9Personal & Professional Development
Traits of a Successful Manager
Flexible
Variable Schedules
E-mail Influential
Lead change through evidence
Motivational
Incorporate others ideasResponsibilityMonitoring and Controlling
Slide10Ethical/Professional Issues
No ethical issues were encountered during the completion of this project.
Professional Issues
Delay in transfer r/t opinion of
AnesthesiologistFurther education required
Slide11References
Edwards Life Sciences. (2015). TAVR procedure. In
TAVR overview.
Retrieved from
http://newheartvalve.com/hcp/tavr-overview#3Heldman, K. (2011). Project management: Jumpstart. Indianapolis, IN: Wiley Nuis, R., Van Mieghem
, N., Schultz, C.,
Moelker
, A., Van Der Boom, R., Van Geuns, R., . . . De
Jaegere
, P. (2012).
Frequenc
and causes of stroke during or after
transcatheter
aortic valve implantation.
American Journal of Cardiology, 109
(11), 1637-1643.
doi
: 10.1016/j.amjcard.2012.01.389
Publishing.Raiten
, J.,
Gutsche
, J.,
Horak
, J., &
Augoustides
, J. (2013). Critical care management of patients following
transcatheter
aortic valve replacement.
F1000Research, 2
(62).
Doi
: 10.12688/f1000research.2-62.v1
Tromp, F., Van
Dulmen
, S., & Van
Weert
, J. (2004). Interdisciplinary preoperative patient education in cardiac surgery.
Journal of Advanced Nursing 47
(2), 212-222.http
://www.ncbi.nlm.nih.gov
/
entrez
/
query.fcgi?cmd
=
Retrieve&db
=
pubmed&dopt
=
Abstract&list_ui
ds=15196195&query_hl=15&itool=
pubmed_docsum
Yoder-Wise, P. (2015).
Leading and managing in nursing
(6th ed.)
.
St. Louis, MO: Elsevier Mosby