Article C2131

Reducing Intubation Time in Adult Cardiothoracic Surgery Patients With a Fast-track Extubation Protocol

Author(s): Myra F. Ellis, MSN, RN, CCRN-CSC, Heather Pena, BSN, RN, CCRN, Allen Cadavero, PhD, RN, CCRN, CWON, Debra Farrell, RN, CCRN-CSC, Mollie Kettle, BSN, RN, CCRN-CSC, Alexandra R. Kaatz, BSN, RN, SRNA, Tonda Thomas, RN, CCRN-CSC, Bradi Granger, PhD, RN, Kamrouz Ghadimi, MD

Contact Hours 1.00

CERP A 1.00

Expires May 26, 2023

Topics: Cardiovascular, Pulmonary

Population: Adult

Role: Staff

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Activity Summary

Required reading for all learners: Implicit Bias impacts patient outcomes

Prolonged intubation after cardiac surgery increases the risk of morbidity and mortality and lengthens hospital stays. Factors that influence the ability to extubate patients with speed and efficiency include the operation, the patient’s baseline physiologic condition, workflow processes, and provider practice patterns. Progression to extubation lacked consistency and coordination across the team. The purpose of the project was to engage interprofessional stakeholders to reduce intubation times after cardiac surgery by implementing fast-track extubation and redesigned care processes.

Objectives

  • Identify the importance of reducing intubation times in cardiac surgery patients.
  • Distinguish process, people, and patient barriers to extubation in postoperative cardiac surgery patients.
  • Explain the advantage of using a behavioral change framework to improve staff engagement in the improvement initiative.

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Learners must attend/view/read the entire activity and complete the associated evaluation to be awarded the contact hours or CERP. No partial credit will be awarded.

Disclosure

This activity has been reviewed by the Nurse Planner. It has been determined that the material presented here shows no bias. No conflicts of interest have been identified for any individual with the ability to influence the content of this activity. Accreditation refers to recognition of continuing education only and does not imply AACN or ANCC approval or endorsement of any commercial products discussed or displayed in conjunction with this educational activity.

Accreditation

The American Association of Critical-Care Nurses (AACN) is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center's (ANCC's) Commission on Accreditation, ANCC Provider Number 0012. AACN has been approved as a provider of continuing education in nursing by the California State Board of Nursing (CBRN), California Provider number CEP 1036. This activity is approved for 1.00 contact hours.

AACN programming meets the standards for most states that require mandatory continuing education contact hours for license and/or certification renewal. AACN recommends consulting with your state board of nursing or credentialing organization before submitting CE to fulfill continuing education requirements.

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