Transitions in Care: Implementing Short Stay Care for Rapidly Increasing Laparoscopic Procedures
Article first published online: 2 JUN 2011
© 2011 AWHONN, the Association of Women's Health, Obstetric and Neonatal Nurses
Journal of Obstetric, Gynecologic, & Neonatal Nursing
Special Issue: Proceedings of the 2011 AWHONN Convention
Volume 40, Issue Supplement s1, page S53, June 2011
How to Cite
Freund, E. A. and Hooper, J. (2011), Transitions in Care: Implementing Short Stay Care for Rapidly Increasing Laparoscopic Procedures. Journal of Obstetric, Gynecologic, & Neonatal Nursing, 40: S53. doi: 10.1111/j.1552-6909.2011.01242_73.x
- Issue published online: 2 JUN 2011
- Article first published online: 2 JUN 2011
- rapid practice changes
Purpose for the Program
The rapidly growing advancement of minimally invasive surgeries prompted the inpatient gynecologic (GYN) unit to adapt a more formal approach to care for this population. The laparoscopic technique for hysterectomy required modification to the practice of total abdominal or vaginal hysterectomies. The patients were expected to stay a shorter period of time; however, nursing had not modified its practices.
The GYN unit modified many practices to ensure that the patients were cared for appropriately after laparoscopic hysterectomy. This required collaboration with the physicians to modify the current orders and teaching tools.
Implementation, Outcomes, and Evaluation
The nurses were educated on the surgical procedures and the effects on the patient. Nursing modified its documentation and educational tools. Physicians performed in-services to help educate the staff on differences the patient might experience. In addition, there were unique pain issues identified that needed to be addressed. The unit worked with the attending physicians and anesthesiologist to develop specific orders to help meet the patients' needs. There was collaboration between the postanesthesia care unit and the GYN unit to ensure that interventions occurred in a timely manner to assist in a shortened length of stay. Some of the outcome measures that were collected include: readmissions, infections, and patient satisfaction. In addition to patient outcomes, nursing and physician satisfaction were measured.
Implications for Nursing Practice
The process followed for adapting a rapidly changing practice can be utilized in any field. The practice changes can be replicated to assist with the changing approach to hysterectomy, particularly pain management.