• hysterectomy;
  • laparoscopic;
  • rapid practice changes

Poster Presentation

  1. Top of page
  2. Poster Presentation

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.

Proposed Change

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.