Implementing recommended perioperative pain practice guidelines by incorporating intravenous acetaminophen
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Sarah Ann Torabi, MSN, CRNA, email: sat273@nau.edu
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Optimizing perioperative pain management is important in decreasing adverse outcomes in surgical patients. The purpose of this project was to implement recommended perioperative pain practice guidelines by incorporating intravenous acetaminophen (IVA) as part of multimodal analgesia at an acute care hospital in Northern Arizona. Lewin’s change theory guided this project by using strategies to break barriers in accepting and changing perioperative pain guidelines by completing a retrospective chart review to determine IVA efficacy. Data was obtained from adult surgical patients at this facility from January 1, 2014-July 31, 2014 which resulted in 74 charts that met criteria; 37 patients received IVA and 37 patients did not receive IVA. Chi-square analysis and a paired t-test compared mean pain scores, total opioid dosages in the first 24 hours, length of hospital stay (LOS) and patient demographics/clinical characteristics. Statistically significant differences were noted in pain scores at 12 and 24 hours, total opioid dosages and LOS (p< 0.05) in the IVA group. There were no statistically significant difference in demographic characteristics between the two groups nor in postoperative care unit (PACU) pain scores (p>0.05). These findings support current literature review that IVA is an effective non-analgesic for perioperative pain management.
This work has been approved through a faculty review process prior to its posting in the Virginia Henderson Global Nursing e-Repository.
Type | DNP Capstone Project |
Acquisition | Self-submission |
Review Type | Faculty Approved: Degree-based Submission |
Format | Text-based Document |
Evidence Level | Case-Control Study |
Research Approach | Translational Research/Evidence-based Practice |
Keywords | Perioperative Pain; Intravenous Acetaminophen; Practice Guidelines; Lewin's Change Theory |
MESH Subject(s) | Perioperative Care; Pain Management; Practice Guideline; Evidence-Based Practice |
MESH Subject(s) | Perioperative Care; Pain Management; Practice Guideline; Evidence-Based Practice |
Grantor | Northern Arizona University |
Advisor | Stetina, Pamela |
Level | DNP |
Year | 2015 |
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