Inpatient surgical bowel preps: making them work

Ellen A O'Donnell1

  • 1Nurse Practitioner Surgical Programs, Children's Hospital Boston, Boston, MA 02115, USA.

Insights

This hospital developed an evidence-based, interdisciplinary approach to prepare pediatric patients for abdominal surgery. This strategy ensures optimal outcomes for children undergoing procedures for various diagnoses.

Area of Science:

  • Pediatric Surgery
  • Evidence-Based Practice
  • Interdisciplinary Care

Background:

  • Children undergoing abdominal surgery require specialized preparation.
  • A leading children's hospital manages diverse diagnoses from newborns to young adults.
  • Bowel preparation is a critical component of surgical readiness.

Purpose of the Study:

  • To describe an evidence-based, interdisciplinary approach for pediatric abdominal surgery preparation.
  • To outline a standardized protocol for optimizing patient outcomes.

Main Methods:

  • Literature review and synthesis of existing evidence on interdisciplinary and evidence-based practice.
  • Development and implementation of a hospital-wide protocol for pediatric bowel preparation.
  • Application of principles from key nursing and healthcare management literature.

Main Results:

  • Established a comprehensive, evidence-based protocol for pediatric abdominal surgery preparation.
  • Integrated interdisciplinary team collaboration into the surgical preparation process.
  • Improved standardization of care for children undergoing abdominal surgery.

Conclusions:

  • An evidence-based, interdisciplinary approach is effective for preparing children for abdominal surgery.
  • Standardized bowel preparation protocols enhance surgical readiness and patient care.
  • This model provides a framework for other institutions to improve pediatric surgical preparation.

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