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Changing practice to prevent contrast-induced nephropathy
Michele L Yellen1, Martha D Buffum2
1Nursing and Radiology Departments, Veterans Affairs Medical Center, University of California San Francisco, School of Nursing, San Francisco, California.
Abstract:
Based on updated evidence, a radiology nurse systematically engaged a multidisciplinary staff in testing a protocol to prevent contrast-induced nephropathy related to computed tomography. In a quality improvement project, the protocol combined preprocedure oral hydration with postprocedure intravenous saline. This protocol safely improved kidney function, reduced postprocedure time, and decreased annual cost. By applying theory, being persistent, presenting sound evidence, and unifying the team, one concerned staff nurse profoundly affected patient care and policy in an entire medical center.
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