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ECMO During a Pandemic: A COVID-19 Quality Improvement Process
Monika Tukacs1, Darshani Singh2, Catherine A Halliday3
1Monika Tukacs is Nurse Clinician, Department of Nursing and Department of Cardiothoracic Intensive Care Unit, New York-Presbyterian/Columbia University Irving Medical Center, 177 Fort Washington Avenue, New York, NY 10032 (mob9018@nyp.org).
During pandemics, enhancing Extracorporeal Membrane Oxygenation (ECMO) nursing requires increased staffing, clear communication algorithms, and reduced documentation. These quality improvements ensure readiness for future critical care challenges.
Area of Science:
- Critical Care Medicine
- Nursing Quality Improvement
Background:
- Extracorporeal membrane oxygenation (ECMO) is a complex critical care therapy.
- No established standards exist for maintaining nursing quality during pandemics.
Purpose of the Study:
- To improve real-time nursing provision for ECMO during a pandemic.
- To establish foundational strategies for future pandemic preparedness in critical care.
Main Methods:
- Utilized an Ishikawa fishbone diagram and a Plan-Do-Study-Act (PDSA) cycle for quality improvement.
- Implemented changes including a communication algorithm, alternative nursing model, increased staffing, and task support from perfusion services.
Main Results:
- The implemented process changes were successful in addressing nursing provision challenges.
- Key interventions included enhanced communication, staffing adjustments, and streamlined documentation.
Conclusions:
- Recommendations include increasing nursing staff and support resources for ECMO.
- Implementing communication algorithms and minimizing documentation are crucial for pandemic readiness in critical care nursing.
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