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Published on: May 18, 2019
Clinical Nurse Specialist Tracheostomy Management Improves Patient Outcomes
Janette Richardson1, Kellie Girardot, Jan Powers
1Parkview Health System, Fort Wayne, Indiana.
Background:
Patients with a tracheostomy are a low-volume, high-risk population with long lengths of hospital stay and high health care costs.
Problem:
Because of the complex nature of caring for patients with a tracheostomy, it is essential to provide a standardized care approach with ongoing monitoring to optimize outcomes.
Approach:
A pre/postimplementation design was used. A formal tracheostomy care management process using clinical nurse specialists (CNSs) was implemented.
Outcomes:
Between April 2019 and December 2020, this process resulted in a significant reduction in time between tracheostomy placement and discharge, from 16 to 12.9 days ( P = .02). Reductions were also seen in length of stay and incidence of tracheostomy-related pressure injuries.
Conclusions:
This project shows that a CNS-led care management process can improve patient outcomes. These improvements in patient outcomes resulted in a significant cost savings to the organization.
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