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[Project to Improve FloTrac Cognition and Skill Accuracy in Nurses Working in the Intensive Care Unit]
Chih-Ying Kuo1, Hsin-Hua Cheng2, Pei-Chi Cheng2
1MSN, RN, Department of Nursing, Kaoshiung Chang Gung Memorial Hospital, Taiwan, ROC. hs771108@cgmh.org.tw.
Background & Problems:
FloTrac is used to monitor hemodynamics in patients. Insufficient awareness of and inexperience with this machine put patients at risk.
Purpose:
A project was developed to increase FloTrac cognitive accuracy from 57.6% to 85% and skill accuracy from 73.3% to 91% in ICU nurses. Also, FloTrac installation time was intended to be reduced to less than 8 minutes and 38 seconds.
Resolution:
Create a pithy, easy-to-remember formula; make operation teaching videos, operation manuals, and reminder cards; arrange educational training; and monitor quality regularly.
Results:
FloTrac cognitive accuracy increased from 57.6% to 90.4%; FloTrac skill accuracy increased from 73.3% to 99.7%; and installation time was shortened from 8 minutes and 38 seconds to 5 minutes and 42 seconds.
Conclusions:
After implementation of the project, nurses improved their professional knowledge and were better able to help doctors obtain hemodynamic data efficiently to provide patients with accurate and rapid treatment.
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