If malignant hyperthermia ever strikes, the team at Cityview Surgery Center in Fort Worth, Texas, is ready.
Her supply of dantrolene was about to expire. Rather than let the vials go to waste, Jane Bell, RN, BSN, the nurse manager at Cityview Surgery Center in Fort Worth, Texas, had a better idea: Let's have an in-service where we can all practice drawing the dantrolene up.
"We want to be as prepared as possible in the event of an emergency," says Ms. Bell.
Malignant hyperthermia can strike the patient under your care at any time and without warning. Once MH strikes, time is of the essence. Do you really want an MH crisis to be the first time your staff draws up dantrolene, the rescue agent used to treat potentially deadly MH? Definitely not, says Ms. Bell. She wanted her OR staff comfortable with the labor-intensive reconstituting process. She wanted them to know how to calculate accurate doses, how to work as a team to mix the drug rapidly and how to administer it effectively.
Two contracted CRNAs who work exclusively at the surgery center conducted an MH in-service. One CRNA gave an in-depth, hands-on in-service on malignant hyperthermia. He showed staff how to draw up dantrolene and reviewed all the contents of the crash cart's malignant hyperthermia drawer. The other CRNA gave staff a top-to-bottom tour of the crash cart, going through each drawer and then staging a mock code.
Ms. Bell says her staff truly appreciated these training sessions. "Our staff really feel like they've learned something," she says. "Not only did they get to hear it and see it, but they actually got to draw up and mix the dantrolene themselves. Those 3 things makes them feel more a lot more at ease if something were to occur."
The safety efforts at Cityview Surgery Center extend well beyond MH preparedness.
- Sharps safety. The center's safety officer gathers the latest safety syringes, needles and blades for staff to evaluate. She organizes them in 3 drawer bins and has the assessment for them already preprinted so all staff have to do is circle the appropriate response for each item they've evaluated. "Staff also enjoy being able to evaluate new items that we might soon put into our practice," says Ms. Bell.
OR excellence award winner, patient safety... show all keywords
OR excellence award winner, patient safety
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