MEDIASTINAL HEMORRHAGE MANAGEMENT FOLLOWING CARDIAC SURGERY: IMPLEMENTATION OF THE PERIORATIVE NURSING DATA SET
Konstantinos Giakoumidakis, Christina Katzilieri
Friday, May 1, 2015
- Giakoumidakis Konstantinos, RN, MSc, PhD, Cardiac Surgery Intensive Care Unit, “Evangelismos” General Hospital of Athens, Athens, Greece
- Katzilieri Christina, RN, BSc, Intensive Care Unit, “Korgalenio - Benakio Hellenic Red Cross” General Hospital of Athens, Athens, Greece
- Cardiac surgery
- Perioperative nursing data set
- Standardized nursing care plan
- Standardized nursing terminologies
Introduction: Standardized nursing terminologies (SNT) provide a common language among nurses,
contributing to standardized and evidence based nursing care plans
Aim: The development of a standardized nursing care plan for the effective management of postoperative mediastinal hemorrhage of cardiac surgery patients
Material and Method: The SNT Perioperative Nursing Data Set (PNDS), 3rd edition, was used for a care plan formation, which is consisted of a coding system of nursing diagnoses, interventions and patient sensitive outcomes
Results: The diagnoses "Tissue perfusion, Ineffective” and "Fluid volume, Deficient” are related topatient hemorrhage, postoperatively. The desired patient outcomes, which represent the effective hemorrhage management, are expected to be achieved by both the planning and the implementation of a series of coded nursing interventions, which are consisted of specific nursing actions.
Conclusions: The management of cardiac surgery postoperative hemorrhage, through PNDS, could provide a common language among nurses and all members of the healthcare team, contributing to effective, well-documented and evidence based nursing care. Further research to demonstrate the impact of nursing care on patient outcomes, through STN, is needed.