Pi Phi Chapter

Reducing respiratory complications in total joint replacement patients

Nursing Research on the Green

2017 Abstract

Beth M. Krage MSN, RN, CNL; Kathryn Parks MS, RN; Jenni Wolk, RN; Barb Tralmer, RN; and Cindy Langaard BSN, RN – Gundersen Health System

  • Background:  Respiratory complications were identified as a leading complication of Orthopaedic surgery patients at Gundersen Health System. Staff on the Orthopaedic Unit were tasked with finding methods to decrease respiratory complications such as: Hypoxia, Pneumonia, and Acute respiratory failure. 
  • Significance:  The significance is that nurses need to understand and combat the most common complications that their patient types face. 
  • Purpose/objective:  The purpose was to establish consistent nursing interventions to reduce respiratory complication in total joint and hip fracture patients
  • Methods/project:  Literature Review
    "ICOUGH" interventions identified to decrease respiratory complications (Cassidy, 2013)
    Staff education
    Practice change
    Documentation
    "ICOUGH" interventions
    Plan/Do/Study/Act cycles to measure change
    Chart review
  • Results:  Decreased respiratory complications to zero on elective total joint patients. 
  • Clinical implications:  Nursing implications include: standardized patient education, reduced need for oxygen, decreased risk for respiratory complications post operatively, and consistent patient care

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