Evaluation of an Education Intervention on Etco2 Monitoring To Enhance Provider Knowledge and Understanding of Etco2 Monitoring To Guide Extubation Criteria in Post-Operative Coronary Artery Bypass Patients
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This capstone project evaluated an education intervention on the use of ETCO2 monitoring in the CVICU at Strong Memorial Hospital. The objective of this project was to improve provider knowledge and comfort with the use of ETCO2 monitoring to ultimately be used to improve time to exutbation in post-op coronary artery bypass patients. The project used a quasi-experimental pretest-posttest design utilizing a test of knowledge and survey on comfort of use with ETCO2. Kurt Lewins theory of change was used to guide this capstone project. Participants consisted of fifteen CVICU providers who manage post-operative cardiac surgery patients. Data was collected through the use of a written survey on provider comfort with ETCO2 and a written test of knowledge on ETCO2. A paired T-test was used to compare data points from each of the providers. The results of the study showed a significant improvement in both provider knowledge (P <.004) and comfort with the use of ETCO2 (P<.003). This project has the potential to improve patient outcomes by improving provider knowledge to help manage post-operative CABG patients and minimize their time to extubation. This will enhance their progression through their hospital course as well as decrease healthcare costs be decreasing ABG analysis. Future research should look at ETCO2 in other ICUs as well as follow up on extubation times in the CVICU.