Date of Award
Final DNP Paper
Doctor of Nursing Practice (DNP) in Family Nurse Practitioner
Dr. Jolie Wildinger
Background: Total intubation time of post-op coronary artery bypass graft (CABG) patients is set by the Society of Thoracic Surgeons (STS) guidelines. STS states that post-op CABG patients need to be extubated within twelve hours of end anesthesia time with a recommendation of fewer than six hours. The project site had a total intubation time of greater than seventeen hours before removing the outliers. The current process does not result in a total intubation time of fewer than six hours. Implementation of an extubation checklist was chosen as the intervention for this DNP project.
Purpose: This DNP project aims to reduce the total intubation time of post-op CABG surgeries closer to the recommended STS guidelines of less than six hours at the project site. Methods: This quality improvement project implemented the use of a post-op CABG extubation checklist. The checklist was designed to follow and simplify the project site's current post-op CABG extubation protocol.
Results: Key results included statistical average total intubation time of appropriate patients (Average=4.37 hours). Two Likert scale surveys produced positive results for education and communication. The final result utilized various statistical data and showed improved outcomes in total intubation times.
Conclusion: This DNP project found that a post-op CABG extubation checklist with proper nursing education promises to reduce total intubation times. The project found that the checklist was well-received, and 100 percent compliance by nurses on the unit was achieved.
Bailey, Melissa, "Implementation and Evaluation of a Post-op Coronary Artery Bypass Graft Extubation Checklist to Reduce Prolonged Intubation in the Intensive Care Unit" (2022). Doctor of Nursing Practice Projects. 84.