First Advisor

Dr, Kathleen Whalen

Second Advisor

Dr. Cheryl Kruschke

Third Advisor

Dr. Lora Claywell

Thesis Committee Member(s)

Drs. Kathleen Whalen, Cheryl Kruschke, and Lora Claywell

College

Rueckert-Hartman College for Health Professions

Degree Name

Doctor of Nursing Practice

Document Type

Thesis - Open Access

Number of Pages

82 pages

Abstract

Critical care transport teams are often tasked with performing endotracheal intubation (ETI) during transport while adhering “to the same standards as in-hospital emergency anesthesia” (Lockey et al., 2017). One transport team adopted a checklist in 2014 to meet this high standard, but because of changes in equipment and practice expectation, an updated version was needed. The purpose of this quality improvement (QI) project was to design an updated checklist and measure the following primary outcomes: first pass success and steps taken to mitigate hypoxia and hypotension (and/or elevated shock index) prior to intubation. Additionally, a survey was administered to the clinicians after the project to determine their opinion on the usefulness of the checklist toward meeting these objectives. A total of twelve prospective and twelve retrospective charts were reviewed, and data analysis demonstrated: an improvement of first pass success from 75% with the original checklist and 92% with the updated checklist; an increase in taking steps to avoid hypoxia (67% to 75%) and hypotension (58% to 67%). Survey results were mixed and showed most clinicians felt the resource was useful but may have contained too much information to use in this situation. Overall, the revised checklist resulted in clinically significant improvements in achieving the primary objectives of improved first pass success rates and increasing steps to avoid hypoxia and hypotension.

Date of Award

Spring 2023

Location (Creation)

Colorado (state); Denver (county); Denver (inhabited place)

Rights Statement

All content in this Collection is owned by and subject to the exclusive control of Regis University and the authors of the materials. It is available only for research purposes and may not be used in violation of copyright laws or for unlawful purposes. The materials may not be downloaded in whole or in part without permission of the copyright holder or as otherwise authorized in the “fair use” standards of the U.S. copyright laws and regulations.

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