{"id":5695,"date":"2016-03-04T21:49:03","date_gmt":"2016-03-04T21:49:03","guid":{"rendered":"http:\/\/bernoullihealth.com\/?p=5019"},"modified":"2018-07-01T22:33:49","modified_gmt":"2018-07-01T22:33:49","slug":"virtua-implementing-capnography-in-low-acuity-settings","status":"publish","type":"post","link":"https:\/\/www.light4soul.com\/testingsite\/cardiop\/virtua-implementing-capnography-in-low-acuity-settings\/","title":{"rendered":"Virtua: Implementing Capnography in Low Acuity Settings"},"content":{"rendered":"<h1 class=\"p1\">AAMI Foundation<span class=\"Apple-converted-space\">\u00a0 <\/span>Safety Innovations<\/h1>\n<h2 class=\"p1\">Virtua: Implementing Capnography in Low Acuity Settings<\/h2>\n<p class=\"p1\"><img loading=\"lazy\" class=\"aligncenter size-large wp-image-5020\" src=\"http:\/\/bernoullihealth.com\/wp-content\/uploads\/2016\/03\/virtuahospital-1030x505.jpg\" alt=\"virtua hospital implementing capnography in low acuity settings\" width=\"1030\" height=\"505\" \/>In 2013, the Virtua (1,009 beds across three hospitals) prioritized narcotic safety. The hospital system responded by implementing non-invasive capnography monitoring and continuous pulse oximetry monitoring on medical-surgical units. Capnography is used to measure exhaled end-tidal carbon dioxide (EtCO<span class=\"s1\">2<\/span>) and inhaled carbon dioxide (FiCO<span class=\"s1\">2<\/span>) to determine a patient\u2019s respiratory rate and generate waveforms (i.e., capnograms) of exhaled carbon dioxide over time. However, unlike conventional capnography, which requires patients to be intubated to sample a patient\u2019s inhalations and exhalations, thus restricting its use to critical care areas and operating rooms, non-invasive capnography uses nasal or oral-nasal sampling tubing that is worn over the nose (and sometimes mouth) to collect respiratory data, making it practical for use anywhere in a hospital.<\/p>\n<p class=\"p2\">This paper details Virtua\u2019s journey of implementation of non-invasive capnography, highlighting how barriers were overcome, sharing key factors for success, and describing the ongoing challenges of effectively monitoring patients receiving intravenous opioids for pain management.<\/p>\n<p class=\"p1\">The capnography monitoring implementation experience at Virtua provides a prototype of how a team, through persistent advocacy, can influence their organization to change practice and leverage its best asset\u2014staff across all disciplines\u2014to improve the quality of patient care.<\/p>\n<p class=\"p1\"><a href=\"http:\/\/bernoullihealth.com\/wp-content\/uploads\/2016\/03\/2016_SI_Virtua_Capnography.pdf\">You can download the report here. <\/a><\/p>\n","protected":false},"excerpt":{"rendered":"<p>AAMI Foundation\u00a0 Safety Innovations Virtua: Implementing Capnography in Low Acuity Settings In 2013, the Virtua (1,009 beds across three hospitals) prioritized narcotic safety. The hospital system responded by implementing non-invasive capnography monitoring and continuous pulse oximetry monitoring on medical-surgical units. Capnography is used to measure exhaled end-tidal carbon dioxide (EtCO2) and inhaled carbon dioxide (FiCO2) [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":[],"categories":[85,57],"tags":[101,102,103],"_links":{"self":[{"href":"https:\/\/www.light4soul.com\/testingsite\/cardiop\/wp-json\/wp\/v2\/posts\/5695"}],"collection":[{"href":"https:\/\/www.light4soul.com\/testingsite\/cardiop\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.light4soul.com\/testingsite\/cardiop\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.light4soul.com\/testingsite\/cardiop\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.light4soul.com\/testingsite\/cardiop\/wp-json\/wp\/v2\/comments?post=5695"}],"version-history":[{"count":2,"href":"https:\/\/www.light4soul.com\/testingsite\/cardiop\/wp-json\/wp\/v2\/posts\/5695\/revisions"}],"predecessor-version":[{"id":8234,"href":"https:\/\/www.light4soul.com\/testingsite\/cardiop\/wp-json\/wp\/v2\/posts\/5695\/revisions\/8234"}],"wp:attachment":[{"href":"https:\/\/www.light4soul.com\/testingsite\/cardiop\/wp-json\/wp\/v2\/media?parent=5695"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.light4soul.com\/testingsite\/cardiop\/wp-json\/wp\/v2\/categories?post=5695"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.light4soul.com\/testingsite\/cardiop\/wp-json\/wp\/v2\/tags?post=5695"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}