2000 OPEN FORUM Abstracts
THE EFFECTS OF A PULMONARY VOLUME EXPANSION ASSESSMENT PROGRAM ON THE MISALLOCATION OF HYPERINFLATION THERAPIES
R Breeden RRT, L Claycamp CRT, S Alexander CRT, J Brooks-Brunn, DNS, RN, FAAN, FCCP, L Van Scoder EdD, RRT. Respiratory Therapy Program, School of Allied Health, Indiana University Medical Center, Indianapolis, IN
Background: Many respiratory care treatments are being inappropriately ordered. We tested whether proper assessment by a respiratory therapist would change the number of inappropriately ordered intermittent positive pressure breathing treatments (IPPB).
Methods: Patients were randomly selected from a list of all cardiothoracic patients. Medical records were reviewed for pre assessment program patients and post assessment program patients to determine appropriateness of respiratory therapy orders. Chi square was used to determine the significance of the numbers of inappropriate orders between two groups. A t-test was used to determine if there was a significant difference between patients demographics of the groups.
Results: There were 29 pre group and 30 post group chart audit reviews. The demographics showed no statistically significant difference for race, gender, surgery type, and smoking history between the two groups. There was a statistically significant difference in age (pre group mean 60.28 (±14.15), post group mean 49.90 (±17.69), p=.016).
|IPPB Treatment Orders|
|Pre Group||Post Group|
|Original Number of Inappropriate Orders||7||9|
|IPPB Orders Changed||0||13|
This table shows that in the post group patients 13 of the 15 IPPB treatments were changed with 9 of them being inappropriate orders.
Conclusion: There was a decrease in the number of misallocated intermittent positive pressure breathing treatments (IPPB) following implementation of the pulmonary assessment program.