Evidence Based Practice Projects

2024

• Maternity Services: AntePartum Well-Being Program
• Maternity Services: Labor Support
• LLUMC-Murrieta: Comfort Care
• Unit 8A/MICU team is working with Workplace Violence Safety

2023

• Unit 8A: MICU workplace violence
• Adult Diabetes Treatment Center Diabetic hospital readmissions
• Pediatric CVL RN confidence in Pediatric CODE Blue situations
• LLUMC Murrieta Comfort Case Communication and Care

2022

• Unit 5700: PICU Peer-Peer Educational Support
• Unit 8C: ACP Hospitalized Pediatric Patient Passports.
• Unit 8A: MICU Nurse Driven Bowel Regimen
• 11A/12A: COVID patient discharge education
• Unit 9A/10A: CTICU- Prehospital Patient Education related to CABG
• Pediatric Diabetes Center – High risk A1C workflow

2021

• 6th Floor team:  Patient Hand Hygiene
• Unit 7100:  Pre-operatively Education for Patients Undergoing CABG surgeries.
• Unit 4700:  Nurse -driven bowel regimen protocol for ICU patients.
• Pediatric Diabetic Clinic: Standardized Guideline for Pediatric Patients with Uncontrolled Diabetes
• NICU team:  Discharge Educational Pathway for Parents
• Neuro Progressive Care (new Hospital unit) Evidence-based Acuity Adaptable Unit
• Acute Care Pediatrics: Patient Discharge Passport 

2020

• Children’s Hospital EBP Projects -  Video 

2019

Medication flush volumes with enteral feeding

• Units 82/92/93 
• Examined the volume of normal saline flush used to administer medications via enteral feeding tubes.
• Team Lead Carol Nielsen, BSN, RN  
• Poster Presentation Oncology Nursing Society Friday, April 12, 2019
• Podium Presentation STTI Odyssey October 9, 2019
• Publication – manuscript submitted for review

2018

Massive transfusion tracking and documentation

• Unit 8100
• Examined current practices and developed tool for the monitoring and tracking of blood products in massive transfusion  
• Team Lead Gianna Bustamante, BSN, RN  

Hester Davis Fall Risk Assessment

• 7^th Floor Cardiac Services  
• Compared the Hester Davis Fall Risk Assessment to the Morse Fall Scale, facilitated organization wide transition to Hester Davis Fall Risk Assessment  
• Team Lead  Monique Yoeliko, MSN, CNS  
• Podium Presentation 19^th Annual Nursing Research Conference Loma Linda May 2019

Insulin administration and mealtimes

• 6^th Floor Acute Medicine Units 
• Examined the timing of patient morning blood sugars, meal tray delivery, subcutaneous insulin administration and food ingestion. 
• Team Lead  Novi Sitanggang, BSN, RN
• Poster Presentation Association California Nurse Leaders February 2020

High Touch Hygiene

• Unit 5700 Pediatric Intensive Care Unit
• Examined the cleaning of the patient environment between patient admissions 
• Team Lead  Evelyne Kast, BSN, RN
• Poster Presentation American Association of Critical Care Nurses May 2019

Five High by Five O’Clock

• Acute Care Medicine Units
• Developed a protocol of assessments of marking the high touch areas and the effectiveness of cleaning these areas, then related cleaning to Clostridium difficile rates on the unit.
• Team Lead Carol Nielsen, BSN, RN
• Poster Presentation  Oncology Nursing Society March 14, 2019
• Publication Clinical Journal of Oncology Nursing  Reducing Clostridium difficile infections Using Five High by Five O’clock October 2019

Pain Management Nursing and Parent Understanding

• Unit 5800 Pediatric Cardiac Surgery  
• Examined parental knowledge and expectation regarding pain management, nursing knowledge of pain management and developed a pain pillow for pediatric patients, pain brochure of parents and educational presentation for nursing staff 
• Team Lead  Jennifer Newcombe, DNP, MS, PNP/CNS

2016

Reducing nutritional feeding delays

• Unit 4700 Medical Intensive Care Unit 
• Developed and implemented nurse driven protocol to reduce the amount of time patients were NPO due to procedures   
• Team Leads Allison Bell, BSN, RN and Matt Medina, RN, BSN
• Poster Presentation American Association of Critical Care Nurses May 2017
• Poster Presentation ANCC Magnet Conference October 2017

Standardizing the Approach to Intermittent Explosive Disorder

• Behavioral Medicine Center Child Unit   
• Developed screening program and mitigation activities for children with intermittent explosive disorder.  
• Team Lead  Tony Dharmaraj

PONV in Bariatric Surgery Patients

• Perioperative & Post Operative Units Surgical Hospital  
• Developed and implemented a PONV pre-operative screen, medication protocol for the reduction of PONV
• Team Lead Andrea Mason, MSN, CNS  
• Poster Presentation American Society of PeriAnesthesia Nurses April 2016
• Poster Presentation American Association of Critical Care Nurses May 2017
• Podium Presentation PeriAnesthesia Nurses Association of California October 2016
• Publication of Abstract Journal of PeriAnesthesia Nurses August 2016

Reducing CAUTI in Oncology Patients

• Units 9200/9300
• Team Lead Monica Paredes, MS, RN
• Poster Presentation: Oncology Nursing Society 2016

Home Care Program Increases the Engagement in Patients with Heart Failure 

• Loma Linda Home Care  
• Team Lead Sandra Lay, BSN, RN
• Poster Presentation American Academy of Ambulatory Care Nurses 2016
• Publication Home Care Program Increases the Engagement in Patients with Heart Failure.  Home Health Care Management & Practice.   

Prevention or reduction of pressure ulcers in patients admitted from the Emergency Department to Medicine Service 

• Unit 6100/6200/6300 
• Team Lead Kelly Wolff, BSN, RN
• Poster Presentation Western Institute of Nursing Research 2016