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Sugammadex Effects on Hormonal Contraception Effectiveness: Implementation of Uniform Postoperative Teaching.

Publication ,  Journal Article
Hartman, E; Funk, E; Dear, G; Wellman, C; Pereira, K
Published in: J Perianesth Nurs
August 2021

PURPOSE: The purpose of this quality improvement project was to improve consistency of discharge teaching in women who used progesterone-containing hormonal contraceptive medications and received sugammadex during general anesthesia, as there is a risk of unintended pregnancy for 1 week after administration of sugammadex. DESIGN: This project used a predesign and postdesign using two separate sample groups of patients and postanesthesia care unit (PACU) nurses. METHODS: The sample consisted of 31 total women of childbearing age and 59 PACU nurses. Simplification of sugammadex discharge instructions was achieved by incorporating evidence-based recommendations for electronic discharge instructions and nursing education. PACU nurses were educated and surveyed before and after regarding frequency of discharge teaching, clarity, and comprehension of the after-visit summary and knowledge of sugammadex. Patients were called via telephone postoperatively to assess recall of sugammadex discharge teaching. FINDINGS: Postoperative patient phone calls identified a small increase in patient recall of discharge instructions from 5 of 14 patients (35.7%) before implementation to 7 of 17 after implementation (41.2%). PACU nurse surveys indicated an increase in self-reported frequency of sugammadex discharge teaching (34.8% vs 64.2%, P = .024) and that new discharge instructions contained more clear, comprehensive information as compared with previous instructions (29.4% vs 75.5%, P = .001). CONCLUSIONS: This quality improvement project successfully implemented more consistent and comprehensive discharge instructions for women who receive sugammadex intraoperatively. Limitations of the project included a small sample size and short implementation intervals. As a result of switching to uniform discharge instructions, more patients received important discharge teaching from PACU nurses, and the percentage of patients who recalled this information increased.

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Published In

J Perianesth Nurs

DOI

EISSN

1532-8473

Publication Date

August 2021

Volume

36

Issue

4

Start / End Page

351 / 358

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Sugammadex
  • Quality Improvement
  • Pregnancy
  • Nursing
  • Middle Aged
  • Humans
  • Hormonal Contraception
  • Female
  • Anesthesia, General
 

Citation

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Hartman, E., Funk, E., Dear, G., Wellman, C., & Pereira, K. (2021). Sugammadex Effects on Hormonal Contraception Effectiveness: Implementation of Uniform Postoperative Teaching. J Perianesth Nurs, 36(4), 351–358. https://doi.org/10.1016/j.jopan.2020.10.007
Hartman, Emily, Emily Funk, Guy Dear, Carol Wellman, and Katherine Pereira. “Sugammadex Effects on Hormonal Contraception Effectiveness: Implementation of Uniform Postoperative Teaching.J Perianesth Nurs 36, no. 4 (August 2021): 351–58. https://doi.org/10.1016/j.jopan.2020.10.007.
Hartman E, Funk E, Dear G, Wellman C, Pereira K. Sugammadex Effects on Hormonal Contraception Effectiveness: Implementation of Uniform Postoperative Teaching. J Perianesth Nurs. 2021 Aug;36(4):351–8.
Hartman, Emily, et al. “Sugammadex Effects on Hormonal Contraception Effectiveness: Implementation of Uniform Postoperative Teaching.J Perianesth Nurs, vol. 36, no. 4, Aug. 2021, pp. 351–58. Pubmed, doi:10.1016/j.jopan.2020.10.007.
Hartman E, Funk E, Dear G, Wellman C, Pereira K. Sugammadex Effects on Hormonal Contraception Effectiveness: Implementation of Uniform Postoperative Teaching. J Perianesth Nurs. 2021 Aug;36(4):351–358.
Journal cover image

Published In

J Perianesth Nurs

DOI

EISSN

1532-8473

Publication Date

August 2021

Volume

36

Issue

4

Start / End Page

351 / 358

Location

United States

Related Subject Headings

  • Surveys and Questionnaires
  • Sugammadex
  • Quality Improvement
  • Pregnancy
  • Nursing
  • Middle Aged
  • Humans
  • Hormonal Contraception
  • Female
  • Anesthesia, General