{"id":12181,"date":"2023-03-27T18:19:10","date_gmt":"2023-03-27T18:19:10","guid":{"rendered":"https:\/\/cetlindesign.com\/postersite\/?p=12181"},"modified":"2023-04-06T19:00:56","modified_gmt":"2023-04-06T19:00:56","slug":"utilizing-nurse-navigation-for-outpatient-mastectomies-with-or-without-reconstruction","status":"publish","type":"post","link":"https:\/\/cetlindesign.com\/postersite\/utilizing-nurse-navigation-for-outpatient-mastectomies-with-or-without-reconstruction\/","title":{"rendered":"Utilizing Nurse Navigation for Outpatient Mastectomies with or without Reconstruction"},"content":{"rendered":"

[et_pb_section fb_built=”1″ admin_label=”section” _builder_version=”4.16″ global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_row admin_label=”row” _builder_version=”4.20.2″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” custom_padding=”||0px|||” global_colors_info=”{}” theme_builder_area=”post_content”][et_pb_column type=”4_4″ _builder_version=”4.16″ custom_padding=”|||” global_colors_info=”{}” custom_padding__hover=”|||” theme_builder_area=”post_content”][et_pb_text admin_label=”Text” _builder_version=”4.20.2″ background_size=”initial” background_position=”top_left” background_repeat=”repeat” min_height=”130.8px” custom_margin=”||18px|||” global_colors_info=”{}” theme_builder_area=”post_content”]<\/p>\n

Authors: <\/strong>Sheila Marquez, RN, MSN, CBCN; Shellie Campos, RN, MSN, FNP-BC, AGN-BC; & Monica Eigelberger, MD, FACS<\/h3>\n

Hospital: <\/strong>John Muir Health<\/h3>\n

Presentation Date : <\/strong>5\/2\/2022<\/h3>\n

[\/et_pb_text][et_pb_button button_url=”https:\/\/cetlindesign.com\/postersite\/wp-content\/uploads\/2023\/03\/Utilizing-Nurse-Navigation-for-Outpatient-Mastectomies-with-or-without-Reconstruction.pdf” url_new_window=”on” button_text=”Download Poster” module_class=”download-button” _builder_version=”4.20.2″ _module_preset=”default” custom_button=”on” button_text_size=”16px” button_text_color=”#FFFFFF” button_bg_color=”#03ADEF” button_border_width=”0px” button_border_radius=”5px” button_font=”Montserrat|500|||||||” button_icon=”||divi||400″ button_icon_color=”#FFFFFF” button_on_hover=”off” custom_padding=”10px||10px||false|false” global_colors_info=”{}” button_bg_color__hover_enabled=”on|hover” button_bg_color__hover=”#012E66″ button_bg_enable_color__hover=”on” theme_builder_area=”post_content”][\/et_pb_button][et_pb_text _builder_version=”4.20.2″ _module_preset=”default” custom_margin=”0px||25px||false|false” global_colors_info=”{}” theme_builder_area=”post_content”]<\/p>\n

Introduction:<\/strong><\/h3>\n

Historically, patients undergoing mastectomy surgeries at John Muir Health (JMH) required a one-night admission for postoperative care, pain management, and education support. However, research studies show that implementing Enhanced Recovery After Surgery (ERAS) pathways and patient education:<\/p>\n

    \n
  • improves outcomes<\/li>\n
  • improves patient satisfaction<\/li>\n
  • reduces hospital stay<\/li>\n<\/ul>\n

    JMH Nurse Navigator, Nurse Practitioner, and Breast Surgeon aimed to utilize ERAS pathways and patient education for patients undergoing a mastectomy to improving postoperative recovery and decreasing length of stay, patients’ fears, and anxieties.<\/p>\n

    Statement:<\/strong><\/h3>\n

    This quality improvement project aims to decrease the length of stay for patients undergoing a mastectomy by utilizing nurse navigation patient education.<\/p>\n

    Methods:<\/strong><\/h3>\n

    The multidisciplinary team created a plan to implement ERAS pathways for mastectomy patients to decrease the length of stay. The Nurse Navigator developed the program by following our surgeon through a clinic day, surgery, and conducting a direct patient observation during a surgical day to understand the patient care flow. The Nurse Navigator created education sheets in both English and Spanish. In addition, provided a 1:1 in-person or virtual education focusing on:<\/p>\n

      \n
    • preoperative and postoperative instructions<\/li>\n
    • patient care flow<\/li>\n
    • postoperative exercises<\/li>\n
    • care of the drain<\/li>\n
    • instructions when to contact the surgeon postoperatively<\/li>\n<\/ul>\n

      Results:<\/strong><\/h3>\n

      Results: Baseline data showed Length of Stay in 2020 for Mastectomies with or without reconstruction was 32 hours. We started our project in 2021. Overall, 140 patients were seen and results showed:<\/p>\n

        \n
      • 112\/140 patients (80%) were discharged same day<\/strong><\/li>\n
      • average length of stay was 13-hours<\/strong><\/li>\n
      • 12 patients did stay overnight for observation<\/li>\n
      • Reduction in patient\u2019s fear<\/li>\n
      • Reduction in distress<\/li>\n
      • In addition, 112 hospital beds were made available due to the decreased length of stay<\/span>.<\/li>\n<\/ul>\n

        Conclusion:<\/strong><\/h3>\n

        Creating this program has increased the utilization of the Nurse Navigator and Nurse Practitioner with a multidisciplinary team approach for the patient. It improved communication and care coordination between patients, staff, and physicians. Due to the wide success, decreased need for hospital resources, and improved patient satisfaction, our facility will continue to provide the education program for mastectomy patients.<\/p>\n

        Future Studies:<\/strong><\/h3>\n

        We may utilize the nurse navigation preoperative education concept for other oncology surgical areas, such as colorectal surgeries in the future.<\/p>\n

        [\/et_pb_text][\/et_pb_column][\/et_pb_row][\/et_pb_section]<\/p>\n","protected":false},"excerpt":{"rendered":"

        Research studies show that implementing Enhanced Recovery After Surgery (ERAS) pathways and patient education: improves outcomes, improves patient satisfaction and reduces hospital stay.<\/p>\n","protected":false},"author":2,"featured_media":12169,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"on","_et_pb_old_content":"\n

        Presented by LeeAnna Spiva, PhD, RN, PLNC & Patricia Hart, PhD, RN<\/strong><\/p>\n\n\n\n

        WellStar Health System and Kennesaw State University<\/strong><\/p>\n\n\n\n

        Original Presentation Date: 10\/19\/22<\/em><\/p>\n\n\n\n

        Summary: <\/strong><\/p>\n","_et_gb_content_width":"2880","footnotes":""},"categories":[19,36,35],"tags":[43,37],"class_list":["post-12181","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-general","category-hospital","category-surgery","tag-john-muir-health","tag-outpatient-mastectomies"],"yoast_head":"\nUtilizing Nurse Navigation for Outpatient Mastectomies with or without Reconstruction - Nurse Resources<\/title>\n<meta name=\"description\" content=\"Research studies show that implementing Enhanced Recovery After Surgery (ERAS) pathways and patient education: improves outcomes, improves patient satisfaction and reduces hospital stay.\" \/>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Utilizing Nurse Navigation for Outpatient Mastectomies with or without Reconstruction - Nurse Resources\" \/>\n<meta property=\"og:description\" content=\"Research studies show that implementing Enhanced Recovery After Surgery (ERAS) pathways and patient education: improves outcomes, improves patient satisfaction and reduces hospital stay.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/cetlindesign.com\/postersite\/utilizing-nurse-navigation-for-outpatient-mastectomies-with-or-without-reconstruction\/\" \/>\n<meta property=\"og:site_name\" content=\"Nurse Resources\" \/>\n<meta property=\"article:published_time\" content=\"2023-03-27T18:19:10+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2023-04-06T19:00:56+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/cetlindesign.com\/postersite\/wp-content\/uploads\/2023\/03\/Utilizing-Nurse-Navigation-for-Outpatient-Mastectomies-with-or-without-Reconstruction.png\" \/>\n\t<meta property=\"og:image:width\" content=\"2438\" \/>\n\t<meta property=\"og:image:height\" content=\"1362\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/png\" \/>\n<meta name=\"author\" content=\"Tipton Health\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Tipton Health\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"2 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\/\/cetlindesign.com\/postersite\/utilizing-nurse-navigation-for-outpatient-mastectomies-with-or-without-reconstruction\/\",\"url\":\"https:\/\/cetlindesign.com\/postersite\/utilizing-nurse-navigation-for-outpatient-mastectomies-with-or-without-reconstruction\/\",\"name\":\"Utilizing Nurse Navigation for Outpatient Mastectomies with or without Reconstruction - Nurse Resources\",\"isPartOf\":{\"@id\":\"https:\/\/cetlindesign.com\/postersite\/#website\"},\"datePublished\":\"2023-03-27T18:19:10+00:00\",\"dateModified\":\"2023-04-06T19:00:56+00:00\",\"author\":{\"@id\":\"https:\/\/cetlindesign.com\/postersite\/#\/schema\/person\/45939cf3b0a481c0499743acfcd66095\"},\"description\":\"Research studies show that implementing Enhanced Recovery After Surgery (ERAS) pathways and patient education: improves outcomes, improves patient satisfaction and reduces hospital stay.\",\"breadcrumb\":{\"@id\":\"https:\/\/cetlindesign.com\/postersite\/utilizing-nurse-navigation-for-outpatient-mastectomies-with-or-without-reconstruction\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\/\/cetlindesign.com\/postersite\/utilizing-nurse-navigation-for-outpatient-mastectomies-with-or-without-reconstruction\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\/\/cetlindesign.com\/postersite\/utilizing-nurse-navigation-for-outpatient-mastectomies-with-or-without-reconstruction\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\/\/cetlindesign.com\/postersite\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Utilizing Nurse Navigation for Outpatient Mastectomies with or without Reconstruction\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\/\/cetlindesign.com\/postersite\/#website\",\"url\":\"https:\/\/cetlindesign.com\/postersite\/\",\"name\":\"Nurse Resources\",\"description\":\"\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\/\/cetlindesign.com\/postersite\/?s={search_term_string}\"},\"query-input\":\"required name=search_term_string\"}],\"inLanguage\":\"en-US\"},{\"@type\":\"Person\",\"@id\":\"https:\/\/cetlindesign.com\/postersite\/#\/schema\/person\/45939cf3b0a481c0499743acfcd66095\",\"name\":\"Tipton Health\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\/\/cetlindesign.com\/postersite\/#\/schema\/person\/image\/\",\"url\":\"https:\/\/secure.gravatar.com\/avatar\/2680c0478033e2d6f0090dbc656fb8aeb38bf689309df16b1e8ffe18bb39a4c0?s=96&d=mm&r=g\",\"contentUrl\":\"https:\/\/secure.gravatar.com\/avatar\/2680c0478033e2d6f0090dbc656fb8aeb38bf689309df16b1e8ffe18bb39a4c0?s=96&d=mm&r=g\",\"caption\":\"Tipton Health\"},\"url\":\"https:\/\/cetlindesign.com\/postersite\/author\/tipton-health\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Utilizing Nurse Navigation for Outpatient Mastectomies with or without Reconstruction - Nurse Resources","description":"Research studies show that implementing Enhanced Recovery After Surgery (ERAS) pathways and patient education: improves outcomes, improves patient satisfaction and reduces hospital stay.","robots":{"index":"noindex","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"og_locale":"en_US","og_type":"article","og_title":"Utilizing Nurse Navigation for Outpatient Mastectomies with or without Reconstruction - Nurse Resources","og_description":"Research studies show that implementing Enhanced Recovery After Surgery (ERAS) pathways and patient education: improves outcomes, improves patient satisfaction and reduces hospital stay.","og_url":"https:\/\/cetlindesign.com\/postersite\/utilizing-nurse-navigation-for-outpatient-mastectomies-with-or-without-reconstruction\/","og_site_name":"Nurse Resources","article_published_time":"2023-03-27T18:19:10+00:00","article_modified_time":"2023-04-06T19:00:56+00:00","og_image":[{"width":2438,"height":1362,"url":"https:\/\/cetlindesign.com\/postersite\/wp-content\/uploads\/2023\/03\/Utilizing-Nurse-Navigation-for-Outpatient-Mastectomies-with-or-without-Reconstruction.png","type":"image\/png"}],"author":"Tipton Health","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Tipton Health","Est. reading time":"2 minutes"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/cetlindesign.com\/postersite\/utilizing-nurse-navigation-for-outpatient-mastectomies-with-or-without-reconstruction\/","url":"https:\/\/cetlindesign.com\/postersite\/utilizing-nurse-navigation-for-outpatient-mastectomies-with-or-without-reconstruction\/","name":"Utilizing Nurse Navigation for Outpatient Mastectomies with or without Reconstruction - Nurse Resources","isPartOf":{"@id":"https:\/\/cetlindesign.com\/postersite\/#website"},"datePublished":"2023-03-27T18:19:10+00:00","dateModified":"2023-04-06T19:00:56+00:00","author":{"@id":"https:\/\/cetlindesign.com\/postersite\/#\/schema\/person\/45939cf3b0a481c0499743acfcd66095"},"description":"Research studies show that implementing Enhanced Recovery After Surgery (ERAS) pathways and patient education: improves outcomes, improves patient satisfaction and reduces hospital stay.","breadcrumb":{"@id":"https:\/\/cetlindesign.com\/postersite\/utilizing-nurse-navigation-for-outpatient-mastectomies-with-or-without-reconstruction\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/cetlindesign.com\/postersite\/utilizing-nurse-navigation-for-outpatient-mastectomies-with-or-without-reconstruction\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/cetlindesign.com\/postersite\/utilizing-nurse-navigation-for-outpatient-mastectomies-with-or-without-reconstruction\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/cetlindesign.com\/postersite\/"},{"@type":"ListItem","position":2,"name":"Utilizing Nurse Navigation for Outpatient Mastectomies with or without Reconstruction"}]},{"@type":"WebSite","@id":"https:\/\/cetlindesign.com\/postersite\/#website","url":"https:\/\/cetlindesign.com\/postersite\/","name":"Nurse Resources","description":"","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/cetlindesign.com\/postersite\/?s={search_term_string}"},"query-input":"required name=search_term_string"}],"inLanguage":"en-US"},{"@type":"Person","@id":"https:\/\/cetlindesign.com\/postersite\/#\/schema\/person\/45939cf3b0a481c0499743acfcd66095","name":"Tipton Health","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/cetlindesign.com\/postersite\/#\/schema\/person\/image\/","url":"https:\/\/secure.gravatar.com\/avatar\/2680c0478033e2d6f0090dbc656fb8aeb38bf689309df16b1e8ffe18bb39a4c0?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/2680c0478033e2d6f0090dbc656fb8aeb38bf689309df16b1e8ffe18bb39a4c0?s=96&d=mm&r=g","caption":"Tipton Health"},"url":"https:\/\/cetlindesign.com\/postersite\/author\/tipton-health\/"}]}},"_links":{"self":[{"href":"https:\/\/cetlindesign.com\/postersite\/wp-json\/wp\/v2\/posts\/12181","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/cetlindesign.com\/postersite\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/cetlindesign.com\/postersite\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/cetlindesign.com\/postersite\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/cetlindesign.com\/postersite\/wp-json\/wp\/v2\/comments?post=12181"}],"version-history":[{"count":6,"href":"https:\/\/cetlindesign.com\/postersite\/wp-json\/wp\/v2\/posts\/12181\/revisions"}],"predecessor-version":[{"id":12215,"href":"https:\/\/cetlindesign.com\/postersite\/wp-json\/wp\/v2\/posts\/12181\/revisions\/12215"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/cetlindesign.com\/postersite\/wp-json\/wp\/v2\/media\/12169"}],"wp:attachment":[{"href":"https:\/\/cetlindesign.com\/postersite\/wp-json\/wp\/v2\/media?parent=12181"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/cetlindesign.com\/postersite\/wp-json\/wp\/v2\/categories?post=12181"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/cetlindesign.com\/postersite\/wp-json\/wp\/v2\/tags?post=12181"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}