Hallmark Health clinicians recognized this dangerous trend and developed a pilot program at Lawrence Memorial Hospital of Medford to address nausea and vomiting after surgery. By implementing a seven-step process, the hospital has taken a comprehensive approach to exceeding the standard of care for patients.
The seven-step process includes assessing patients' risk level before surgery, documenting patients' risk, apprising the anesthesia team of patients' risk level, leaving written orders with recovery room nurses for rescue treatment, pre-treating patient based on post operative nausea and vomiting risk, continuously monitoring patients in the recovery room for nausea, vomiting and treating with medication immediately if patient becomes nauseous or begins to vomit.
During the pilot period, which lasted several months, none of the patients experienced vomiting and only 5 percent reported feeling nauseas.
"Lawrence Memorial Hospital of Medford is one of the first hospitals to research and put measures in place to address post-operative nausea and vomiting," said Kathleen Deleskey, a registered nurse and assistant clinical professor at the Lawrence Memorial/Regis College Nursing Program. "This program has a direct impact on our patients and shows our commitment to offering the best care possible."
Deleskey introduced the pilot program at Lawrence Memorial Hospital of Medford in 2007 after completing a fellowship at the Joanna Briggs Institute, an international not for profit research and development organization in Australia that specializes in evidence-based resources for health care professionals.
Due to the success of the program at Lawrence Memorial Hospital, Hallmark Health is also introducing the program at Melrose-Wakefield Hospital. Clinicians there are in the midst of collecting data and will prepare to present their findings to nursing leadership later this spring.
For information about Hallmark Health, visit www.hallmarkhealth.org.
Hallmark Health System is the premier, charitable provider of vital health services to Boston's northern communities. The system includes Lawrence Memorial Hospital of Medford, Melrose Wakefield Hospital, Melrose, Hallmark Health Cancer Center, Stoneham, The CHEM Center for MRI, Stoneham, Hallmark Health Medical Center, Reading, Hallmark Health VNA and Hospice, Malden, Lawrence Memorial/Regis College Nursing and Radiography Programs, Medford, and Ell Pond Medical Associates. Hallmark Health is affiliated with Massachusetts General Hospital for cardiology and Tufts Medical Center for neonatology.