Instituting Best Practice for Monitoring for Opioid‐Induced Advancing Sedation in Hospitalized Patients

Abstract

Nurse executives and nurse managers assume accountability for ensuring that patient care is aligned with the best evidence, practices, and regulatory mandates. The framework presented in this paper can help prevent opioid-induced advancing sedation and respiratory depression, and assist nurse leaders in implementation strategies to guide policies and practice.

Reviewing opioid use, monitoring, and legislature: Nursing perspectives

“…In addition to the knowledge of pain management, the nurse must have data about the policies and practices of the organization, and excellent written and verbal communication skills. It is also important for nurses to have sharp assessment acumen, effective interpersonal skills, and a commitment to providing empathetic rather than sympathetic care for the patient [47].…”

Avoiding Adverse Events Secondary to Opioid-Induced Respiratory Depression

“…Despite these limitations, we believe that our data offer insight into the tremendous variations in opioid monitoring practices and at best inform nurse leaders about the importance of examining monitoring practice in their own institutions. 31 …”

Identification des déterminants de l’intention des infirmières d’exercer la surveillance clinique lors du pic d’action des opioïdes sous-cutanés auprès d’adultes hospitalisés

“…Malgré les actions mises en place par les centres hospitaliers à la suite de l'émission de lignes directrices, une persistance des infirmières à ne pas exercer systématiquement la surveillance clinique est constatée (Jungquist et al, 2016;Jungquist, Pasero, et al, 2014;Yin et al, 2015). De plus, la documentation de la surveillance est incomplète dans 60% des cas (Jungquist et al, 2016).…”