Question

Homework #1: PICOT Questions Create PICOT) questions for each of the following areas of discovery, Identity each component as appropriate. Do your work independently. Area of discovery 01: Nurses on a specialty surgical unit were interested in how they could improve the pain management of patients undergoing orthopedic surgery while minimiring narcotic utilization. They had heard another hospital was using IV Tylenol as an alternative and wondered if it work for their patients. Statement Area of discovery #2: Amniocentesis for pregnant women with concerns or risks for Down's syndrome comes with certain risks to the pregnancy and some find the procedure frightening or uncomfortable. It also generally produces results later than desired in the pregnancy, which does not facilitate decision making for those who might consider termination of pregnancy. The nurses in the ambulatory perinatal clinic were aware that nuchal translucency ultrasound plus serum biochemistry testing could be done but did not know how it could compare to the results of conventional amniocentesis for diagnosis of Down's syndrome. Statement: Area of discovery #3:

Answer 1

1. P- Patients undergoing orthopaedic surgery

I – Use of IV Tylenol and minimizing narcotic utilization and

C - Pain management while minimizing narcotics and administering IV Tylenol

O - Pain management for patients who undergo orthopaedic surgery

T – No time frame

Statement: Effectiveness of administering IV Tylenol while minimizing narcotics in patients undergoing an orthopedic surgery for pain management

2. P- Pregnant women with concerns or risks of Down syndrome.

I - Serum biochemistry testing to diagnose Down syndrome during pregnancy

C - Effectiveness of nuchal translucency ultrasound and serum biochemistry testing in        
      diagnosing Down syndrome during pregnancy than conventional amniocentesis

O – Diagnosing Down syndrome during pregnancy

T – No time frame

Statement: How effective is nuchal translucency ultrasound and serum biochemistry testing in diagnosing Down syndrome during pregnancy than conventional amniocentesis

3. P- High surgical site infection rate in an OB unit

I – The adoption of CHC bath for patients after C-section

C - Effectiveness of CHC bath in ICU patients and OB Unit with C-section patients

O – Improving surgical site infection rates

T – No time frame

Statement: Effectiveness of CHC bath in a busy OB Unit of a hospital to improve surgical site infection rates as compared to the outcomes of the ICU department of the hospital

4. P- Pediatric patients in a pediatric ICU in a hospital

I – Evidence review of Pediatric patients in a pediatric ICU in a hospital

C – Comparison of the evidence review made by the adult medical surgical and critical care unit of a hospital with pediatric ICU

O – Gastric residual volume monitoring and management and its link to aspiration or nosocomial pneumonia

T – No time frame

Statement: Evidence review for Gastric residual volume monitoring and management and its link to aspiration or nosocomial pneumonia in an adult medical-surgical and critical care unit with pediatric ICU of a hospital