EVIDENCE-BASED PRACTICE PROPOSAL – SECTION DEvidence-Based Practice Proposal – Section D: Solution DescriptionProposed SolutionThe author will propose a project to implement changes in patient monitoring to identify respiratory depression in patients receiving opioid narcotics on the 5 South unit at Kaiser Permanente Fontana Medical Center. The proposal is to add capnography end-tidal CO2 monitoring for all patients that have intravenous opioid narcotics ordered on 5 South. However, pulse oximetry will not be discontinued during the initial implementation of capnography for liability reasons and patient safety (Schmidt & Brown, 2015). This proposal will include a test ofauthor stated earlier, research sited in this paper show that capnography can reduce opioid-induced respiratory failure (OIRD) (Stites, Surprise, McNiel, Northrup, & DeRuyter, 2017). The current setting for this project is realistic and appropriate. There have been random patients that capnography has been ordered for on occasion on this unit. Nurses have reported concerns regarding lack of consistent training in using capnography on 5 South. The training andeducation concerns of the nurses are being addressed in this project and will be discussed in the implementation plan. Organizational CultureThe vision at my organization is to deliver high-quality health care and be a leader in our community. This is done by the following: evaluating the quality of care that is provided,
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Nursing, Capstone, Pulse oximetry, Capnography, NUR 699, NUR 699 Part D