Journal of Pediatric Surgical Nursing

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Editorial
Restricted accessEditorialFirst published April, 2019pp. 21-21
Introductions and Goals
Elizabeth Hood
Letter
Restricted accessLetterFirst published April, 2019pp. 22-22
You Are Important!
Kimberly Cogley
Research article
Restricted accessResearch articleFirst published April, 2019pp. 23-25
Shelby Will Shine
Beverly HaynesJudith Thomason
Research article
Restricted accessResearch articleFirst published April, 2019pp. 26-28
Case Study: Periumbilical Pain in a 14-Year-Old Male
Hannah DonahueRobin Koonce
Correction
Restricted accessCorrectionFirst published April, 2019pp. 28-28
Achieving Bowel Continence for Children with Hypermotility After Repair of Anorectal Malformations and Hirschsprung: Correction
Research article
Restricted accessResearch articleFirst published April, 2019pp. 29-39
Pasero Opioid-Induced Sedation Scale in a Pediatric Surgical Ward: A Quality Improvement Project
Mayra G. GarciaTaralyn W. McMullan
Abstract
Pediatric patients are at risk for adverse events associated with opioid medication. Sedation scales enable nurses to reach knowledgeable decisions maximizing patient safety during opioid administration. Adult literature has focused on the Pasero Opioid-Induced Sedation Scale (POSS) to address this risk in the adult population; however, literature in the pediatric setting is limited.
Purpose
The purpose of this quality improvement project was to implement the POSS tool in a pediatric setting and reduce adverse outcomes because of opioid oversedation and respiratory depression.
Methods
Two patient cohorts were recruited and evaluated to compare the number of medical emergency team calls, supplemental oxygen use, and length of stay. Bedside nurses received education on opioid-induced sedation and use of the POSS tool. Pretest and posttest surveys were conducted to acquire nurse perceptions of the POSS tool in pediatric postsurgical patients.
Results
No medical emergency team calls occurred in the preintervention and postintervention patient cohorts. Eight percent of the preintervention patient cohort required supplemental oxygen in comparison with no oxygen need in the postintervention group. In the postintervention patient cohort, length of stay averages were 185.85 hours (SD = 325.6) in comparison with 89.09 hours (SD = 76.6) in the preintervention group. Nursing survey results improved in nurses' confidence, usage, and assessment using the POSS tool. This project led to widespread use of POSS in the facility.
Conclusions
POSS is an appropriate tool to assess pediatric patients in acute care units. The POSS tool assists nurses in accurate assessments and reduces adverse events related to opioid-induced sedation.
Research article
Restricted accessResearch articleFirst published April, 2019pp. 40-41
Pasero Opioid-Induced Sedation Scale in a Pediatric Surgical Ward: A Quality Improvement Project
Research article
Restricted accessResearch articleFirst published April, 2019pp. 42-47
Photographic Nursing Guide to Using an External Ventricular Drain
Marianne GriffisMelissa A. TurnerPam Pieper
Research article
Restricted accessResearch articleFirst published April, 2019pp. 48-51
Emergency Colostomy in Craniopagus Conjoined Twins
Manu KottappurathKishore Jeenepalli SrinivasaAnkur Mandelia

Volume 8, Issue 2, April 2019