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DNP Project

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There has been increased attention to pain control as well as patient satisfaction following surgical procedures. The interest in pain control coupled with the growing opioid epidemic has prompted anesthesia providers to utilize protocols that consist of multimodal techniques during the perioperative period to reduce post-surgical pain and improve patient outcomes. The postoperative consumption of opioids among adult patients that received preemptive acetaminophen (Ofirmev) were compared to those that did not to determine the impact of preoperative analgesics. This pain management implementation was measured among female patients that underwent hysterectomies. The sample included 39 female patients that received a hysterectomy (laparoscopic or open). Among the patients studied, there was no clear reduction in postoperative pain medications for those that received preoperative acetaminophen (Ofirmev) as the sole adjunct compared to those that did not receive Ofirmev preoperatively. There was also no definitive decrease in the pain scores or time to first dose of medication in the postoperative period for patients that received Ofirmev compared to those that did not. Data trends prove there is a need for postoperative opioid dosing education among PACU nurses that are administering opioids. There needs to be additional studies with more participants and defined controls to determine the true impact of this new multimodal approach.


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