Evidence Based Practice

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Evidence Based Practice
Discuss how evidence-based practice is applied in your practice setting and describe the desired patient outcome achieved through this approach. One good example of evidence based practice in my place of work is the Implantable Loop Recorder (ILR) or Insertable Cardiac Monitor (ICM) which is a small device that continuously monitors heart rhythms and records them automatically and manually using a hand-held patient assistant and is inserted just beneath the skin in the chest area. It offers the best opportunity to diagnose unexplained syncope and abnormal heart rhythms. With the advent of the smallest ILR there were questions about the proper placement for accurate diagnostic information. Questions about it’s migration into surrounding cavities depending on a patient’s anatomy. So one of our electrophysiologists started a study. With the help of the nurses and a device representative from one of the prominent Pacemaker / ICD companies, he was able to triangulate the proper insertion points, depths and angles via the various EKG readings on a device programmer. These readings were compared between the various cases. The study made sure that the device would pick up abnormal cardiac events accurately. This also showed where to correctly map and prep on the chest. Normally, an ILR implant case would take around 15 minutes but the participating cases took about 1 hour each due to all the data collection. All participating patients had the procedure / study explained to them and consented as per normal protocol. This has become the standard practice on how ILR implantation goes at my place of work. I was fortunate to be part of this study.

Stevens, K.R. (2014. The Impact of Evidence-Based Practice in Nursing and the Next Big Ideas. Retrieved

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