Nr 500 Week 4 Question 2 Picot

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NR500 Wk 4 – PICO(T) The PICO (T) format is a way to develop a clinical question that lends itself to searching for evidence. Select a common nursing practice (e.g., wound care management) in your clinical setting and formulate a PICO question. Once you have formulated your question, conduct a library search and locate one scholarly article that addresses the topic you have selected. Post your clinical question in the TD, explain the PICO(T) elements, and provide a full reference of the article you selected. Response: I am currently working in a neuroscience intensive care unit and would like to explore how my facility could expedite the diagnosis and treatment for patients presenting with stroke-like symptoms. In our unit, it has been drilled into our heads that “time is brain,” but unfortunately the rest of the facility does not respond so promptly when there is a new onset of stroke symptoms. Today many facilities have already implemented “Rapid Response” or “Code Team” nurses to respond immediately when a patient develops cardiac or respiratory arrest. Using this concept of calling a “code” when a patient develops stroke symptoms expeditse the diagnosis and treatment which would allow patients to have the best possible prognosis following a stroke (Lu Daly, Orto, & Wood, 2009). My PICOT question: Does initiating a rapid response nurse when patient presents with stroke like symptoms allow for more timely treatment, within the first 30 minutes from the onset of symptoms, compared to having patients wait to be evaluated by a physician? P – Individuals who present with stroke-like symptoms I – Rapid Response Nurse called to evaluate and initiated stroke protocol physician order set. C – Patient waits for physician to complete an initial evaluation and start treatment O – Patients presenting with stroke symptoms will receive timely

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