Date of Award

Spring 5-10-2019

Document Type

DNP Project

Project Team Faculty Member

Mary Zerlan

Project Team Faculty Member

Chaya Gopalan

Project Team Faculty Member

Matt Bednarchik


Popliteal block, opioids, lower extremity, emergency


Opioid addiction in the United States has increased, and interventions needs to be put into place to manage pain with fewer opioids. Alternatives like peripheral nerve blocks can be used to aid in pain management for acute injuries like ankle and wrist fractures. The purpose of this project is to develop and create a regional anesthesia protocol for acute upper and lower extremity fractures in the emergency department (ED) at Passavant Hospital in Jacksonville, Illinois, with the long-term goal of a reduction in opioid administration. An educational Power Point presentation was provided for the ED and the anesthesia personnel on July 17, 2018. A survey was distributed for the evaluation of the protocol and the presentation. The results of the survey revealed the following: over eighty percent of the participants believed that the protocols contained information necessary to perform or assist in a block procedure, and over ninety percent of participants suggested incorporating the use of both the supraclavicular and popliteal block protocols into daily practice. Utilization of both the supraclavicular and popliteal block protocol will likely lead to future reductions of opioid administration for pain control for this patient population, which would improve patient satisfaction scores and reduce the length of hospital stays.

Download Full Text Above

Background Introduction_jacturn.docx (112 kB)

Problem Statement_jacturn.docx (67 kB)
Problem Statement

Clinical Relevance_jacturn.docx (103 kB)
Clinical Relevance

Literature Review_jacturn.docx (113 kB)
Literature Review

Conceptual Framework_jacturn.docx (104 kB)
Conceptual Framework

Project Methods_jacturn.docx (112 kB)
Project Methods

Evaluation Process_jacturn.docx (47 kB)
Evaluation Process

Final Reference List_jacturn.docx (101 kB)
Final Reference List

Included in

Nursing Commons



To view the content in your browser, please download Adobe Reader or, alternately,
you may Download the file to your hard drive.

NOTE: The latest versions of Adobe Reader do not support viewing PDF files within Firefox on Mac OS and if you are using a modern (Intel) Mac, there is no official plugin for viewing PDF files within the browser window.