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


Supraclavicular block, upper extremity, opioid, 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.

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Background Introduction_paobrie.docx (12 kB)

Problem Statement_paobrie.docx (13 kB)
Problem Statement

Clinical Relevance_paobrie.docx (12 kB)
Clinical Relevance

Literature Review_paobrie.docx (23 kB)
Literature Review

Conceptual Framework_paobrie.docx (12 kB)
Conceptual Framework

Project Methods_paobrie.docx (13 kB)
Project Methods

Evaluation Process_paobrie.docx (13 kB)
Evaluation Process

Final Reference List_paobrie.docx (14 kB)
Final Reference List

Included in

Nursing Commons



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