Date of Award

Spring 2024

Document Type

DNP Project Restricted

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

Committee Chairperson

Cheryl D. Schlamb, DNP, CRNP

Committee Member

Jacquelyn Owens, DNP, CRNP, FNP-BC

Abstract

High powered, rare-earth magnets are some of the most dangerous objects that a child can ingest and are associated with significant morbidity. Magnet ingestions pose a unique challenge to pediatric providers from both a diagnostic and treatment standpoint. Composed of an alloy of the rare earth minerals neodymium, iron and boron, these magnets, typically 5mm in diameter, are up to 30 times stronger than typical refrigerator magnets and pose a distinctive health hazard when ingested, potentially causing intestinal perforation, volvulus, formation of enteric fistulas and obstruction Numerous clinical pathways are represented in the literature to guide health care teams in the management of these complex scenarios. Data-driven quality improvement initiatives, such as the implementation of clinical pathways, play a crucial role in standardizing care practices and ultimately improving patient outcomes. This project focuses primarily on assessing the impact of a clinical pathway on specific outcomes such as hospital length of stay and the number of x-rays ordered. While these are important metrics, they may not capture the full spectrum of clinical outcomes or patient experiences associated with magnet ingestion incidents. A comprehensive exploration of the clinical landscape surrounding magnet ingestion is necessary to mitigate risks and ensure the safety of children. The development and adoption of a magnet ingestion pathway was the focus of this quality improvement project.

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