{"id":65964,"date":"2022-09-29T09:59:10","date_gmt":"2022-09-29T15:59:10","guid":{"rendered":"https:\/\/www.uchealth.org\/today\/?p=65964"},"modified":"2023-08-10T08:18:28","modified_gmt":"2023-08-10T14:18:28","slug":"danielle-hlavin","status":"publish","type":"post","link":"https:\/\/www.uchealth.org\/today\/danielle-hlavin\/","title":{"rendered":"Danielle Hlavin"},"content":{"rendered":"
<\/div>
\"A
Danielle Hlavin<\/figcaption><\/figure>\n

Affecting outcomes for critical care patients<\/strong><\/p>\n

While taking care of a patient, Danielle Hlavin had a lightbulb moment.<\/p>\n

Her care team was having a hard time getting a pulse oximeter reading on a patient\u2019s finger. As a common practice, the next best location was to put the finger probe on the patient\u2019s earlobe.<\/p>\n

Hlavin, an ICU charge nurse at UCHealth Memorial Hospital Central, noticed that the patient\u2019s clinical presentation wasn\u2019t matching the earlobe pulse oximeter number. Out of curiosity, she put the probe back on the patient\u2019s finger where it presented a different number. When the finger pulse ox number was addressed, the patient\u2019s clinical presentation was matching.<\/p>\n

Concerned about the off-label use of pulse ox probes, Hlavin asked more questions. Should providers continue using finger pulse ox probes on an earlobe? What are the limitations of pulse oximetry and is it widely known how it can affect accuracy?<\/p>\n

Hlavin did a deep dive into the literature and even reached out to the product representative. She learned that finger probes are designed to account for bone. So, using a finger probe on an earlobe can over-estimate oxygen levels.<\/p>\n

Knowing this information would have a direct impact on patient care, Hlavin completed a UEXCEL project and subsequent Nursing Research Fellowship on the topic.<\/p>\n

Her UEXCEL project, a quality improvement initiative in the ICUs at Memorial Central and Memorial North, involved educating nurses and securing 90 earlobe probes, specifically designed for the ear. Pre-intervention, 15% of patients in the ICU had a finger probe on their earlobe. Whereas post-intervention, that percentage came down to less than 1%.<\/p>\n

With education and the right tools, the ICUs showed a significant decrease in off-label use of pulse ox probes, thereby improving patient outcomes. In an effort to gain more evidence, Hlavin applied for and was accepted into the Nursing Research Fellowship, FY2021 cohort.<\/p>\n

This UCHealth-wide fellowship is an 18-month, structured and mentored program created to guide clinical nurses through the research process to advance nursing knowledge and improve patient care.<\/p>\n

Hlavin is completing a study comparing the SpO2 (oxygen saturation) from a finger probe on the finger, a finger probe on the ear, an ear probe on the ear, and an ear probe on the nose. She compares those measurements to the SaO2 (arterial oxygen saturation) from the blood. Ideally, the goal is for the external number, SpO2, to match the internal number, SaO2, for an accurate measurement.<\/p>\n

Hlavin\u2019s UEXCEL quality improvement project has been successfully implemented in the ICU at Memorial Central and Memorial North. With the additional evidence from her Nursing Research Fellowship, she hopes to begin a level 4 project which would share this insight to other regions and other departments, system-wide. She hopes this research will be published twice, once for the UEXCEL project and again for the Nursing Research Fellowship.<\/p>\n

\u201cI\u2019m really glad I did both the UEXCEL project and Nursing Research Fellowship,\u201d Hlavin said. \u201cI really enjoy being at the top of my game and knowing how to provide the best care for patients. And making sure that we\u2019re all providing that same best care.\u201d<\/p>\n

\n
<\/span><\/p>\n

You Make Extraordinary Possible<\/span><\/strong><\/p>\n

Together, we recognize and honor the qualities within ourselves by shining a spotlight on how each and every one of us improve lives in big ways and small.<\/span><\/p>\n

Share a story<\/span><\/a><\/span><\/p>\n

<\/div><\/div>\n<\/div><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"

Affecting outcomes for critical care patients While taking care of a patient, Danielle Hlavin had a lightbulb moment. Her care team was having a hard time getting a pulse oximeter reading on a patient\u2019s finger. As a common practice, the next best location was to put the finger probe on the patient\u2019s earlobe. Hlavin, an […]<\/p>\n","protected":false},"author":2355,"featured_media":65965,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"_relevanssi_hide_post":"on","_relevanssi_hide_content":"","_relevanssi_pin_for_all":"","_relevanssi_pin_keywords":"","_relevanssi_unpin_keywords":"","_relevanssi_related_keywords":"","_relevanssi_related_include_ids":"","_relevanssi_related_exclude_ids":"","_relevanssi_related_no_append":"","_relevanssi_related_not_related":"","_relevanssi_related_posts":"","_relevanssi_noindex_reason":"Relevanssi image attachment filter Relevanssi index exclude","footnotes":""},"categories":[1],"tags":[4826],"class_list":["post-65964","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-uncategorized","tag-you-make-extraordinary-possible"],"acf":[],"yoast_head":"\nDanielle Hlavin - UCHealth Today<\/title>\n<meta name=\"description\" content=\"Affecting outcomes for critical care patients While taking care of a patient, Danielle Hlavin had a lightbulb moment. 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