To Promote the Usage of Supralaryngeal Airway (sla) Adjunct Among the Emergency Care Providers in the Pre Hospital Care Setting

Running Head: NURSING PRACTICE DEVELOPMENT

TITLE: TO PROMOTE THE USAGE OF SUPRALARYNGEAL AIRWAY (SLA) ADJUNCT AMONG THE EMERGENCY CARE PROVIDERS IN THE PRE HOSPITAL CARE SETTING.

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Abstract

The purpose of this nursing practice was to promote the usage of Supralaryngeal Airway Adjunct among the emergency care providers in the pre-hospital care setting. It's a single-use device which is intended for airway management (Jacobs, 2011).When advanced airway management is required in order to provide adequate ventilation or when other airway management techniques have been used and failed then it comes in as a substitute to be used as a rescue airway device as it does not require direct visualization of the airway. The supralaryngeal airway is mainly used in cardiac arrest situations (Anon, 1991).There are complications when a Supralaryngeal airway is used on patients with intact gag reflexes and patients with perfusing pulse. Therefore it's only an option when all other methods of ventilation fail (Watson, 2009).

As for the methods used to achieve this, several emergency medical services (EMS) were timed placing both endotracheal tubes (ET) and the supralaryngeal airway in a simulator small waxbill. This was then repeated but now while wearing personal protective equipments (PPE). It was later deduced that the emergency medical services personnel wearing the personal protective equipments took considerably longer time to place an endotracheal tube than they did without the protective equipment. The time to place the supralaryngeal airway was a lot faster than the placement of the endotracheal tube without protective equipment (Hanning, 1989). Therefore, in conclusion we found that the use of Supralaryngeal Airway adjunct is more effective and quite advantageous in pre-hospital management situations involving many patients or in hazardous environments in comparison to the other airway management techniques such as endotracheal intubation being that its insertion was faster than endotracheal intubation hence its usage should be promoted over the others (Holder & al, 2000).

Declaration

I understand the nature of plagiarism, and I am aware of the University's policy on this. On the light of the above I therefore certify that this dissertation reports original work by me during my University project and has not been presented for a degree in any other university.

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This dissertation has been submitted for examination with my approval as University Supervisor.

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Acknowledgements

I would like to express my sincere gratitude to all the people who made my nursing practice development a success. First and foremost I give thanks to the almighty God for giving me the strength and wisdom to partake and complete my Project. Secondly, I would like to express my deep appreciation to the Malaysian central hospital for giving me the opportunity to carry out my project in their hospital while using their infrastructure and medical equipments. Many thanks go to my supervisor at the Emergency and Trauma department for his generosity in advice dispensing and consultancy support.

Lastly, I offer my regards and blessings to the patients who were very co-operative in respect to the completion of the project. I am also thankful to all my colleagues with whom we partook the project from other institutions who were not hesitant to give constructive criticism. Finally, I want to thank my family for the moral support they gave me during my project. Thank you all and may God bless you abundantly.

Table of contents

Abstract..........................................................................................................................2

Declaration.....................................................................................................................2

Acknowledgements.........................................................................................................3

Table of contents .............................................................................................................4

1 Introduction..............................................................................................................5

1.1 Emergency and Trauma Department scope of services........................................5

1.2 Rationale for the choice of innovation in clinical practice...................................5

2 Reflective study........................................................................................................6

2.1 The cycle of Gibb's Model of Reflection.............................................................7

2.1.1 Description..................................................................................................7

2.1.2 Feelings.......................................................................................................7