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IMPLEMENTING A BRAIN REST PROTOCOL FOR THE MANAGEMENT OF CONCUSSION IN CHILDREN
Higgins, Derek P.
Higgins, Derek P.
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Abstract
Concussion is a type of non-degenerative brain condition that is acquired by non-penetrating and penetrating injuries to the head (Center for Disease Control [CDC], 2015). The term concussion is used interchangeably with mild traumatic brain injury (mTBI), which is the most common type of brain injury seen in children (CDC, 2018). The CDC (2018) addressed Congress in their report on the issue of managing concussion in children, calling for standardized care across the United States. Due to gaps in concussion surveillance, there are no true estimates of the incidence of pediatric concussion. Implementing a protocol to include standardized practices for monitoring and managing concussion in children is necessary to improve the quality of care and provide a safe environment in a psychiatric residential treatment facility (PRTF) setting. The Iowa Model is the framework for evidence-based practice that was used to guide this quality improvement project. Pre-project implementation data reviews were performed to determine the rate of patients screened for concussion. A literature search was executed to form an evidence-based practice guideline. Staff received education on practice guideline changes, including the acute concussion evaluation tool (ACE) and stop light algorithm. Pre- and post-implementation data reviews were performed for benchmark data comparison. A survey to determine the usefulness of the practice changes by staff was deployed post-implementation. Revisions to the protocol were made after evaluating the results of the intervention and feedback from staff and clinicians.
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2022-08-31
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University of Kansas
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This item contains archived web content.
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924776_1.pdf
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Keywords
Nursing, adolescents, children, concussion, head banging, mental health, traumatic brain injury