PAGE 96 JOURNAL OF VASCULAR NURSING JUNE 2011www.jvascnurs.net

a 21-week period. As we continue to expand this process hospitalwide, we anticipate identifying more patients with unrecognized di-abetes.

In 2007, the total costs of undiagnosed diabetes in the U.S.were $18 billion. For the cost of a fasting glucose and HbA1ctest, unrecognized diabetes can be detected and treatment initi-ated. This could have profound effects on patient outcomes.

Program: 16

Planning a Hybrid OR Suite: Considerations Froma Nurse’s Perspective: Structuring for the Future

Jennifer Turner, RN, BSNBarnes-Jewish Hospital, St. Louis, Missouri

Purpose: As the need for new technology increases, the needfor Operating Room (OR) capabilities also increases. The abilityto use high-quality imaging during vascular cases combined withthe familiarity of the OR has made a case for many hospitals toinvest in a hybrid suite. With the help of a large multidisciplinaryteam, our hybrid suite opened in August 26, 2009.

Description: Working with teams to achieve the best possiblescenario for the safety and efficacy of the patient was amajor prior-ity for the new hybrid team.We developed relationships with workgroups we had never worked with before. Time was spent in ourCardiac Procedure Center, as the surgeons were familiar with theworkflow and materials and preferred this arrangement. Doctor-preference cards and procedural packs were adjusted. Staff educa-tion played and continues to play a major role with opportunitiesincluding procedural outcomes and responsibilities, equipmentusage and maintenance, and multiple ever-changing materials.

Evaluation: As OR nurses, we are accustomed to larger inci-sion procedures and have learned standards and recommendedpractices relating to these. We had to change our thought pro-cesses to meet the needs of the hybrid procedures. Though the ad-justment was not easy, the patients, surgeons and staff have beenmore satisfied due to superior imaging, reduced set-up time, easeand availability of materials and medications and gained relation-

ships among other units. Our hybrid room is used for training oflocal to national surgeons and sales representatives.

Program: 19

Three Types of Diabetic Foot Ulcer Education Plan toDetermine Patient Recall of Education

Brenda Hensley, RNGreenville Hospital System University Medical Center Easley,South Carolina

During the investigatory period of our research project, wecompared the currently used written educational material withan educational video and a combination of both written and videoto determine the recall of diabetic education. The study of eachpatient lasted throughout the duration of the patient’s hospitalstay and once discharged, they were no longer involved in thestudy.

Patients admitted to the hospital with a history of diabeteswere identified. A seven-question pre-test determined currentdiabetic knowledge. Within 24 hours, patients were providedwith either written material, a video or both to learn more aboutdiabetic care in the prevention of foot ulcers. The day of dis-charge, the participant was given the same series of questionsto determine recall.

We found the majority of patients participating were whitemales in their mid fifties with diabetic foot ulcers compoundedwith PAD or PVD. Most had a history of noncompliance withmedication and diet and repeat hospitalizations due to woundcare. Post-test scores indicated learning increased with viewingthe video. Targeting diabetic education allowed us to evaluatepatient literacy, diet, medication compliance and financial issues.In an attempt to change behaviors, patients were given educa-tional material that included signs and symptoms of hypo/hyperglycemia, proper diet and foot care.

From a nursing standpoint, diabetes is one of many comorbid-ities that challenge the vascular patient and the nurse caring forthe patient.