Research DIMENSIONGuideline Development and Education to Insure Accurate and Consistent Pulmonary Artery Wedge Pressure Measurement by Nurses in Intensive Care UnitsWiener, Barry MSN, RN, C, CCRN; Chacko, Soosan BS, RN; Cron, Stanley G. MSPH; Cohen, Marlene Z. PhD, RN, FAANAuthor Information Barry Wiener MSN, RN, C, CCRN, is a staff nurse in the intensive care unit at Lyndon B. Johnson General Hospital, Houston, Tex. Soosan Chacko, BS, RN, is the nurse manager for the intensive care unit at Lyndon B. Johnson General Hospital, Center for Nursing Research, Houston, Tex. Stanley G. Cron, MSPH, is a research instructor and statistician for the University of Texas Health Science Center at Houston, School of Nursing, Center for Nursing Research, Houston, Tex. Marlene Z. Cohen, PhD, RN, FAAN, is the John S. Dunn, Sr, Distinguished Professor in Oncology Nursing and Assistant Dean and Department Chair at the University of Texas Health Science at Houston, School of Nursing, and professor in the Department of Symptom Research, The University of Texas M.D. Anderson Cancer Center. At the time this project was conducted, she was a nurse researcher at Lyndon B. Johnson General Hospital, Houston, Tex. Address correspondence and reprint requests to: Barry Wiener, MSN, RN, C, CCRN, Lyndon B. Johnson General Hospital, 5656 Kelley Street, Houston, TX 77026 ([email protected]). Dimensions of Critical Care Nursing: November 2007 - Volume 26 - Issue 6 - p 263-268 doi: 10.1097/01.DCC.0000297403.44984.a6 Buy Metrics AbstractIn Brief A consistent pulmonary artery wedge pressure measurement is vital to insure that patients have the proper fluid balance and that the healthcare team obtain accurate information on the patients' ventricular function. This article discusses how guidelines for pulmonary artery wedge pressure measurement were developed and implemented at one facility. To implement and ensure that the guidelines were effective, nurses received a copy of guidelines for pulmonary artery wedge pressure measurement and they were posted in the intensive care unit. A pretest was completed before nurses were given the guidelines, and a posttest was completed after nurses reviewed the guidelines. This fast and simple method of education was found to increase nurses' knowledge of how to measure pulmonary artery wedge pressure. These results are encouraging and warrant extending the teaching techniques to other nurses caring for critically ill patients. Consistent measurement of pulmonary artery wedge pressures is vital to provide critical information about the status of the patient. This article discusses how guidelines for measurement of pulmonary artery wedge pressure were developed and implemented at one hospital. © 2007 Lippincott Williams & Wilkins, Inc.