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Implementation of an Innovative Nurse-Driven Resuscitation Protocol

Roberts, Melanie DNP, RN-BC, CNS, CCNS, CCRN; Miller, Susan A. MS, CNS, ACNP-BC, CCRN, CSC

JONA: The Journal of Nursing Administration: July/August 2019 - Volume 49 - Issue 7/8 - p 372–376
doi: 10.1097/NNA.0000000000000770

Creating nurse-driven protocols empower nurses to practice at the top of their scope and provide early interventions. This article describes the development and implementation of an evidence-based, nurse-driven resuscitation protocol for cardiac surgical patients who suffer cardiac arrest using a theoretical framework and leadership-driven process. Readers will gain knowledge of the collaborative process required to develop and implement a complex practice change. Process measures, outcomes, and lessons learned are presented.

Author Affiliations: Critical Care Clinical Nurse Specialist (Dr Roberts) and Cardiothoracic Surgery Nurse Practitioner Supervisor (Ms Miller), UCHealth Medical Center of the Rockies, Loveland, Colorado.

The authors declare no conflicts of interest.

Correspondence: Dr Roberts, UCHealth Medical Center of the Rockies, 2500 Rocky Mountain Ave, Loveland, CO 80538 (

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