College of Science and Health Theses and Dissertations

Date of Award

Summer 8-21-2016

Degree Type

Dissertation

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

First Advisor

Pamela Schwartz, CRNA, DNP

Second Advisor

Young-Me Lee, PhD

Third Advisor

Karen Kapanke, CRNA, MS

Abstract

Anesthesia providers have full access to medications to administer anesthesia, yet many providers are not aware of the costs of the medications that are administered.

Objective: To examine the effects of providing a price list for the common anesthetic drugs in the operating room, to determine if a price list will change cost awareness among anesthesia providers, and to assess provider’s attitude toward price list intervention.

Methods: This is a descriptive comparative research study that uses a pre-intervention survey to assess if the anesthesia providers have a knowledge base of the cost for the anesthetic medications. A price list is placed in the operating room. A follow-up survey assesses the anesthesia providers’ knowledge of medication cost and the attitude about cost saving in anesthesia practice.

Results: 26 participants were included in this study. Participants who completed the pre-survey included two anesthesiologists (8%), seventeen CRNAs (65%), three SRNAs (12%), one anesthesia resident physician (3%), and three unidentified participants (12%). There were 23 surveys completed in the post-survey group. Two (9.5%) were from anesthesiologists, fifteen (71%) were from CRNAs, three (14%) were from SRNAs, and one (5.5%) was an unidentified participant.

Conclusion: Anesthesia providers improved their knowledge for the correct cost of medications from 2.6 to 3.8 after the price list was intervened.

Relevance to Practice: Anesthesia providers should be knowledgeable about medication costs with health care reform and limited reimbursements. Anesthesia providers should tailor their anesthetics in order to manage cost.

SLP Collection

yes

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