Degree Name

Master of Science in Nursing (MSN)

Document Type

Major Paper


Zvart Onanian School of Nursing



Date of Original Version



Cardiac arrest is a serious medical condition that has a high mortality rate. Currently, there are limited interventions that are known to increase the chance of survival. One recommended intervention is the use of Targeted Temperature Management (TTM) which involves inducing a state of hypothermia post resuscitation and return of spontaneous circulation (ROSC) following cardiac arrest. This procedure is complex and requires use of specific equipment and close monitoring. At times, this procedure is initiated by nurses in the emergency department (ED). TTM is a low-volume, high-risk intervention. The purpose of this quality improvement project is to enhance Emergency Department (ED) nurses'™ knowledge of TTM initiation procedures and hospital-specific policies and guidelines. Following an extensive literature review, a clinical pearls quick reference guide was created to act as a readily available resource for ED nurses implementing TTM. Prior to distribution of the clinical pearls quick reference guide, ED nurses will be asked to participate in an educational intervention, as well as a pre- and post-test to determine current and subsequent knowledge of TTM implementation. The desired outcome of this project is an increase in ED nurses'™ knowledge of current TTM protocols and an increase in confidence in TTM implementation in the ED setting.

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