Publication Date


Degree Awarded Date

December 22, 2022



Background and Review of Literature: The occurrence of postoperative nausea and vomiting (PONV) has been linked to unplanned admissions, longer post-anesthesia care recovery units (PACU) times, and decreased patient satisfaction. The Fourth Consensus Guidelines for the Management of PONV released new guidelines in 2020 outlining evidence-based practice to manage PONV. A literature review was conducted on a total of 10 studies. The findings support the methods these guidelines employ.

Purpose: This quality improvement (QI) project aims to provide education for anesthesia providers on the fourth consensus guidelines and improve provider adherence.

Methods: A six-minute educational video, post-education quiz, provider demographic questionnaire, the electronic medical record (EMR), and Apfel simplified risk score was used to gather information on the usefulness on education of these guidelines to improve adherence.

Implementation Plan/Procedure: An educational video on guidelines one, two, and three was emailed to Certified Registered Nurse Anesthetists (CRNAs) in pod 1 with a post-education quiz and provider demographic form. A total of 10 CRNAs were selected with five EMR charts being reviewed per provider at four separate intervals (retrospective, 2-week, 4-week, 6-week). Apfel score, procedure type and length, anesthesia student presence, and medications administered were evaluated through the EMR.

Findings: Out of the 10 CRNAs who agreed to take part in the study, only six completed the study. No statistically significant change in guideline compliance was found after providers received education on the guidelines when compared to compliance prior to education.


English (en)

Document Type



Spencer, Julie DNP, RN, CDCES (Chair) Barnes Jewish College, Goldfarb School of Nursing

Associated Committee

Henrichs, Bernadette PhD, CRNA, CCRN, CHSE, FAANA (Committee Member) Barnes Jewish College, Goldfarb School of Nursing

Included in

Nursing Commons