Date of Award
Doctor of Nursing Practice Final Manuscript
Doctor of Nursing Practice
Pedro Alonso Colio DNP, FNP-C, ENP-C, CCRN, APRN
The aim of this evidence-based project was to implement the Canadian C-Spine Rule guideline for low-risk c-spine injury in a urban urgent care in order to reduce unnecessary imaging (cervical X-ray), radiation exposure, and to identify patients requiring ED referral for computed tomography (CT) scans. The use of imaging can help to identify life-threatening neck injuries when clinically appropriate; however, unnecessary imaging without the use of a clinical decision tool is associated with an annual cost of $6.8 million-$9.6 million in the United States. Encouraging providers to increase patient engagement and to use other valuable diagnostic tests is part of the solution to over imaging. The literature supports the use of validated clinical-decision guidelines to improve assessment, minimize costs, foster resource utilization, decrease the length of stay in waiting rooms, and reduce unnecessary radiation exposure. The findings suggested significant reduction in unnecessary imaging and identified patients needing ED referral for more advanced imaging. Future projects can focus on the utilization of other clinical guidelines for the management of low-risk patient populations.
Key words: Canadian C-Spine Rule, NEXUS C-Spine, neck injury, neck CT, clinical decision guidelines, clinical decision rules.
Digital USD Citation
Velazquez, Lizbeth, "Proper Utilization of the Canadian C-Spine Rule for Mild C-Spine Injury" (2021). Doctor of Nursing Practice Final Manuscripts. 169.
Copyright held by the author