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Evidence-Based Practice

236 - Microbes Stay Out in VP Shunt! Using ChatGPT to complement Nursing Expertise

Location: Hall E
Disclosure(s):
Sheiryl Gica, MSN RN CNOR: No financial relationships to disclose
CHUN YUN (Amy) HSU, BA, MS: No financial relationships to disclose
LUCILLE OSTENSEN, MSN, RN, CNOR: No financial relationships to disclose


Description: Background
Ventriculoperitoneal (VP) shunt insertion and revision are high infection risk surgeries. VP shunt infections increase healthcare costs, produce negative patient outcomes, and increase patient length of hospital stay. The operating room initiated a standard VP shunt protocol to prevent infection using EBP. Though the implementation of the standard VP shunt protocol required a change of workflow, it was favorably supported by the multidisciplinary team. Barriers identified for implementation included non-compliance, lack of awareness, and new staff. There is a need to strengthen the current VP shunt protocol and create a policy integrating artificial intelligence (AI) to ensure VP shunt infection is a never event and has zero chances in the OR!

Purpose
The purpose of this project is to initiate a VP shunt policy integrating ChatGPT AI as a partner and to complement nursing EBP expertise. It also aims to highlight the nurse-led multidisciplinary approach to standardizing care to ensure the best patient outcomes.

Method/Design
This is an EBP project aimed at VP shunt policy creation. Descriptive VP shunt statistics were generated from EPIC. The existing standard VP Shunt protocol was compared to the AI (ChatGPT) recommendation.

Results
The existing VP shunt protocol was focused intra-operative to prevent infection. ChatGPT generated a comprehensive VP shunt protocol from pre-operative to post operative. The use of AI to gather and analyze data at a greater speed will enhance nurses' expertise in creating the VP shunt policy. A comprehensive VP shunt policy is being created by a multidisciplinary team using ChatGPT recommendations as a guide.

Conclusion
There is a need to create a VP shunt policy to address VP Shunt infection and implementation barriers. Using ChatGPT is not a replacement for nurses' critical thinking in searching for EBPs but could be an excellent tool to ensure "microbes stay out!" in VP Shunt!

Perioperative Nursing Implications
Application of ChatGPT AI do not replace but could complement personal care.