OUR@Oakland

OUR@Oakland is Oakland University's institutional repository maintained by the University Libraries. The aim of OUR@Oakland is to collect, organize, and showcase the scholarship, creative work, and archival and special collections created by or affiliated with the Oakland University community.

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    Assessing the Effectiveness of Projection-Based Augmented Reality Simulation When Teaching Cricothyrotomy to Certified Registered Nurse Anesthetists.
    Frenette, Zachary; Pytlak, Brendan; Rodgers, Laura; larodgers@oakland.edu
    Background/Purpose: Management of a cannot-intubate, cannot-ventilate (CICV) scenario remains a core anesthesia competency; however, technical, and human factors, rooted in certified registered nurse anesthetists (CRNA) perceptions and skill proficiency, contribute to poor success rates and negative outcomes related to reestablishing an airway via cricothyrotomy (Boet et al., 2011; Silverio et al., 2021). Despite the rarity of CICV events requiring cricothyrotomy (1 in 50,000), they result in 25% of anesthesia-related deaths, with more than two-thirds performed too late to change outcome (Onrubia et al., 2018; Wittwer et al., 2019). Traditional simulation cannot adequately fill education demands due to cost; therefore, augmented reality (AR) was introduced as a novel, yet promising, extension to simulation for healthcare education (Hauze et al. 2019). When asked, CRNAs noted a desire for proficiency in this skill, therefore we investigated whether CRNAs would demonstrate greater confidence, knowledge, and skill in performing a cricothyrotomy, after simulation using AR technology. Method: This quality improvement project took place at the Michigan Association of Nurse Anesthetist’s Fall 2022 Conference at the Grand Traverse Resort in Acme, Michigan. Using the Lumis AR platform, an educational module was developed around a CICV scenario requiring cricothyrotomy and was built into an AR-based simulation workshop for CRNA enrollees. Paper-based data collection packets were distributed to each participant to measure pre- and post-education knowledge and confidence, as well as skill performance. A Wilcoxon matched-pairs signed rank test was conducted to determine if there was a significant difference between participants’ pre- and post-education knowledge and confidence. Skill competence was assessed using a standardized skill checklist and descriptive statistics. Results: This workshop provided 24 eligible participants for data analysis. Analysis revealed a statistically significant difference in participant’s composite pre- and post-educational confidence scores (Mean 2.90 to 4.26, p < .001) and knowledge scores (Mean 6.04 to 8.68/10, p < .001). Skill competence, assessed via checklist, revealed an average score of 7.36 (out of 8). Discussion/Conclusion: Findings suggest that AR-based simulation is a reasonable educational technique for improving a CRNA’s perception and ability to safely perform a cricothyrotomy. Additional benefits may include improving independent provider practice and increasing adherence to the difficult airway algorithm, which can reduce time delays for reestablishing the failed airway and improve patient outcomes.
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    Perioperative Multimodal Postoperative Nausea and Vomiting Prevention Strategies in the Ambulatory Surgical Setting
    Cupp, Sara; Mitchell, Maxie; Rodgers, Laura; larodgers@oakland.edu
    Background/Purpose: Surgery employs a multitude of risks, one of which is postoperative nausea and vomiting (PONV). There are three factors that influence post-op symptoms: patient factors, anesthetic technique, and surgical related causes. The New Millennium Surgery Center (NMSC) located in Southfield, Michigan described an ongoing issue of PONV with patients undergoing Endoscopic Brow Lift and Herniated Orbital Fat Removal surgeries. The purpose of this Doctor of Nursing Practice (DNP) project was to identify potential anesthetic causes of PONV and post-discharge nausea and vomiting (PDNV) by doing a retrospective chart review at the New Millennium Surgery Center. Following the review, and in combination with the literature review findings, recommendations to aid in decreasing the incidence of PONV and PDNV at the surgery center were developed. Method: A systematic search of current literature was conducted. Inclusion criteria consisted of peer reviewed articles containing data on PONV rates in ambulatory surgery in both male and female patients and possible treatments for prevention. Articles from 2012-2023 that related to the prevention of PONV were included, while the articles related to these surgeries and plastic surgery complications dated back from 2002-2018. A retrospective chart review was then conducted and included 100 total combined cases of endoscopic brow lift and herniated orbital fat removal procedures conducted by Dr. Evan Black at the New Millennium Surgery Center from May 2021 to July 2022. Data was analyzed and recommendations were constructed based on the results of this data and literature review findings. Results: The data collected allowed three different drugs to be tested for significance with the Wilcoxon ranked sum. Opioids were not included related to findings which were not significant for PONV and PDNV. Results suggest Propofol did not influence observations of PONV (W = 400.50, p = .65). Ketamine was found to influence PONV (W = 4252.50, p = .05). Results suggested IV fluid did not influence PONV (W = 418.50, p = .73). Discussion/Conclusion: Statistical analysis of results from the retrospective chart review allowed for the development of recommendations for NMSC anesthesia providers and staff. Recommendations included reducing Ketamine dosing: 0.2mg/kg to 0.5mg/kg, adding Dexmedetomidine into the anesthetic technique for those patients that fit the administration criteria, and appropriately assessing NPO status to determine how much fluid a patient should receive throughout the perioperative period. Appropriately assessing NPO status was added to the recommendations based on literature review findings and one outlier found in the retrospective chart review.
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    Quality Improvement Project Utilizing Aromatherapy for the Treatment of Postoperative Nausea and Vomiting
    Juncaj, Dominic; Stearns, Kyle; McDonald, Linda; lamcdonald@oakland.edu
    Abstract Background/Purpose: Postoperative nausea and vomiting (PONV) is a prominent patient dissatisfier after surgery which can negatively impact a patient’s recovery and satisfaction. Aromatherapy utilization has historically been regarded as a holistic Eastern therapy and less as a helpful adjunct to traditional Western medication. The literature surrounding aromatherapy has shown effectiveness and positive patient experience as an adjunctive therapy to help combat PONV. However, it is an overlooked therapy often underutilized compared to traditional antiemetic medications in the postoperative setting. This DNP project aimed to conduct a quality improvement educational workshop to see if education on this therapy would lead to improved knowledge and use of aromatherapy in the clinical setting. Method: This quality improvement project was conducted at McLaren Flint Hospital. Education was provided to the anesthesia and postoperative nursing staff. A pretest and posttest design was utilized to assess change in knowledge and attitudes involving the utilization of aromatherapy. These tests included six knowledge-based multiple-choice questions and four subjective questions utilizing a 5-point Likert scale and fill-in-the-blank to assess the practitioners' attitudes and perceptions on using aromatherapy to manage and prevent PONV. The data obtained from these tests were compiled and submitted into SPSS software to assess the statistical significance of the education provided. Results: A total of 25 staff members who received the education submitted tests. The results indicated that an increase of knowledge occurred between the pretest (Mean = 3.8, SD = 1.06) and the posttest (Mean = 5.6, SD = .76), Z = -4.16, P<.001) for the knowledge-based questions. When participants were asked how likely they would utilize aromatherapy as a first-line therapy to treat nausea in the hospital setting, there was an increase in mean scores from the pretest (2.88) to the posttest (3.84) with a Wilcoxon signed rank test (p =.002). Although the educational workshop showed improved knowledge and attitude scores, the usage of aromatherapy decreased within the timeframe (two months before education vs. two months after). Discussion/Conclusion: This project suggests that education on aromatherapy increases knowledge and improves attitudes/perceptions toward its beneficial use for PONV in the clinical setting. This project signifies that further education is warranted to increase the use and adaptability of aromatherapy in the postoperative environment.
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    A Quality Improvement Initiative: A Provider Education Simulation For Management And Treatment Of Local Anesthetic Systemic Toxicity Protocol
    (2026) Friese, Nathan; Kuruvilla, Sanjay; Abbas, Hassan; hlabbas2@oakland.edu
    Local Anesthetic Systemic Toxicity (LAST) is a rare, life-threatening complication of regional anesthesia that can cause severe neurological and cardiovascular collapse. Due to its low clinical incidence, a significant practice gap exists; perioperative providers frequently lack the knowledge and confidence to recognize and treat it efficiently. This quality improvement project evaluated whether a high-fidelity educational video simulation, paired with evidence-based cognitive aids, improves perioperative staff knowledge and confidence compared to traditional educational protocols. Guided by the Johns Hopkins Nursing Evidence-Based Practice Model and a Plan-Do-Study-Act framework, a quantitative, quasi-experimental pre-test/post-test design was implemented at Corewell Health Beaumont Grosse Pointe Hospital. Perioperative nursing staff completed identical baseline and post-intervention assessments evaluating objective clinical knowledge (12-item quiz) and self-reported confidence (13- item, 5-point Likert scale). Participants viewed a targeted LAST video simulation filmed at the Eugene Applebaum Simulation Center that incorporated the American Society of Regional Anesthesia and Pain Medicine (ASRA) checklist. Data from the independent cohorts (n=24 pre-intervention; n=16 post- intervention) were analyzed using independent samples t-tests.The intervention yielded a statistically significant improvement in objective knowledge scores (p ≤ 0.05), with the mean score rising from 8.5 (SD = 1.14) pre-intervention to 10.6 (SD = 1.20) post-intervention, demonstrating a large effect size (Cohen’s d = 1.8). Self-reported clinical confidence also significantly elevated (p ≤ 0.05), nearly doubling from a pre-intervention mean of 27.4 (SD = 3.90) to a post-intervention mean of 47.6 (SD = 2.45). Integrating immersive video simulations with standardized cognitive aids effectively translates complex crisis protocols into retainable knowledge while mitigating clinical hesitation in high-acuity emergencies. Despite limitations like sample size attrition and a single-center design, this project establishes a scalable, low-cost blueprint for high-risk, low-frequency event readiness. Incorporating this simulation tool into onboarding curriculum and annual competencies is recommended to sustain emergency preparedness and maximize patient safety.
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    Minutes of the Formal Session of the Oakland University Board of Trustees, June 26, 2026
    (2026-06-26) Oakland University. Board of Trustees
    A. Pledge of Allegiance | B. Call to Order | C. Roll Call | D. President's Report | E. Consent Agenda for Consideration/Action: Consent Agenda, Treasurer's Report, Minutes of the Board of Trustees Formal Session of April 24, 2026; Minutes of the Board of Trustees Formal Session of May 21, 2026; University Personnel Actions; Acceptance of Gifts and Pledges to Oakland University for the Period April 1 - June 8, 2026; Acceptance of Gifts and Contracts to Oakland University for the Period March 1 - April 30th, 2026; Discontinuance of Certain Academic Programs; Oakland Center Operating Budget FYE June 30, 2027; CLEMIS Authority Agreement; Approval of Contract for Residential and Retail Food Services on Campus; Adoption of the Change of Name from Secondary Education with Special Education, MAT, Graduate Program Name Change to MAT in Special Education K-12; Vehicular Wireless Communication Test System (Antenna Chamber); 2027 Oakland University Board of Trustees Regular Formal Session Dates | F. New Items for Consideration/Action: Public/Private Partnership (P3) Oakland University Data Infrastructure Project; Bachelor of Science in Engineering Technology (BSET); Bachelor of Strategic Communication; Ed.D. in Applied Early Childhood Practice and Policy; General Budget Fund and Tuition Rates for Fiscal Year 2027; Resolution Honoring Mathew Seidel, Student Liaison to the Oakland University Board of Trustees; Resolution Honoring Jimena Garcia, Student Liaison to the Oakland University Board of Trustees; Resolution Honoring Trustee Dennis Muchmore; Resolution Honoring Trustee Brian Calley; Appointment of Board Chair and Vice Chair | G. Other Items for Consideration/Action that May Come Before the Board | H. Trustee Comments & Discussion | I. Adjournment