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Abstract
Background: Local anesthetic systemic toxicity (LAST) is a high-impact, low-occurrence complication of administering local anesthesia, which can potentially be lethal to the patient if not recognized quickly. Purpose: This DNP project aims to provide education and increase awareness and proficiency in early recognition and management of a LAST event, specifically in labor and delivery nurses. Methods: A mixed-method design, including quantitative and qualitative methods. A quantitative method was used to evaluate recognition, knowledge, and confidence levels, and a qualitative method allows for an improved understanding of barriers to practice. Data were grouped into two categories. Group A comprised the entire sample of participants who completed the pre-intervention survey (n=22). Group B comprised the entire sample of participants who completed the post-intervention survey (n=22). Each group underwent statistical analysis using a two-sample T-test to determine statistical significance. Results: The average mean scores for knowledge and confidence increased across all categories. The education provided will be included in the annual competency training and orientation program for LandD nurses at this facility. Recommendations and Conclusions: It is recommended that LAST training be incorporated into the annual continuing education program. The results of this project have shown that knowledge and confidence improved for the LandD registered nurse.