Non-transport of EMS Pediatric Patients: Self-reported Outcome and Satisfaction

2.50
Hdl Handle:
http://hdl.handle.net/10755/162757
Type:
Presentation
Title:
Non-transport of EMS Pediatric Patients: Self-reported Outcome and Satisfaction
Abstract:
Non-transport of EMS Pediatric Patients: Self-reported Outcome and Satisfaction
Conference Sponsor:Emergency Nurses Association
Conference Year:2000
Author:Overby, Barbara, RN, MSN, EMT-P
P.I. Institution Name:UNC Hospitals
Contact Address:101 Manning Drive, CB#7594, Chapel Hill, NC, 27599, USA
Contact Telephone:(919) 966-8727
Co-Authors:Clifford Lavenhouse, Jr., Jane H. Brice, Vicki J. Brkic and Amy Cates
Purpose: Non-transport of pediatric patients by Emergency Medical Services (EMS) has received little attention in the medical literature and represents an area of medical-legal concern. Little is known about what happened to these patients after the EMS encounter. There is some speculation that many of the patients sought further care in a ED. The purpose of the study was to describe the self-reported outcome and satisfaction of parents/guardians of non-transported pediatric patients evaluated by paramedics.

Design: A prospective cross sectional design was used.

Setting: This study was conducted in a county-based paramedic EMS system in a suburban area.

Sample: All parents or guardians of all non-transported patients less than 18 years of age during a three-month period were included in the sample. Patients were excluded if non-English speaking, in the custody of police, contact information was unavailable or invalid, pronounced dead in the field, or the child was released to someone other than a parent/guardian.

Methodology: A survey developed by the investigators using closed-ended and open-ended questions was used in a pilot study of 40 patients and modified for use in this study. Phone contact was attempted four times, and failing phone contact, a mail survey was sent twice. Data collected included: (1) recall of instructions, (2) aftercare sought, (3) duration for seeking care, (4) self-reported outcome, and (5) satisfaction.

Results: Contact was made with 59 of 73 (81 %) eligible parents/guardians. One refused to participate. Average patient age was 9.5 years. Eighty-four percent recalled receiving instructions. After paramedics left, 23% (13) visited their physician (average 15.9 hours), 5% (3) called their physician for advice, 43% (25) went to the emergency department (average 4.7 hours), 12% (7) self-treated, and 17% (10) did nothing. One patient was admitted to the hospital for an infected dog bite. Those seeking further care did so in an average of 7.9 hours (range 0.1-72 hours). Parents/guardians reported their child's condition to be resolved (59%), improved (40%), unchanged (1 %), or worse (0%). Of the 58 persons contacted, 57 were satisfied with the service provided.

Conclusions: Most parents/guardians (66%) who sought further care for their child with a medical provider did so within 8 hours. Parents/guardians of pediatric patients reported no adverse outcomes and were satisfied with the service provided despite not being transported.
[Research Paper Presentation]
Repository Posting Date:
27-Oct-2011
Date of Publication:
17-Oct-2011
Sponsors:
Emergency Nurses Association

Full metadata record

DC FieldValue Language
dc.typePresentationen_GB
dc.titleNon-transport of EMS Pediatric Patients: Self-reported Outcome and Satisfactionen_GB
dc.identifier.urihttp://hdl.handle.net/10755/162757-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Non-transport of EMS Pediatric Patients: Self-reported Outcome and Satisfaction</td></tr><tr class="item-sponsor"><td class="label">Conference Sponsor:</td><td class="value">Emergency Nurses Association</td></tr><tr class="item-year"><td class="label">Conference Year:</td><td class="value">2000</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Overby, Barbara, RN, MSN, EMT-P</td></tr><tr class="item-institute"><td class="label">P.I. Institution Name:</td><td class="value">UNC Hospitals</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">101 Manning Drive, CB#7594, Chapel Hill, NC, 27599, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(919) 966-8727</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">boverby@unch.unc.edu</td></tr><tr class="item-co-authors"><td class="label">Co-Authors:</td><td class="value">Clifford Lavenhouse, Jr., Jane H. Brice, Vicki J. Brkic and Amy Cates</td></tr><tr><td colspan="2" class="item-abstract">Purpose: Non-transport of pediatric patients by Emergency Medical Services (EMS) has received little attention in the medical literature and represents an area of medical-legal concern. Little is known about what happened to these patients after the EMS encounter. There is some speculation that many of the patients sought further care in a ED. The purpose of the study was to describe the self-reported outcome and satisfaction of parents/guardians of non-transported pediatric patients evaluated by paramedics.<br/><br/>Design: A prospective cross sectional design was used.<br/><br/>Setting: This study was conducted in a county-based paramedic EMS system in a suburban area.<br/><br/>Sample: All parents or guardians of all non-transported patients less than 18 years of age during a three-month period were included in the sample. Patients were excluded if non-English speaking, in the custody of police, contact information was unavailable or invalid, pronounced dead in the field, or the child was released to someone other than a parent/guardian.<br/><br/>Methodology: A survey developed by the investigators using closed-ended and open-ended questions was used in a pilot study of 40 patients and modified for use in this study. Phone contact was attempted four times, and failing phone contact, a mail survey was sent twice. Data collected included: (1) recall of instructions, (2) aftercare sought, (3) duration for seeking care, (4) self-reported outcome, and (5) satisfaction.<br/><br/>Results: Contact was made with 59 of 73 (81 %) eligible parents/guardians. One refused to participate. Average patient age was 9.5 years. Eighty-four percent recalled receiving instructions. After paramedics left, 23% (13) visited their physician (average 15.9 hours), 5% (3) called their physician for advice, 43% (25) went to the emergency department (average 4.7 hours), 12% (7) self-treated, and 17% (10) did nothing. One patient was admitted to the hospital for an infected dog bite. Those seeking further care did so in an average of 7.9 hours (range 0.1-72 hours). Parents/guardians reported their child's condition to be resolved (59%), improved (40%), unchanged (1 %), or worse (0%). Of the 58 persons contacted, 57 were satisfied with the service provided.<br/><br/>Conclusions: Most parents/guardians (66%) who sought further care for their child with a medical provider did so within 8 hours. Parents/guardians of pediatric patients reported no adverse outcomes and were satisfied with the service provided despite not being transported.<br/>[Research Paper Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:33:37Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:33:37Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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