2.50
Hdl Handle:
http://hdl.handle.net/10755/162845
Type:
Presentation
Title:
Management of the Pediatric Patient in the Adult Emergency Department
Abstract:
Management of the Pediatric Patient in the Adult Emergency Department
Conference Sponsor:Emergency Nurses Association
Conference Year:2003
Author:Coleman, Pennie, RN, BSBA
Title:Pennie Coleman, RN, BSBA
Contact Address:1652 Ironwood Place, Unit A, Corona, CA, 92879, USA
Contact Telephone:(714) 456-5705
Purpose: An emergency department visit is a frightening experience for a child. Anxiety increases as a child is separated from his/her caregivers and placed in the care of strangers and frequently subjected to painful procedures. Reducing the anxiety in the child improves outcomes for everyone involved in the patient's care. Preparing the environment and staff to care for the pediatric patient enhances both quality of care and patient and family satisfaction. Design: The emergency department implemented two programs to enhance pediatric emergency care. These programs included: (a) a pediatric nurse-physician (RN/MD) team to guide the process of pediatric care; and (b) a Child-Life Program. Setting and Subjects: The project was undertaken in a 30-bed emergency department in a Level I trauma center that has been primarily adult-focused. The participants included nurses, physicians, and child-life specialists working in the emergency department. Methods: The RN/MD team designed a well-equipped resuscitation room with immediate access to weight-based equipment. A portable cart color-coded to match the Broselow(R) resuscitation tape was added to provide immediate access to appropriately sized equipment. Rooms, including a waiting area, were decorated and stocked with child-sized furnishings. Age appropriate pain assessment tools were made readily available. Family presence at the bedside was encouraged. The child life specialists provided patient care education with the use of educational and anatomically correct toys. Distraction techniques were incorporated into care. Staff training included age-specific competencies that work through the developmental stages with age-appropriate interventions. A toy cart divided by developmental stages was labeled accordingly and always available. Results: The resources provided through this two-part program have decreased the turnaround time for pediatric care. Approach to care is kinder and gentler, the staff were more confident in selecting pediatric emergency supplies and equipment, and collaborative practice with the RN/MD team has been built. Best practice protocols are changing to support a research-based practice. Benchmark data has shown this service to be among the top performers with an average total time in the department at 80 minutes. This reduction in treatment time is reflective of pediatric care strategies that expedite treatment and transfer. Recommendations: Continuation of the child-life program is recommended along with the development of appropriate evaluation components. Measurement of pediatric patient satisfaction, family satisfaction, and staff satisfaction is needed. [Poster 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.titleManagement of the Pediatric Patient in the Adult Emergency Departmenten_GB
dc.identifier.urihttp://hdl.handle.net/10755/162845-
dc.description.abstract<table><tr><td colspan="2" class="item-title">Management of the Pediatric Patient in the Adult Emergency Department</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">2003</td></tr><tr class="item-author"><td class="label">Author:</td><td class="value">Coleman, Pennie, RN, BSBA</td></tr><tr class="item-author-title"><td class="label">Title:</td><td class="value">Pennie Coleman, RN, BSBA</td></tr><tr class="item-address"><td class="label">Contact Address:</td><td class="value">1652 Ironwood Place, Unit A, Corona, CA, 92879, USA</td></tr><tr class="item-phone"><td class="label">Contact Telephone:</td><td class="value">(714) 456-5705</td></tr><tr class="item-email"><td class="label">Email:</td><td class="value">PennC@email.msn.com</td></tr><tr><td colspan="2" class="item-abstract">Purpose: An emergency department visit is a frightening experience for a child. Anxiety increases as a child is separated from his/her caregivers and placed in the care of strangers and frequently subjected to painful procedures. Reducing the anxiety in the child improves outcomes for everyone involved in the patient's care. Preparing the environment and staff to care for the pediatric patient enhances both quality of care and patient and family satisfaction. Design: The emergency department implemented two programs to enhance pediatric emergency care. These programs included: (a) a pediatric nurse-physician (RN/MD) team to guide the process of pediatric care; and (b) a Child-Life Program. Setting and Subjects: The project was undertaken in a 30-bed emergency department in a Level I trauma center that has been primarily adult-focused. The participants included nurses, physicians, and child-life specialists working in the emergency department. Methods: The RN/MD team designed a well-equipped resuscitation room with immediate access to weight-based equipment. A portable cart color-coded to match the Broselow(R) resuscitation tape was added to provide immediate access to appropriately sized equipment. Rooms, including a waiting area, were decorated and stocked with child-sized furnishings. Age appropriate pain assessment tools were made readily available. Family presence at the bedside was encouraged. The child life specialists provided patient care education with the use of educational and anatomically correct toys. Distraction techniques were incorporated into care. Staff training included age-specific competencies that work through the developmental stages with age-appropriate interventions. A toy cart divided by developmental stages was labeled accordingly and always available. Results: The resources provided through this two-part program have decreased the turnaround time for pediatric care. Approach to care is kinder and gentler, the staff were more confident in selecting pediatric emergency supplies and equipment, and collaborative practice with the RN/MD team has been built. Best practice protocols are changing to support a research-based practice. Benchmark data has shown this service to be among the top performers with an average total time in the department at 80 minutes. This reduction in treatment time is reflective of pediatric care strategies that expedite treatment and transfer. Recommendations: Continuation of the child-life program is recommended along with the development of appropriate evaluation components. Measurement of pediatric patient satisfaction, family satisfaction, and staff satisfaction is needed. [Poster Presentation]</td></tr></table>en_GB
dc.date.available2011-10-27T10:35:08Z-
dc.date.issued2011-10-17en_GB
dc.date.accessioned2011-10-27T10:35:08Z-
dc.description.sponsorshipEmergency Nurses Associationen_GB
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