Impact of Advanced Practice Consultation to Improve Pediatric Resuscitation in the Emergency Department

2.50
Hdl Handle:
http://hdl.handle.net/10755/164361
Category:
Abstract
Type:
Presentation
Title:
Impact of Advanced Practice Consultation to Improve Pediatric Resuscitation in the Emergency Department
Author(s):
Acantilado, Jeannine; Alejandro, Denise; Brown, Julie
Author Details:
Jeannine Acantilado, RN, MSN, CNS, Huntington Memorial Hospital, Pasadena, California, USA, email: nacnsorg@nacns.org; Denise Alejandro, RN, BSN, University of California Los Angeles, Los Angeles, California, USA; Julie Brown, RN, MICN, ED Clinical Educator
Abstract:
Significance: Children comprise 30% of the population seen in community emergency departments (ED). Critically ill children pose an even greater challenge to ED staff. Nurses in full service hospitals generally begin their careers with adult patient populations then transfer to the ED where education is based on adult standards of care. Nurses express feelings of anxiety in caring for critically ill children compared to adults and have a perceived lack of knowledge and training in pediatrics. Purpose: To increase staff proficiency and confidence in pediatric resuscitation using innovative educational opportunities, simulation and repetition. Description: A multidisciplinary and interdepartmental pediatric committee developed strategies to increase competence and confidence in pediatric resuscitation using code drills. After analyzing baseline assessment data, the committee identified department-specific learning needs. Clinical scenarios, competency checklists, and an evaluation tool were used to ensure consistent pediatric standards of care throughout the organization. Currently, two committee members proctor and evaluate drills in the ED six times monthly. Evaluation: The involved committee members present an evaluative report of the drill process to the entire committee monthly. Increasingly complex scenarios are developed and introduced into the drills based on demonstrated performance improvement and increased confidence. Following every pediatric patient code, a designated committee member evaluates the emergency team response through data analysis, documentation review and discussion to ascertain ongoing education and training needs. Conclusions: Ongoing support, development, and education assist staff in providing expert care to critically ill children. The ED staff reported increased levels of confidence and abilities to manage children requiring emergent resuscitation. This project empowered the ED staff to take ownership of a program that addresses their learning needs and improves communication among members of the multidisciplinary and interdepartmental team.
Repository Posting Date:
27-Oct-2011
Date of Publication:
27-Oct-2011
Conference Date:
2005
Conference Name:
CNS Leadership: Navigating the Healthcare Environment Toward Excellence
Conference Host:
NACNS - National Association of Clinical Nurse Specialists
Conference Location:
Orlando, Florida, USA
Description:
Conference theme: CNS Leadership: Navigating the Healthcare Environment Toward Excellence, held on March 9�12, 2005 in Orlando, Florida, USA
Note:
This is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.

Full metadata record

DC FieldValue Language
dc.type.categoryAbstracten_US
dc.typePresentationen_GB
dc.titleImpact of Advanced Practice Consultation to Improve Pediatric Resuscitation in the Emergency Departmenten_GB
dc.contributor.authorAcantilado, Jeannineen_US
dc.contributor.authorAlejandro, Deniseen_US
dc.contributor.authorBrown, Julieen_US
dc.author.detailsJeannine Acantilado, RN, MSN, CNS, Huntington Memorial Hospital, Pasadena, California, USA, email: nacnsorg@nacns.org; Denise Alejandro, RN, BSN, University of California Los Angeles, Los Angeles, California, USA; Julie Brown, RN, MICN, ED Clinical Educatoren_US
dc.identifier.urihttp://hdl.handle.net/10755/164361-
dc.description.abstractSignificance: Children comprise 30% of the population seen in community emergency departments (ED). Critically ill children pose an even greater challenge to ED staff. Nurses in full service hospitals generally begin their careers with adult patient populations then transfer to the ED where education is based on adult standards of care. Nurses express feelings of anxiety in caring for critically ill children compared to adults and have a perceived lack of knowledge and training in pediatrics. Purpose: To increase staff proficiency and confidence in pediatric resuscitation using innovative educational opportunities, simulation and repetition. Description: A multidisciplinary and interdepartmental pediatric committee developed strategies to increase competence and confidence in pediatric resuscitation using code drills. After analyzing baseline assessment data, the committee identified department-specific learning needs. Clinical scenarios, competency checklists, and an evaluation tool were used to ensure consistent pediatric standards of care throughout the organization. Currently, two committee members proctor and evaluate drills in the ED six times monthly. Evaluation: The involved committee members present an evaluative report of the drill process to the entire committee monthly. Increasingly complex scenarios are developed and introduced into the drills based on demonstrated performance improvement and increased confidence. Following every pediatric patient code, a designated committee member evaluates the emergency team response through data analysis, documentation review and discussion to ascertain ongoing education and training needs. Conclusions: Ongoing support, development, and education assist staff in providing expert care to critically ill children. The ED staff reported increased levels of confidence and abilities to manage children requiring emergent resuscitation. This project empowered the ED staff to take ownership of a program that addresses their learning needs and improves communication among members of the multidisciplinary and interdepartmental team.en_GB
dc.date.available2011-10-27T11:46:58Z-
dc.date.issued2011-10-27en_GB
dc.date.accessioned2011-10-27T11:46:58Z-
dc.conference.date2005en_US
dc.conference.nameCNS Leadership: Navigating the Healthcare Environment Toward Excellenceen_US
dc.conference.hostNACNS - National Association of Clinical Nurse Specialistsen_US
dc.conference.locationOrlando, Florida, USAen_US
dc.descriptionConference theme: CNS Leadership: Navigating the Healthcare Environment Toward Excellence, held on March 9�12, 2005 in Orlando, Florida, USAen_US
dc.description.noteThis is an abstract-only submission. If the author has submitted a full-text item based on this abstract, you may find it by browsing the Virginia Henderson Global Nursing e-Repository by author. If author contact information is available in this abstract, please feel free to contact him or her with your queries regarding this submission. Alternatively, please contact the conference host, journal, or publisher (according to the circumstance) for further details regarding this item. If a citation is listed in this record, the item has been published and is available via open-access avenues or a journal/database subscription. Contact your library for assistance in obtaining the as-published article.en_US
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