Introducing a Pediatric Respiratory Assessment Tool in a Pediatric ED

2.50
Hdl Handle:
http://hdl.handle.net/10755/623683
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Introducing a Pediatric Respiratory Assessment Tool in a Pediatric ED
Author(s):
Bontrager, Teresa; Brooker, Mary
Lead Author STTI Affiliation:
Non-member
Author Details:
Teresa Bontrager, MSN, RN, CPEN; Mary Brooker, BSN, RN, CPN
Abstract:

Poster presentation

Session C presented Thursday, September 14, 2017

Purpose: The pediatric asthma patient presenting to the Emergency Room requires prompt and reliable assessment leading to timely treatment. Our current Emergency Severity Index (ESI) triage scoring system is not specific to Pediatric Asthma Assessment. The introduction of the Pediatric Respiratory Assessment Measure (PRAM), an asthma assessment tool, improved nursing assessment, communication of severity between providers, and timely care.

Design: This evidence-based quality improvement project and prospective study involved training of staff nurses in the use of the PRAM scoring tool over a 6 month period using education and training of super users, power point learning modules and practice scenarios. Super users acting as change agents were then charged with mentoring other staff members. Training also included knowledge sharing with Respiratory Therapy and medical providers.

Setting: Suburban pediatric Emergency Department that is a satellite campus of a midwestern pediatric teaching hospital.

Participants/Subjects: Participants: Pediatric Emergency Room Nurses in a Midwestern pediatric ED. All RN's in the department participated. No IRB was required for this QI project.

Results/Outcomes: Preliminary findings: Percentage of RNs assigning prams during initial assessment was 55% after 6 months.

Implications: At our facility, the PRAM nursing education is part of a bigger protocol which allows nurses to initiate asthma care at the time of initial assessment. The PRAM allows nursing, providers, and respiratory therapy to communicate and collaborate regarding patient assessment and care. We are currently working to have RN's as well as RT's and medical providers utilize the PRAM score as part of continuing patient assessment and use of standing orders.

Keywords:
Pediatric Asthma; Quality Improvement; Emergency Department
Repository Posting Date:
5-Dec-2017
Date of Publication:
5-Dec-2017
Conference Date:
2017
Conference Name:
Emergency Nursing 2017
Conference Host:
Emergency Nurses Association
Conference Location:
St. Louis, Missouri, USA
Description:
ENA 2017: Education, Networking, Advocacy. Held at America's Center Convention Center, St. Louis, Missouri
Note:
Items submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository, unless otherwise noted.

Full metadata record

DC FieldValue Language
dc.language.isoen_USen
dc.type.categoryFull-texten
dc.formatText-based Documenten
dc.typePosteren
dc.evidence.levelN/Aen
dc.research.approachN/Aen
dc.titleIntroducing a Pediatric Respiratory Assessment Tool in a Pediatric EDen_US
dc.contributor.authorBontrager, Teresaen
dc.contributor.authorBrooker, Maryen
dc.contributor.departmentNon-memberen
dc.author.detailsTeresa Bontrager, MSN, RN, CPEN; Mary Brooker, BSN, RN, CPNen
dc.identifier.urihttp://hdl.handle.net/10755/623683-
dc.description.abstract<p>Poster presentation</p><p>Session C presented Thursday, September 14, 2017</p><p>Purpose: The pediatric asthma patient presenting to the Emergency Room requires prompt and reliable assessment leading to timely treatment. Our current Emergency Severity Index (ESI) triage scoring system is not specific to Pediatric Asthma Assessment. The introduction of the Pediatric Respiratory Assessment Measure (PRAM), an asthma assessment tool, improved nursing assessment, communication of severity between providers, and timely care. </p><p>Design: This evidence-based quality improvement project and prospective study involved training of staff nurses in the use of the PRAM scoring tool over a 6 month period using education and training of super users, power point learning modules and practice scenarios. Super users acting as change agents were then charged with mentoring other staff members. Training also included knowledge sharing with Respiratory Therapy and medical providers. </p><p>Setting: Suburban pediatric Emergency Department that is a satellite campus of a midwestern pediatric teaching hospital. </p><p>Participants/Subjects: Participants: Pediatric Emergency Room Nurses in a Midwestern pediatric ED. All RN's in the department participated. No IRB was required for this QI project. </p><pMethods: Prospective QI study with the intention of training ED RNs to use the Pediatric Respiratory Assessment Measure, an asthma scoring tool, during initial assessment. PDSA cycles were performed regularly over 7 months to assess staff comprehension and retention of training. Reminders to use the PRAM occured during daily shift report and at unit updates. A staff comprehension and use survey was given before education to assess baseline data, and was reperformed at 1 month and 6 months post education. Medical providers and RT's were also educated on the PRAM, their comprehension retention was not measured. <p/p><p>Results/Outcomes: Preliminary findings: Percentage of RNs assigning prams during initial assessment was 55% after 6 months. </p><p>Implications: At our facility, the PRAM nursing education is part of a bigger protocol which allows nurses to initiate asthma care at the time of initial assessment. The PRAM allows nursing, providers, and respiratory therapy to communicate and collaborate regarding patient assessment and care. We are currently working to have RN's as well as RT's and medical providers utilize the PRAM score as part of continuing patient assessment and use of standing orders. </p>en
dc.subjectPediatric Asthmaen
dc.subjectQuality Improvementen
dc.subjectEmergency Departmenten
dc.date.available2017-12-05T21:28:55Z-
dc.date.issued2017-12-05-
dc.date.accessioned2017-12-05T21:28:55Z-
dc.conference.date2017en
dc.conference.nameEmergency Nursing 2017en
dc.conference.hostEmergency Nurses Associationen
dc.conference.locationSt. Louis, Missouri, USAen
dc.descriptionENA 2017: Education, Networking, Advocacy. Held at America's Center Convention Center, St. Louis, Missourien
dc.description.noteItems submitted to a conference/event were evaluated/peer-reviewed at the time of abstract submission to the event. No other peer-review was provided prior to submission to the Henderson Repository, unless otherwise noted.-
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