Port Access Experience: A Pediatric Emergency and Oncology Interdepartmental Collaboration

2.50
Hdl Handle:
http://hdl.handle.net/10755/623693
Category:
Full-text
Format:
Text-based Document
Type:
Poster
Level of Evidence:
N/A
Research Approach:
N/A
Title:
Port Access Experience: A Pediatric Emergency and Oncology Interdepartmental Collaboration
Author(s):
Thomareas, Vasiliki; Carroll, Jamie; Thelen, Jennifer; Bradley, Elizabeth
Lead Author STTI Affiliation:
Non-member
Author Details:
Vasiliki Thomareas, BSN, RN; Jamie Carroll, BSN, RN; Jennifer Thelen, BSN, RN, CEN, CPEN; Elizabeth Bradley, BSN, RN, CPON
Abstract:

Poster presentation

Session G presented Saturday, September 16, 2017

Purpose: Dissatisfaction with the port access experience in the Pediatric Emergency Department (ED) was noted by increased verbal feedback from patients, families and nursing staff, which included lack of understanding by families of the importance of timely port access.  The project goal was to increase nurse and patient satisfaction during port access in the ED, as indicated by at least 70% of respondents rating their port access experience as either Excellent or Good.

Design: This was a process improvement project, whereby  data was collected through a qualitative approach.

Setting:  Settings included the Pediatric ED, the Pediactric Oncology inpatient unit and the Pediatric Oncology outpatient clinic of a Pediatric level I trauma center.

Participants/Subjects: For pediatric patients and their familes to participate in the pre and post-intervention questionnaire, the patient's port had to have been accessed within the previous 6 months. There was no inclusion criteria during the implementation period of the project. This project excluded patients that were visiting from out of state, and patients that didn't have an Oncologic condition. All ED nurses participated in this project. All questionnaires were anonymous. Patient and family questionnaires were handed out by Oncology nurses to produce honest feedback.

Methods: A pre and post-intervention questionnaire was developed to assess patient and family satisfaction with port access in the ED. Participants rated their port access as either Excellent, Good, Fair or Poor and were also able to provide additional comments. ED nurses were also assessed pre and post-intervention on port access frequency, training, and comfort level.  Comfort level was assessed using a 10-point scale with 10 being very comfortable. The port pass, a handheld card, sized to fit in a wallet, that lists essential information on patient's port access needs and preferences, was created. The port pass was created to streamline port access and provide comfort to families. An education sheet was handed out to families listing information on Sepsis and the importance of arriving to the ED with lidocaine cream on the port site for promt access. Select ED nurses were chosen to become Port Resource nurses. These nurses received one-on -one training from the Pediatric Oncology Learning Specialist, spent additional time accessing ports in the Pediatric Oncology outpatient clinic and completed port and central line care competencies to act as a resource for fellow nurses.

Results/Outcomes: Pre-intervention 44% of patients and families rated their port access experience in the ED as Excellent or Good. One month post-intervention, 88% gave this rating, with 100% in the two subsequent months. Pre-intervention, 73% of ED nurses reported their comfort level with accessing ports as 8-10. Post-intervention 100% gave this rating.

Implications: This project demonstrates that interdepartmental collaboartion is key to successful outcomes. Increased satisfaction during port access in the ED was obtained through communication and education among ED nurses, Oncology nurses, and patients and their families. Establishing port resource nurses and implementation of the port pass are things that can be utilized in any department that cares for patients of any age, with a port.

Keywords:
Pediatric Oncology Patients; Patient Satisfaction; 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

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.titlePort Access Experience: A Pediatric Emergency and Oncology Interdepartmental Collaborationen_US
dc.contributor.authorThomareas, Vasilikien
dc.contributor.authorCarroll, Jamieen
dc.contributor.authorThelen, Jenniferen
dc.contributor.authorBradley, Elizabethen
dc.contributor.departmentNon-memberen
dc.author.detailsVasiliki Thomareas, BSN, RN; Jamie Carroll, BSN, RN; Jennifer Thelen, BSN, RN, CEN, CPEN; Elizabeth Bradley, BSN, RN, CPONen
dc.identifier.urihttp://hdl.handle.net/10755/623693-
dc.description.abstract<p>Poster presentation</p> <p>Session G presented Saturday, September 16, 2017</p> <p>Purpose: Dissatisfaction with the port access experience in the Pediatric Emergency Department (ED) was noted by increased verbal feedback from patients, families and nursing staff, which included lack of understanding by families of the importance of timely port access.&nbsp; The project goal was to increase nurse and patient satisfaction during port access in the ED, as indicated by at least 70% of respondents rating their port access experience as either Excellent or Good.</p> <p>Design: This was a process improvement project, whereby&nbsp; data was collected through a qualitative approach.</p> <p>Setting:&nbsp; Settings included the Pediatric ED, the Pediactric Oncology inpatient unit and the Pediatric Oncology outpatient clinic of a Pediatric level I trauma center.</p> <p>Participants/Subjects: For pediatric patients and their familes to participate in the pre and post-intervention questionnaire, the patient's port had to have been accessed within the previous 6 months. There was no inclusion criteria during the implementation period of the project. This project excluded patients that were visiting from out of state, and patients that didn't have an Oncologic condition. All ED nurses participated in this project. All questionnaires were anonymous. Patient and family questionnaires were handed out by Oncology nurses to produce honest feedback.</p> <p>Methods: A pre and post-intervention questionnaire was developed to assess patient and family satisfaction with port access in the ED. Participants rated their port access as either Excellent, Good, Fair or Poor and were also able to provide additional comments. ED nurses were also assessed pre and post-intervention on port access frequency, training, and comfort level.&nbsp; Comfort level was assessed using a 10-point scale with 10 being very comfortable. The port pass, a handheld card, sized to fit in a wallet, that lists essential information on patient's port access needs and preferences, was created. The port pass was created to streamline port access and provide comfort to families. An education sheet was handed out to families listing information on Sepsis and the importance of arriving to the ED with lidocaine cream on the port site for promt access. Select ED nurses were chosen to become Port Resource nurses. These nurses received one-on -one training from the Pediatric Oncology Learning Specialist, spent additional time accessing ports in the Pediatric Oncology outpatient clinic and completed port and central line care competencies to act as a resource for fellow nurses.</p> <p>Results/Outcomes: Pre-intervention 44% of patients and families rated their port access experience in the ED as Excellent or Good. One month post-intervention, 88% gave this rating, with 100% in the two subsequent months. Pre-intervention, 73% of ED nurses reported their comfort level with accessing ports as 8-10. Post-intervention 100% gave this rating.</p> <p>Implications: This project demonstrates that interdepartmental collaboartion is key to successful outcomes. Increased satisfaction during port access in the ED was obtained through communication and education among ED nurses, Oncology nurses, and patients and their families. Establishing port resource nurses and implementation of the port pass are things that can be utilized in any department that cares for patients of any age, with a port.</p>en
dc.subjectPediatric Oncology Patientsen
dc.subjectPatient Satisfactionen
dc.subjectEmergency Departmenten
dc.date.available2017-12-05T21:30:09Z-
dc.date.issued2017-12-05-
dc.date.accessioned2017-12-05T21:30:09Z-
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
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