Evaluation of paediatric palliative care ambulance plans: A retrospective study.

Autor:	Wan J; Department of Palliative Care, Sydney Children's Hospital Network, Randwick, NSW, Australia.; Discipline of Paediatrics and Child Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia., Vaughan A; New South Wales Ambulance, Rozelle, NSW, Australia., Shepherd E; Department of Palliative Care, Sydney Children's Hospital Network, Randwick, NSW, Australia., Coombs S; Department of Palliative Care, Sydney Children's Hospital Network, Randwick, NSW, Australia., Trethewie S; Department of Palliative Care, Sydney Children's Hospital Network, Randwick, NSW, Australia.; Discipline of Paediatrics and Child Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia., Jaaniste T; Department of Palliative Care, Sydney Children's Hospital Network, Randwick, NSW, Australia.; Discipline of Paediatrics and Child Health, School of Clinical Medicine, University of New South Wales, Sydney, NSW, Australia.
Jazyk:	angličtina
Zdroj:	Journal of child health care : for professionals working with children in the hospital and community [J Child Health Care] 2024 Jan 23, pp. 13674935231225714. Date of Electronic Publication: 2024 Jan 23.
DOI:	10.1177/13674935231225714
Abstrakt:	Paediatric Palliative Care Ambulance Plans ('Plans') are used by New South Wales Ambulance (Australia) to support the care needs of children with life-limiting conditions. We aimed to describe the population of children with Plans and provide details regarding Plan completion, paramedic responses during ambulance callouts, and correspondence between Plan recommendations and paramedic responses. Plans lodged in January 2017-December 2019 were retrospectively coded for demographic information, completeness and care preferences. Associated paramedic callout notes (January 2018-December 2019) were coded for paramedic responses. Of 141 Plans retrieved, 38 (41.3% of those providing suggested medications) suggested medication use outside general paramedic scope of practice. Of 199 associated ambulance callouts, reasons for callout included symptom management, planned transfer, death notification and end-of-life care. Over two-thirds of callouts ( n = 135, 67.8%) occurred after-hours. Most paramedic callouts ( n = 124, 62.3%), excluding planned transfers, resulted in children being transported. Paramedic interventions corresponded with interventions suggested in Plans. However, only 24 (25.3%) of paramedic callout notes documented Plans being sighted. This study provided detailed information about children with palliative care needs for whom Plans were being used, the nature of these Plans and associated paramedic callouts. However, it is not known how paramedics were influenced by Plans. Competing Interests: Declaration of conflicting interestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
Databáze:	MEDLINE
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