Pediatric Rapid Response Nurse Deployment to Pediatric Trauma Activations: A Process Improvement Initiative
| Autor: | Lori Moss, Aaron J. Cunningham, Nicholas A. Hamilton, Mubeen A. Jafri, Joseph Tobias |
|---|---|
| Rok vydání: | 2021 |
| Předmět: |
Advanced and Specialized Nursing
Pediatric intensive care unit medicine.medical_specialty Resuscitation 030504 nursing business.industry Trauma center 030208 emergency & critical care medicine Emergency department Emergency Nursing Critical Care Nursing medicine.disease Intensive care unit law.invention 03 medical and health sciences 0302 clinical medicine Interquartile range law Emergency medicine Medicine Injury Severity Score 0305 other medical science business Pediatric trauma |
| Zdroj: | Journal of Trauma Nursing. 28:209-212 |
| ISSN: | 1078-7496 |
| Popis: | Background Prolonged emergency department length of stay in trauma patients is associated with increased hospital length of stay and inhospital mortality. This problem is compounded in pediatric patients, as injured children have less physiologic reserve and may exhibit only subtle warning signs before decompensation. Objective To determine the impact of deploying pediatric rapid response nurses to full trauma activations for patients transferred to the pediatric intensive care unit on emergency department length of stay. Methods This is a before-and-after analysis of a quality improvement initiative deploying pediatric rapid response nurses to full trauma activations. Trauma registry data collected from January 2016 to August 2020 were statistically analyzed. Demographic and outcome variables were assessed by unpaired t test and χ2 analysis. Results A total of 94 patients met inclusion criteria as full activations admitted to the intensive care unit during the study period. The preimplementation group (n = 60) was 88% (n = 53) male, with a median age of 6.9 years and a median Injury Severity Score of 21. The postimplementation group (n = 34) was 62% (n = 21) male, with a median age of 5.6 years and a median Injury Severity Score of 17. The emergency department length of stay decreased from median (interquartile range) 48.5 (36.0-84.75) min (preimplementation) to 36.5 (27.5-55.5) min (postimplementation; p = .019). Conclusion Deployment of pediatric rapid response nurses to full trauma activations facilitates the assessment and transfer of pediatric trauma to the intensive care unit and decreases emergency department length of stay. |
| Databáze: | OpenAIRE |
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