Ramping Up a Pediatric Hospital Medicine Advanced Practice Provider Team Rapidly

Nelson, Anika; Fox, Jaime; Toth, Heather; Stephany, Alyssa

doi:10.1080/00185868.2020.1848397

Cited by 2 publications

(1 citation statement)

References 6 publications

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“…The redeployment of PAs and NPs during the pandemic into clinical settings, including ICUs, at academic medical centers and pediatric hospitals has been described. [1][2][3] However, the potential role of PAs and NPs in COVID-19-related occupational health is not remotely from home. PAs and NPs obtained a detailed history of symptoms and/or exposure from each employee (Table 1) and used this information for clinical decisionmaking and counseling about testing, removal from work, and return to work.…”

Section: Genesis Of the Teammentioning

confidence: 99%

PAs and NPs in employee health during the COVID-19 pandemic

O'Bryan¹,

Cutrell²,

Gonzalez³

et al. 2023

Jaapa

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COVID-19 created unprecedented occupational health challenges for hospitals. To meet these demands at a large county safety-net hospital, a COVID-19 employee response team led by PAs and NPs was created. From April 2020 through February 2022, this team managed more than 14,000 discrete employee contacts related to COVID-19 employee concerns. This article describes our experience in creating this team and highlights key strengths and lessons for other institutions seeking to adopt similar models.

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Section: Genesis Of the Teammentioning

confidence: 99%

PAs and NPs in employee health during the COVID-19 pandemic

O'Bryan¹,

Cutrell²,

Gonzalez³

et al. 2023

Jaapa

View full text Add to dashboard Cite

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Improving Efficiency on a Pediatric Hospital Medicine Service With Schedule-Based Family-Centered Rounds

Wang

Hutauruk²,

Perales³

et al. 2022

Hospital Pediatrics

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BACKGROUND AND OBJECTIVES: Inconsistencies in the timing and process of family-centered rounds can contribute to inefficiencies in patient care, inconsistent nursing participation, and variable end times. Through the implementation of schedule-based rounds, our aims were to (1) start 90% of rounds encounters within 30 minutes of the scheduled time, (2) increase nursing presence from 79% to >90%, and (3) increase the percentage of rounds completed by 11:20 am from 0% to 80% within 1 year. METHODS: We used quality improvement methods to implement and evaluate a scheduled rounds process on a pediatric hospital medicine service at a university-affiliated children’s hospital. Interventions included customization of an electronic health record-linked scheduling tool, daily schedule management by the senior resident, real-time rounds notification to nurses, improved education on rounding expectations, streamlined rounding workflow, and family notification of rounding time. Data were collected daily and run charts were used to track metrics. RESULTS: One year after implementation, a median of 96% of rounds encounters occurred within 30 minutes of scheduled rounding time, nursing presence increased from a median of 79% to 94%, and the percentage of rounds completed by 11:20 am increased from a median of 0% to 86%. Rounds end times were later with a higher patient census. CONCLUSIONS: We improved the efficiency of our rounding workflow and bedside nursing presence through a scheduled rounds process facilitated by an electronic health record-linked scheduling tool.

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Ramping Up a Pediatric Hospital Medicine Advanced Practice Provider Team Rapidly

Cited by 2 publications

References 6 publications

PAs and NPs in employee health during the COVID-19 pandemic

PAs and NPs in employee health during the COVID-19 pandemic

Improving Efficiency on a Pediatric Hospital Medicine Service With Schedule-Based Family-Centered Rounds

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