Nancy Fink, MSN, BSN, RN, CCRC Karen Lutter, MSN, BSN, RN, NE-BC.
Finding cures. Saving children. Objectives Family-Centered Care in PACU Team Leader: Barbara David,...
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Finding cures. Saving children. Objectives Family-Centered Care in PACU Team Leader: Barbara David, RN, BSN Team Members: Melinda Burks, RN, BSN, CPHON; Lisa Early, RN, BSN, CCRN, CPAN; Rachel Findley, RN, CCM; Louis Tiscia, RN, BSN, BA ◆4 PACUs - Same Patients – Differing Practices ◆Unique Setting/Patient Population ◆“The central premise of family-centered care in pediatrics is that the child’s family is a constant and is comprised of the most important people in the child’s life” (Kamerling, et al, 2008). ◆“The St. Jude Professional Practice Model for Nursing demonstrates that the patient and family is the center of all concerns. We understand the family is the child’s primary strength and support. Together we partner with families as essential allies in providing the best physical and psychosocial care for their children” (St. Jude, 2010). ◆83.7% of PACU nurses report they would want to visit their family member in the PACU while only 47% feel it is appropriate for families to visit in their own PACU. (Walls, 2009) ◆Standardize practices in all PACUs within Nursing Surgical Services to appeal to the needs of this unique patient population ◆Promote family-centered care ◆Allow for uniqueness of each area: ~ Operating Room PACU ~ Procedures PACU ~ Diagnostic Imaging PACU ~ Radiation Oncology PACU ◆Nursing Surgical Services Council recommended development of task force. ~ Task force consisted of representatives from OR, Sedation, Procedures, Child Life, and Family Advisory Council ~ Collected data reflecting current practice ~ Surveyed parents for satisfaction of current practice ◆Task force recommendation to NSS Unit Council adopted “Practice change: Reunite the parent with the patient once the nurse has determined the patient’s condition is stable. Parents will be notified upon arrival to PACU and updated or reunited within 30 minutes.” ◆Staff educated on change of process ◆New education created for parents. PRE-PRACTICE CHANGE Table below reflects the timeframe, in minutes, from patient arrival to PACU to the time he/she was reunited with the parent. In our initial parent survey, we collected 35 surveys and all were “Completely Satisfied”. POST-PRACTICE CHANGE The next table shows that the time between patient arrival to PACU and being reunited with the parent was decreased by an average of 2.7 minutes. The results of the survey we The family visitation practices throughout Nursing Surgical Services was standardized. Family-centered care principles were recognized and supported. Patients were reunited with parents more quickly and parents remained 100% completely satisfied. ◆ASPAN’s Position Statement ◆Children’s Hospital of Philadelphia ◆Children’s Hospital of St. Louis ◆University of Texas M. D. Anderson Cancer Center Sedation Procedures OR 15 17 19 21 23 25 27 29 Parent to PACU (min.) Parent to PACU (m... Sedation Procedures OR 15 17 19 21 23 25 27 29 Parent to PACU (min.) Parent to PACU (m... • American Society of PeriAnesthesia Nurses. Position Statement 11. 2008-2010 Standards of Perianesthesia Nursing Practice. Cherry Hill, NJ: ASPAN; 2008. • Kamerling, S. N., Lawler, L. C., Lynch, M., & Schwartz, A. J. (2008). Family- centered care in the pediatric post anesthesia care unit: Changing practice to promote parental visitation. Journal of PeriAnesthesia Nursing, 23, 5-16. • St. Jude Children’s Research Hospital. (2010). Professional Practice Model (Volume I, 3.1). Retrieved from http://home.web.stjude.org/nursingPolicyManu Conclusion Methods Results References Benchmarks Printed by Biomedical Communications (CD2900) Background
Transcript of Finding cures. Saving children. Objectives Family-Centered Care in PACU Team Leader: Barbara David,...
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Objectives
Family-Centered Care in PACUTeam Leader: Barbara David, RN, BSNTeam Members: Melinda Burks, RN, BSN, CPHON; Lisa Early, RN, BSN, CCRN, CPAN; Rachel Findley, RN, CCM; Louis Tiscia, RN, BSN, BA
◆4 PACUs - Same Patients – Differing Practices
◆Unique Setting/Patient Population
◆ “The central premise of family-centered care in
pediatrics is that the child’s family is a constant and is
comprised of the most important people in the child’s
life” (Kamerling, et al, 2008).
◆ “The St. Jude Professional Practice Model for
Nursing demonstrates that the patient and family is
the center of all concerns. We understand the family
is the child’s primary strength and support. Together
we partner with families as essential allies in
providing the best physical and psychosocial care for
their children” (St. Jude, 2010).
◆83.7% of PACU nurses report they would want to visit
their family member in the PACU while only 47% feel
it is appropriate for families to visit in their own PACU.
(Walls, 2009)
◆Standardize practices in all PACUs within Nursing
Surgical Services to appeal to the needs of this
unique patient population
◆Promote family-centered care
◆Allow for uniqueness of each area:
~ Operating Room PACU
~ Procedures PACU
~ Diagnostic Imaging PACU
~ Radiation Oncology PACU
◆Nursing Surgical Services Council recommended
development of task force.
~ Task force consisted of representatives from OR,
Sedation, Procedures, Child Life, and Family
Advisory Council
~ Collected data reflecting current practice
~ Surveyed parents for satisfaction of current
practice
◆Task force recommendation to NSS Unit Council
adopted
“Practice change: Reunite the parent with the
patient once the nurse has determined the
patient’s condition is stable. Parents will be
notified upon arrival to PACU and updated or
reunited within 30 minutes.”
◆Staff educated on change of process
◆New education created for parents.
PRE-PRACTICE CHANGE
Table below reflects the timeframe, in minutes, from
patient arrival to PACU to the time he/she was
reunited with the parent.
In our initial parent survey, we collected 35 surveys
and all were “Completely Satisfied”.
POST-PRACTICE CHANGE
The next table shows that the time between patient
arrival to PACU and being reunited with the parent
was decreased by an average of 2.7 minutes.
The results of the survey we conducted after the family
visitation practice changes reflected that our parents
remain 100% Completely Satisfied!! We collected
90 surveys. The survey validated that our changes in
parent visitation did not negatively impact our patients
and families.
The family visitation practices throughout Nursing
Surgical Services was standardized. Family-
centered care principles were recognized and
supported. Patients were reunited with parents
more quickly and parents remained 100%
completely satisfied.
◆ASPAN’s Position Statement
◆Children’s Hospital of Philadelphia
◆Children’s Hospital of St. Louis
◆University of Texas M. D. Anderson Cancer Center
Sedation Procedures OR15
17
19
21
23
25
27
29
Parent to PACU (min.)
Parent to PACU (min.)
Sedation Procedures OR15
17
19
21
23
25
27
29
Parent to PACU (min.)
Parent to PACU (min.)
• American Society of PeriAnesthesia Nurses. Position
Statement 11. 2008-2010 Standards of
Perianesthesia Nursing Practice. Cherry Hill, NJ: ASPAN;
2008.
• Kamerling, S. N., Lawler, L. C., Lynch, M., & Schwartz,
A. J. (2008). Family-centered care in the pediatric
post
anesthesia care unit: Changing practice to
promote parental visitation. Journal of PeriAnesthesia
Nursing,
23, 5-16.
• St. Jude Children’s Research Hospital. (2010).
Professional
Practice Model (Volume I, 3.1). Retrieved from
http://home.web.stjude.org/nursingPolicyManual/03.0
Mission_Philosophy_Goals/3.1.pdf.
• Walls, M. (2009) Staff attitudes and beliefs regarding
family
visitation after implementation of a formal visitation
policy in the PACU. Journal of PeriAnesthesia
Nursing, 24, 229-232.
ConclusionMethods Results
References
Benchmarks
Printed by Biomedical Communications (CD2900)
Background
