Innovation in Nurse Staffing Models: Implementing a Tele–Critical Care Nurse Program in a Pediatric Cardiac Intensive Care Unit-Reference-Cited by-同舟云学术

Innovation in Nurse Staffing Models: Implementing a Tele–Critical Care Nurse Program in a Pediatric Cardiac Intensive Care Unit

Published:2023-12-15 Issue:4 Volume:34 Page:334-342
ISSN:1559-7768
Container-title:AACN Advanced Critical Care
language:en
Short-container-title:

Author:

Swink Kellie¹,Berris Menchee²,King Simmy³,Frame Shaun⁴,Munoz Ricardo⁵,Magallon Alejandro Lopez⁶

Affiliation:

1. Kellie Swink is Clinical Nurse Program Coordinator, Division of Cardiac Critical Care Medicine, Telemedicine Program, Children’s National Hospital, 111 Michigan Avenue, NW, Washington DC, 20010 (KEng@childrensnational.org).

2. Menchee Berris is Clinical Nurse Program Coordinator, Division of Cardiac Critical Care Medicine, Telemedicine Program, Children’s National Hospital, Washington, DC.

3. Simmy King is Chief Nursing Informatics and Education Officer, Division of Nursing, Children’s National Hospital, and George Washington University, School of Medicine and Health Sciences, Washington, DC.

4. Shaun Frame is Director, Nursing Inpatient Heart Institute, Children’s National Heart Institute, Children’s National Hospital, Washington, DC.

5. Ricardo Munoz is Chief, Division of Cardiac Critical Care Medicine, Executive Director of Telemedicine, and Co-director, Children’s National Heart Institute, Children’s National Hospital, Washington, DC.

6. Alejandro Lopez Magallon is Medical Director, Telemedicine Program, Division of Cardiac Critical Care Medicine, Children’s National Hospital, Washington, DC.

Abstract

A pediatric tele–critical care nursing program provides an extra layer of surveillance for patients and alerts bedside nurses of abnormal trends to mitigate adverse events. Although workforce turnover combined with patient complexity and acuity in a pediatric cardiac intensive care unit strains the sustainability of a healthy work environment, these variables have also opened the door to an innovative approach to tele–critical care nursing care delivery. In addition to virtual surveillance, a clinical bedside intervention was developed to provide hands-on assistance to bedside nurses. This article describes the evolution of this novel technique for enhancing nursing care delivery.

Publisher

AACN Publishing

Subject

Critical Care Nursing,Emergency Medicine,General Medicine

Link

https://aacnjournals.org/aacnacconline/article-pdf/34/4/334/153310/334.pdf

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