Establishment of Pediatric Cardiac Intensive Care Advanced Practice Provider Services

Author:

Gilliland Jill1,Donnellan Amy2,Justice Lindsey2,Moake Lindy3,Mauney Jennifer4,Steadman Page5,Drajpuch David6,Tucker Dawn7,Storey Jean2,Roth Stephen J.8,Koch Josh9,Checchia Paul4,Cooper David S.2,Staveski Sandra L.210

Affiliation:

1. Melnic Consulting Group, Virginia Beach, VA, USA

2. Heart Institute, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA

3. Heart Center, Children’s Medical Center Dallas, Dallas, TX, USA

4. Section of Critical Care Medicine, Texas Children’s Hospital and Baylor College of Medicine, Houston, TX, USA

5. Division of Cardiothoracic Surgery, Ann and Robert H. Lurie Children’s Hospital of Chicago, Chicago, IL, USA

6. Cardiac Center, Children’s Hospital of Philadelphia, Philadelphia, PA, USA

7. Ward Family Heart Center, Children’s Mercy Hospital and Clinics, Kansas City, MO, USA

8. Department of Pediatrics, Lucile Packard Children’s Hospital, Palo Alto, CA, USA

9. Department of Pediatrics, University of Texas Southwestern Medical Center, Dallas, TX, USA

10. Research in Patient Services, Cincinnati Children’s Hospital Medical Center, Cincinnati, OH, USA

Abstract

The addition of advanced practice providers (APPs; nurse practitioners and physician assistants) to a pediatric cardiac intensive care unit (PCICU) team is a health care innovation that addresses medical provider shortages while allowing PCICUs to deliver high-quality, cost-effective patient care. APPs, through their consistent clinical presence, effective communication, and facilitation of interdisciplinary collaboration, provide a sustainable solution for the highly specialized needs of PCICU patients. In addition, APPs provide leadership, patient and staff education, facilitate implementation of evidence-based practice and quality improvement initiatives, and the performance of clinical research in the PCICU. This article reviews mechanisms for developing, implementing, and sustaining advance practice services in PCICUs.

Publisher

SAGE Publications

Subject

Cardiology and Cardiovascular Medicine,General Medicine,Pediatrics, Perinatology and Child Health,Surgery

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