Event Title

Evidence-based Practice in Action: Assuring Quality of Pediatric Assessment Intervals

Graduation Year

2014

Location

Room E101, Center for Natural Sciences, Illinois Wesleyan University

Start Date

12-4-2014 11:00 AM

End Date

12-4-2014 12:00 PM

Description

Background: Children comprise a specific, unique patient population. Nurses are responsible for head-to-toe assessment of each patient to allow full understanding of the patient’s pathology. The optimal frequency of head-to-toe assessments for pediatric patients is unknown.

Purpose: The purpose of this pilot study was to monitor patient safety following the change in head-to-toe assessment frequency on an inpatient pediatrics unit.

Methods: Chart audits were performed on all patients upon discharge and with any change in status.

Results: No increase in unplanned upgrades or transfers after the change. The majority of patients were admitted for respiratory issues, gastrointestinal/genitourinary issues, or infections. Ages ranged from 2 days old to 21 years old. A total of 420 patients were included in the study. Seventeen patients had a change in status; eleven patients were upgraded to PIMCU status and six were transferred to the ICU.

Discussion: This research needs to be repeated with a larger sample size, ideally in a children’s hospital. While our research has demonstrated safety in the policy change, additional studies are needed to assure safety in a wider variety of patients.

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Apr 12th, 11:00 AM Apr 12th, 12:00 PM

Evidence-based Practice in Action: Assuring Quality of Pediatric Assessment Intervals

Room E101, Center for Natural Sciences, Illinois Wesleyan University

Background: Children comprise a specific, unique patient population. Nurses are responsible for head-to-toe assessment of each patient to allow full understanding of the patient’s pathology. The optimal frequency of head-to-toe assessments for pediatric patients is unknown.

Purpose: The purpose of this pilot study was to monitor patient safety following the change in head-to-toe assessment frequency on an inpatient pediatrics unit.

Methods: Chart audits were performed on all patients upon discharge and with any change in status.

Results: No increase in unplanned upgrades or transfers after the change. The majority of patients were admitted for respiratory issues, gastrointestinal/genitourinary issues, or infections. Ages ranged from 2 days old to 21 years old. A total of 420 patients were included in the study. Seventeen patients had a change in status; eleven patients were upgraded to PIMCU status and six were transferred to the ICU.

Discussion: This research needs to be repeated with a larger sample size, ideally in a children’s hospital. While our research has demonstrated safety in the policy change, additional studies are needed to assure safety in a wider variety of patients.