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PA utilization on a pediatric bone marrow transplant unit.

¹University of Iowa Hospitals and Clinics, Iowa City.

Physician Assistant (American Academy of Physician Assistants)

|February 8, 1990

Summary

Physician Assistants (PAs) effectively manage pediatric bone marrow transplant patients, ensuring care continuity. This model, supported by on-the-job training, is recommended for similar units.

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Area of Science:

Pediatric Hematology
Oncology Nursing
Advanced Practice Providers

Background:

Pediatric Bone Marrow Transplant (BMT) units require continuous patient oversight.
Resident and fellow physician availability can be limited in specialized units.
Advanced practice providers, such as Physician Assistants (PAs), can fill critical care gaps.

Purpose of the Study:

To describe a model of Physician Assistant (PA) utilization in a Pediatric Bone Marrow Transplant Unit.
To evaluate the effectiveness of PAs in assuming primary patient responsibility and ensuring care continuity.
To assess the training and support needs for PAs in this setting.

Main Methods:

Retrospective review of PA roles and responsibilities within the Pediatric BMT unit.
Analysis of PA tasks including patient evaluation, assessment, documentation, and clinic follow-up.
Evaluation of the sufficiency of basic PA training supplemented by on-the-job experience.

Main Results:

PAs successfully assumed primary responsibility for pediatric bone marrow transplant patients.
Continuity of care was maintained through comprehensive PA involvement in patient management.
Basic PA training in core medical sciences, augmented by specialized hematology knowledge and on-the-job training, proved adequate.
Staff support groups were implemented to address burnout related to treating severely ill patients.

Conclusions:

The utilization of PAs in a Pediatric Bone Marrow Transplant Unit is a viable and effective model.
PAs can provide essential care and ensure continuity, particularly in the absence of continuous resident or fellow attendance.
This PA integration model is recommended for adoption in similar specialized pediatric wards.

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