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Procedures performed by pediatric transport nurses: how "advanced" is the practice?
B R King1, R L Foster, G A Woodward
1Department of Emergency Medicine, The University of Texas Houston Medical School, Houston, Texas 77030, USA.
Pediatric Emergency Care
|December 26, 2001
Summary
Advanced practice nurses rarely performed advanced procedures during pediatric transports. Tracheal intubations by nurses were successful with no complications, highlighting their capability in critical care transport.
Area of Science:
- Pediatric critical care
- Emergency medicine
- Nursing practice
Background:
- Advanced practice nurses are vital in pediatric interfacility transport.
- Physician presence is not always possible during these transports.
- Limited data exists on nurse-performed advanced procedures and their outcomes.
Purpose of the Study:
- To assess the frequency of advanced procedures performed by transport nurses.
- To determine the success rates of these nurse-performed procedures.
- To evaluate complication rates associated with nurse-performed procedures.
Main Methods:
- Prospective study of 336 consecutive pediatric interfacility transports.
- Data collected by transport nurses on procedures, outcomes, and complications.
- Medical records reviewed for additional complication identification.
Main Results:
- Nurses performed 95.2% of transports without a physician.
- Advanced procedures were required in 8.8% of cases.
- Nurses successfully performed 8 tracheal intubations with zero complications.
Conclusions:
- Advanced practice nurses infrequently utilized advanced skills during transport.
- Nurse-performed tracheal intubations were highly successful and safe.
- This study supports the role of nurses in performing critical procedures during transport.
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