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An ambulatory approach to outpatient pediatric cardiac catheterization
Insights
Outpatient pediatric cardiac catheterization offers a cost-effective option for low-risk children. Successful ambulatory programs require family-centered care for optimal patient outcomes and satisfaction.
Area of Science:
- Pediatric Cardiology
- Ambulatory Healthcare
- Nursing Practice
Background:
- Increasing demand for outpatient procedures in healthcare.
- Healthcare policies (insurance, HMOs, DRGs) necessitate shorter hospital stays for cardiac catheterizations.
- Outpatient cardiac catheterization is a viable option for low-risk pediatric patients.
Purpose of the Study:
- To highlight the importance of ambulatory programs for successful outpatient pediatric cardiac catheterization.
- To define the expanded role and responsibilities of clinical nurses in the ambulatory setting.
- To emphasize the benefits of family-centered care in outpatient pediatric cardiac procedures.
Main Methods:
- Focus on the development and implementation of an ambulatory program.
- Emphasis on nursing assessment, intervention, and teaching within established standards.
- Integration of the family as a key component of the healthcare team.
Main Results:
- Outpatient settings provide an efficient, cost-effective, and caring environment.
- Expanded nursing roles ensure quality patient care through ongoing assessment and intervention.
- Family involvement in the healthcare team approach leads to high patient and family satisfaction.
Conclusions:
- The outpatient setting is increasingly utilized for pediatric cardiac catheterization due to cost-effectiveness.
- Successful outpatient pediatric cardiac catheterization relies on robust ambulatory programs and skilled nursing care.
- Family-centered care is crucial for achieving high-quality outcomes and satisfaction in outpatient pediatric cardiac procedures.
Abstract:
Outpatient procedures are growing rapidly in all health care facilities. Insurance companies, health maintenance organizations, and DRGs are dictating shorter lengths of stay in the hospital for cardiac catheterizations. An option for low-risk children with cardiac disease is outpatient cardiac catheterization. For a successful outpatient cardiac catheterization, an ambulatory program needs to be in place to provide an efficient, cost-effective, and caring environment for the child and family. With the expansion to the ambulatory setting, the clinical nurse's role and responsibilities have widened. Nursing assessment, intervention, and teaching is ongoing with specific standards in place to deliver quality patient care. Use of the outpatient setting will continue to increase and will accommodate patients cost effectively. The key to the success of the outpatient pediatric cardiac catheterization is to include the family in the health care team approach, which will result in quality patient care with high patient and family satisfaction.