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Published on: February 2, 2019
Development of a paediatric short-stay observation and assessment unit
Tracey Jones1, Helen Russell-Fisher2
1Nursing, Faculty of Biology, Medicine and Health, University of Manchester, England.
Insights
A new pediatric short-stay unit reduced hospital admissions. This initiative allowed nurses to expand their assessment and treatment roles, improving care efficiency for children.
Area of Science:
- Pediatric emergency medicine
- Healthcare service delivery
- Nursing practice
Background:
- Rising pediatric emergency admissions present challenges to hospital resources.
- Short-stay pediatric patients often occupy general ward beds unnecessarily.
- A need for specialized, efficient assessment and treatment pathways for children was identified.
Purpose of the Study:
- To describe the planning, implementation, and audit of a pediatric short-stay observation and assessment unit.
- To evaluate the impact of the unit on hospital admissions and nursing roles.
- To provide an exemplar for other healthcare trusts.
Main Methods:
- Service review and needs assessment.
- Development and implementation of a dedicated pediatric short-stay unit.
- Audit of unit performance, including admission rates and nursing scope of practice.
Main Results:
- Significant reduction in general pediatric ward admissions.
- Expansion of pediatric nurses' roles in assessment and treatment.
- Successful implementation of a specialized care pathway.
Conclusions:
- A pediatric short-stay observation and assessment unit can effectively reduce ward admissions.
- Such units provide opportunities for advanced nursing practice in pediatric care.
- This model serves as a valuable exemplar for healthcare organizations seeking to optimize pediatric emergency care.
Abstract:
In recent years children's emergency admissions have risen by 18%. In 2011 a team at a city district general hospital in England recognised that children were being admitted to the general children's ward and often only staying for short periods of time. After a review of the service a plan was put forward for the development of a paediatric short-stay observation and assessment unit. The unit has led to a reduction in ward admissions and offered opportunities for children's nurses to extend their roles in assessment and treatment. This article explores the planning, delivery and audit of this unit and offers an exemplar for other trusts considering a similar change to service delivery.
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