Callahan Colleen, De La Cruz Hope
The Children's Hospital of Philadelphia, Division of Oncology, 4th Floor Wood Building, 34th and Civic Center Boulevard, Philadelphia, PA 19104, USA.
J Pediatr Oncol Nurs. 2004 Jan;21(1):16-21. doi: 10.1177/1043454203259952.
Central lines are commonly placed in pediatric oncology patients during their therapy. Advanced practice nurses (APNs) play an important role in the coordination and facilitation of line placements so that they may be inserted in an expeditious manner Collaboration between the Divisions of Oncology and Surgery is often key to attaining this goal. At the Children's Hospital of Philadelphia, the APNs in Oncology and Surgery have developed a collaborative approach to the placement of central lines in oncology patients. Many positive changes ensued between these divisions after collaboration occurred and a system for line placements was put into place. A well-defined process for central line placement is currently being utilized that meets the needs of the patients. Central lines are being placed in a timelier manner, procedures are coordinated, and treatment is started earlier, which has increased the satisfaction of patients, families, and health care providers. Finally, this collaboration led to an improved relationship and better communication between the Divisions of Oncology and Surgery.
在儿科肿瘤患者的治疗过程中，通常会放置中心静脉导管。高级执业护士（APN）在协调和促进导管放置方面发挥着重要作用，以便能够迅速插入导管。肿瘤学和外科学部门之间的合作往往是实现这一目标的关键。在费城儿童医院，肿瘤学和外科学的高级执业护士已经开发出一种协作方法，用于为肿瘤患者放置中心静脉导管。合作开展并建立了导管放置系统后，这些部门之间随之出现了许多积极的变化。目前正在采用一个明确的中心静脉导管放置流程，以满足患者的需求。中心静脉导管的放置更加及时，各项程序得到协调，治疗更早开始，这提高了患者、家属和医护人员的满意度。最后，这种合作改善了肿瘤学和外科学部门之间的关系并促进了更好的沟通。
