Silvestri Antonette, McDaniel-Yakscoe Noreen, O'Neill Kate, Bradley Darlene, Hawkins Harriet, Holleran Reneé, Burke Pam, Hohenhaus Susan, Howard Patricia Kunz
The Children's Hospital of Philadelphia, Philadelphia, PA 19104, USA.
Pediatr Emerg Care. 2005 Mar;21(3):199-202.
The use of observational units (OUs) in pediatric emergency departments (EDs) has become an important adjunct to emergency care. An extended observation period (4 to 23 hours) in the ED has decreased both the number of admissions and prolonged use of acute ED beds. This serves to increase patient satisfaction as well as optimizing care. The use of OUs allows for the most appropriate allocation of resources. These units are typically located within the ED or immediately adjacent to it. The ED physicians are the gatekeepers of the unit and serve as the medical supervision for these patients. The Children's Hospital of Philadelphia developed an OU known in the hospital as the Emergency Department Extended Care Unit (EDECU) approximately 5 years ago. In order for the EDECU to function at its fullest potential, the ED at The Children's Hospital of Philadelphia has opted to use the ED nurse practitioners (NPs) to enhance the care for these patients.
The NP has been an integral member of the ED for the past 10 years with primary roles in urgent care and in the follow-up program. As the ED expanded to include the EDECU, the role of the NP also developed to meet the needs of these patients. A review of the role development of the ED NP in observation medicine and the impact on patient and staff satisfaction as well as contributing to fiscally responsible care will be addressed.
A retrospective review of the NP's role development in the evolution of the EDEDU.
Incorporation of the NP in the treatment team has provided efficient use of professional staff, comprehensive patient care, and increased patient satisfaction.
The use of the EDECU has become an important part of the services offered in the ED at The Children's Hospital of Philadelphia. The integration of the NP in a pivotal role allows for optimal use of human resources, and provides efficient, cost-effective patient care in the ED.
在儿科急诊科使用观察单元（OU）已成为急诊护理的一项重要辅助手段。在急诊科延长观察期（4至23小时）减少了住院人数以及急性急诊科床位的长期使用。这有助于提高患者满意度并优化护理。观察单元的使用实现了资源的最合理分配。这些单元通常位于急诊科内或紧邻急诊科。急诊科医生是该单元的把关人，并为这些患者提供医疗监督。大约5年前，费城儿童医院设立了一个在医院内称为急诊科延长护理单元（EDECU）的观察单元。为了使EDECU充分发挥其潜力，费城儿童医院急诊科选择利用急诊科执业护士（NP）来加强对这些患者的护理。
在过去10年里，执业护士一直是急诊科不可或缺的成员，主要负责紧急护理和后续项目。随着急诊科扩大到包括EDECU，执业护士的角色也得到了发展，以满足这些患者的需求。本文将探讨急诊科执业护士在观察医学中的角色发展、对患者和工作人员满意度的影响以及对经济高效护理的贡献。
对执业护士在EDEDU发展过程中的角色发展进行回顾性研究。
将执业护士纳入治疗团队实现了专业人员的高效利用、全面的患者护理并提高了患者满意度。
EDECU的使用已成为费城儿童医院急诊科所提供服务的重要组成部分。执业护士发挥关键作用的整合实现了人力资源的优化利用，并在急诊科提供了高效、经济有效的患者护理。
