由医师助理和执业护士提供的新型程序服务的可接受性。
The acceptability of a novel procedure service run by PAs and NPs.
机构信息
Nancy Kim is an assistant clinical professor of internal medicine at Yale University School of Medicine and Physician Partner, Care Signature, Yale-New Haven Health System in New Haven, Conn. Tara Herbert, Sheyla Marranca, Eric Bergman, Ronald Castillo, Lindsey Romano, and Daniel Heacock practice in the New England Medical Group Hospitalist Service at Yale-New Haven Hospital. William Cushing is executive director of hospital medicine at Yale-New Haven Hospital. The authors have disclosed no potential conflicts of interest, financial or otherwise.
出版信息
JAAPA. 2021 Dec 1;34(12):49-53. doi: 10.1097/01.JAA.0000794988.39630.38.
BACKGROUND
Hospitalist physicians are performing fewer procedures because of multiple reasons, including expanded responsibilities beyond their patient panel. A procedure service that offloads hospitalists could expedite these necessary services. An opportunity exists for physician assistants (PAs) and NPs to fill this gap.
OBJECTIVE
To describe the implementation of a PA- and NP-run procedure service at a large academic hospital.
METHODS
This is a retrospective cohort study of procedures by the procedure service at one institution from 2015 to 2019.
RESULTS
Over 5 years, 7,002 procedures were performed, with requests increasing over time. The most frequent procedures were venous access, lumbar puncture, paracentesis, and placement of nasogastric or nasojejunal tubes. Requesting services included hospitalists and residents from internal medicine, surgery, and neurology.
CONCLUSIONS
A PA- and NP-run procedure service is well accepted at a large academic hospital despite the lack of involvement by attending physicians. Future directions are focused on augmenting coverage and procedures offered.
背景
由于多种原因，包括超出其患者群体的职责扩大，医院医师进行的手术越来越少。一个可以将医院医师的手术工作外包的手术服务可以加速这些必要的服务。医师助理（PA）和执业护士（NP）有机会填补这一空白。
目的
描述在一家大型学术医院实施由 PA 和 NP 管理的手术服务。
方法
这是对一家机构的手术服务在 2015 年至 2019 年期间进行的回顾性队列研究。
结果
5 年来共进行了 7002 例手术，随着时间的推移，手术需求不断增加。最常见的手术包括静脉通路、腰椎穿刺、腹腔穿刺和鼻胃管或鼻空肠管的放置。请求服务的包括内科、外科和神经内科的住院医师和主治医生。
结论
尽管主治医生没有参与，但在一家大型学术医院，由 PA 和 NP 管理的手术服务是可以被接受的。未来的方向集中在增加覆盖范围和提供的手术项目。
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