Condren Melissa M, Kavanagh Katherine, Mulholland Barbara
Pediatric Nurse Practitioner, Connecticut Children's, Hartford, CT.
Physician, Connecticut Children's, Hartford, CT; Associate Professor of Surgery, University of Connecticut School of Medicine, Farmington, CT.
J Pediatr Health Care. 2022 Nov-Dec;36(6):520-528. doi: 10.1016/j.pedhc.2022.05.018. Epub 2022 Jul 6.
This project aimed to standardize and improve the emergency tracheostomy "go-bag" provided by our institution and to increase "go-bag" compliance, supply organization, and emergency preparedness and confidence among caregivers of tracheostomy-dependent children.
We provided caregivers with a new trifold "go-bag," containing four zippered pockets. Diagram-based supply checklists were placed in each "go-bag" to assist with supply organization and supply checks performed by the clinical team. Caregiver questionnaires were administered before and after "go-bag" distribution to assess the impact of the practice change.
Between July 1, 2020 and February 28, 2021, 43% (n = 30) of tracheostomy-dependent children followed by the Department of Otolaryngology received a new "go-bag." Overall, "go-bag" compliance, supply organization, and caregiver confidence related to providing care at home and intervening in an emergency improved from baseline. Caregivers reported overwhelmingly positive feedback regarding the new "go-bag" design and utility.
These findings support the use of standardized, user-friendly tracheostomy "go-bags" provided by health care institutions and the performance of routine "go-bag" supply checks to ensure patient safety and caregiver preparedness.
本项目旨在规范和改进本机构提供的紧急气管切开术“应急包”，提高“应急包”的合规性、物资管理、应急准备能力，并增强气管切开依赖儿童照护者的信心。
我们为照护者提供了一个新的三折式“应急包”，其中有四个拉链口袋。每个“应急包”中都放置了基于图表的物资清单，以协助临床团队进行物资管理和物资检查。在发放“应急包”前后对照护者进行问卷调查，以评估这种做法改变所产生的影响。
在2020年7月1日至2021年2月28日期间，耳鼻喉科随访的气管切开依赖儿童中有43%（n = 30）收到了新的“应急包”。总体而言，“应急包”的合规性、物资管理以及照护者在家中提供照护和在紧急情况下进行干预的信心较基线有所改善。照护者对新“应急包”的设计和实用性给予了压倒性的积极反馈。
这些发现支持使用医疗机构提供的标准化、用户友好型气管切开术“应急包”，以及进行常规的“应急包”物资检查，以确保患者安全和照护者的应急准备能力。
