Establishment of Pediatric Cardiac Intensive Care Advanced Practice Provider Services

Gilliland, J.; Donnellan, A.; Justice, L.; Moake, L.; Mauney, J.; Steadman, P.; Drajpuch, D.; Tucker, D.; Storey, J.; Roth, S. J.; Koch, J.; Checchia, P.; Cooper, D. S.; Staveski, S. L.

World J Pediatr Congenit Heart Surg. 2015 Dec 31; 7(1):72-80


The addition of advanced practice providers (APPs; nurse practitioners and physician assistants) to a pediatric cardiac intensive care unit (PCICU) team is a health care innovation that addresses medical provider shortages while allowing PCICUs to deliver high-quality, cost-effective patient care. APPs, through their consistent clinical presence, effective communication, and facilitation of interdisciplinary collaboration, provide a sustainable solution for the highly specialized needs of PCICU patients. In addition, APPs provide leadership, patient and staff education, facilitate implementation of evidence-based practice and quality improvement initiatives, and the performance of clinical research in the PCICU. This article reviews mechanisms for developing, implementing, and sustaining advance practice services in PCICUs.

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