Presented by: Invest Joy Cocjin, MSN-CNS, RN

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Presentation transcript:

Presented by: Invest Joy Cocjin, MSN-CNS, RN Implementation of an Evidence-Based QI Project to Improve Registered Nurses’ Knowledge and Attitudes toward Implementation of Pediatric Emergency Assessment, Recognition and Stabilization (PEARS®) Presented by: Invest Joy Cocjin, MSN-CNS, RN

What is the Purpose? Purpose: To help enhance bedside nurses’ knowledge and ability to recognize respiratory distress, shock, and cardiac arrest To provide appropriate life saving interventions within the initial minutes of response until patient is transferred to higher level of care

What about PEARS? PEARS Pediatric Emergency Assessment Recognition and Stabilization

Are you sure you have the right one? What about PEARS cont… Approved by AHA Guideline for cardiopulmonary resuscitation & emergency cardiovascular care Best suited for medical-surgical nurses who infrequently see critically ill children

Background Looking forward: In 2020, ACP relocation to the new Children’s Hospital tower Greater physical separation between ACP units to PICU unit Call to have greater skills & competency at managing patients who are decompensating ACP nurses- continue to provide interventions within the initial minutes they wait for the code team to arrive

Study Aim To assess acute care pediatric unit nurses’ knowledge and perceptions of their ability to effectively recognize and manage respiratory distress, shock and cardiac arrest, within the initial minutes of response until the child is transferred to a pediatric intensive care unit setting

Method Talk about process: 1 yr prior, before PEARS class was implemented (gave PALS survey) PEARS survey: given after 1 yr class has been taken

PALS Survey PEARS Survey AVG. 11.23yrs

PALS Survey PEARS Survey Average yrs as ACP= 9.346

PALS Survey PEARS Survey

PALS Survey Statistically significant- proficiency decrease as time progressed ANNOVA test

Currently still collecting data as PEARS’ deadline requirement is by December 2018. PEARS Survey

Discussion PEARS vs. PALS: 2 years to complete (transitioning people from PALS to PEARS) Everyone must be PEARS certified by December 2018. Things to consider: Staff education- partnership with Life Support Education

References Bultas, M. W., Hassler, M., Ercole, P. M., & Rea, G. (2014). Effectiveness of High-Fidelity Simulation For Pediatric Staff Nurse Education. Pediatric Nursing, 40(1), 27-42. Famolare, N., & Romano, J. C. (2013). The Implementation of PEARS Training: Supporting Nurses in Non-Critical Care Settings to Improve Patient Outcomes. Journal Of Pediatric Nursing, 28(3), 267-274. doi:10.1016/j.pedn.2012.05.005 Ralston, M. E., & Zaritsky, A. L. (2009). New Opportunity to Improve Pediatric Emergency Preparedness: Pediatric Emergency Assessment, Recognition, and Stabilization Course. Pediatrics, 123(2), 578-580. doi:10.1542/peds.2008-0714

Any comments, questions?