patient’s condition is stable. Parents will be

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patient’s condition is stable. Parents will be Family-Centered Care in PACU Team Leader: Barbara David, RN, BSN Team Members: Melinda Burks, RN, BSN, CPHON; Lisa Early, RN, BSN, CCRN, CPAN; Rachel Findley, RN, CCM; Louis Tiscia, RN, BSN, BA Background Objectives Methods Results Conclusion Nursing Surgical Services Council recommended development of task force. ~ Task force consisted of representatives from OR, Sedation, Procedures, Child Life, and Family Advisory Council ~ Collected data reflecting current practice ~ Surveyed parents for satisfaction of current practice Task force recommendation to NSS Unit Council adopted “Practice change: Reunite the parent with the patient once the nurse has determined the patient’s condition is stable. Parents will be notified upon arrival to PACU and updated or reunited within 30 minutes.” Staff educated on change of process New education created for parents. 4 PACUs - Same Patients – Differing Practices Unique Setting/Patient Population “The central premise of family-centered care in pediatrics is that the child’s family is a constant and is comprised of the most important people in the child’s life” (Kamerling, et al, 2008). “The St. Jude Professional Practice Model for Nursing demonstrates that the patient and family is the center of all concerns. We understand the family is the child’s primary strength and support. Together we partner with families as essential allies in providing the best physical and psychosocial care for their children” (St. Jude, 2010). 83.7% of PACU nurses report they would want to visit their family member in the PACU while only 47% feel it is appropriate for families to visit in their own PACU. (Walls, 2009) Standardize practices in all PACUs within Nursing Surgical Services to appeal to the needs of this unique patient population Promote family-centered care Allow for uniqueness of each area: ~ Operating Room PACU ~ Procedures PACU ~ Diagnostic Imaging PACU ~ Radiation Oncology PACU  PRE-PRACTICE CHANGE   Table below reflects the timeframe, in minutes, from patient arrival to PACU to the time he/she was reunited with the parent. In our initial parent survey, we collected 35 surveys and all were “Completely Satisfied”. POST-PRACTICE CHANGE The next table shows that the time between patient arrival to PACU and being reunited with the parent was decreased by an average of 2.7 minutes. The results of the survey we conducted after the family visitation practice changes reflected that our parents remain 100% Completely Satisfied!! We collected 90 surveys. The survey validated that our changes in parent visitation did not negatively impact our patients and families. The family visitation practices throughout Nursing Surgical Services was standardized. Family-centered care principles were recognized and supported. Patients were reunited with parents more quickly and parents remained 100% completely satisfied.   References American Society of PeriAnesthesia Nurses. Position Statement 11. 2008-2010 Standards of Perianesthesia Nursing Practice. Cherry Hill, NJ: ASPAN; 2008. Kamerling, S. N., Lawler, L. C., Lynch, M., & Schwartz, A. J. (2008). Family-centered care in the pediatric post anesthesia care unit: Changing practice to promote parental visitation. Journal of PeriAnesthesia Nursing, 23, 5-16. St. Jude Children’s Research Hospital. (2010). Professional Practice Model (Volume I, 3.1). Retrieved from http://home.web.stjude.org/nursingPolicyManual/03.0 Mission_Philosophy_Goals/3.1.pdf. Walls, M. (2009) Staff attitudes and beliefs regarding family visitation after implementation of a formal visitation policy in the PACU. Journal of PeriAnesthesia Nursing, 24, 229-232. Benchmarks ASPAN’s Position Statement Children’s Hospital of Philadelphia Children’s Hospital of St. Louis University of Texas M. D. Anderson Cancer Center Printed by Biomedical Communications (CD2900)