We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
PROCEDURAL SEDATION AND PICCS TO PRIVATE CLINICS.
- Authors
D'Souza, Brandon
- Abstract
From 2020 to 2022 peri-operative service delivery was dramatically reduced (globally), resulting in increased surgical wait time for patients. This exacerbated an already backlogged system at this tertiary care pediatric facility. A pilot project was proposed and funded as a novel approach to use a separate (private) facility with available capacity to safely delivery high quality [government funded] health care to patients with no reduction in the standard of care. This satellite facility provided their own nursing and ancillary staff, along with physical space, anaesthesia and surgical equipment. Anaesthesia and surgical personnel rotate through the satellite campus from the main site with one service providing care each day, in an allotment of 2 days per week. While this may have helped to work through the case load, only patients meeting certain criteria are able to receive care at this satellite location. Eligibility for satellite location surgery includes ambulatory surgery patients, greater than 6 years old, ASA 1, no preoperative sedation requirements from Oral and Maxillofacial (OMF), Dentistry, Urology, Plastics and Orthopedics specialties. Metrics and backlog will be discussed to evaluate if this pilot has been effective and whether it will continue. Meanwhile, within the tertiary care facility, Pediatric AAs have expanded their scope of practice and skills. Other areas of focus have been the AA Sedation, during normal operational hours on inpatient floors and the procedure room of the OR. The AA team members also have become essential to the Resource Vascular access, and Peripherally Inserted Central Catheter (PICC) teams. To cover all of these new responsibilities, offer 24/7 on call coverage, while maintaining baseline duties, the compliment of AAs has increased from 3.6 to 5.4 FTE. This increase in staffing allowed for coverage of all offsite procedures within the building and at the satellite site, which runs OR lists 2 days per week. With evolving demand and increasing complexity of care and technology the Pediatric AA has become a critical member of the peri-operative team.
- Subjects
CANADA; MEDICAL quality control; ANESTHESIA; PERIPHERALLY inserted central catheters; TERTIARY care; CONFERENCES &; conventions; MEDICAL practice
- Publication
Canadian Journal of Respiratory Therapy, 2023, Vol 59, p131
- ISSN
1205-9838
- Publication type
Article