Pediatric patients constitute approximately 20-35% of emergency department visits, yet many emergency departments lack the resources and preparedness essential in managing the emergently ill or injured child. OBJECTIVES: Development of a Facility Recognition process was initiated within our state to ensure hospitals have appropriate resources, capabilities and trained personnel to provide initial management and stabilization of the critically ill and injured child. METHODS: Utilizing models implemented in other states (Arkansas and California) in conjunction with professional standards developed by AAP, ACEP and ENA, a multidisciplinary task force designed core criteria for two categorization levels: Emergency Department Approved for Pediatrics (EDAP) level is consistent with an emergency department capable of providing comprehensive pediatric emergency services; Standby Emergency Department for Pediatrics (SEDP) level ensures smaller hospitals have capabilities to provide initial stabilization measures and transfer guidelines/agreements are in place when more definitive care is needed. Hospitals voluntarily participating in the process submit an application/pediatric plan prior to undergoing a site survey. Site surveyors evaluate compliance to key criteria addressing physician, mid-level provider and nursing qualifications/continuing education; policies/procedures and treatment protocols; quality improvement and dedicated follow-up; equipment, supplies and medications. Facilities meeting site survey requirements receive formal recognition (valid for a three-year period) by the state health department. To date, 72 of 212 hospitals have completed the process, with full statewide implementation anticipated by October 2001. Evaluative components include development of regional quality improvement initiatives measuring impact/effectiveness. Ensuring facilities are appropriately prepared for children is an essential step in achieving improved pediatric outcomes.
Learning Objectives: At the conclusion of this session, the participant will be able to: 1. Discuss the need for enhancement of pediatric emergency care capabilities within emergency departments 2. Define the two emergency department recognition levels and their respective criteria. 3. Describe the steps in development of a facility recognition process
Keywords: Emergency Department/Room, Pediatrics
Presenting author's disclosure statement:
Organization/institution whose products or services will be discussed: None
I do not have any significant financial interest/arrangement or affiliation with any organization/institution whose products or services are being discussed in this session.