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  1. Mastro, Kari A. MSN, RN, NEA-BC
  2. Johnson, Joyce E. PhD, RN, NEA-BC, FAAN
  3. McElvery, Nicole MSN, RN, CPHON, CPNP
  4. Preuster, Christa MSN, RN-BC, APN


This article describes the program and outcomes of a nurse driven, patient- and family-centered pediatric advanced comprehensive care team (PACCT) palliative program. This care delivery model improved patient outcomes by providing care across the healthcare continuum for pediatric patients. Since the inception of PACCT, no child has died on a ventilator in the pediatric ICU associated with end-of-life-related issues.