1. Delametter, Gretchen MSN, RN, CPNP-AC, CNS

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Improve healthcare for children in Guilford County, North Carolina, with the integration of a Pediatric Intensive Care Unit into an existing Pediatric Acute Care Unit.



Children requiring intensive care were transferred to tertiary care settings or a small number were cared for in the hospital's adult intensive care unit. These nurses were not trained in pediatrics or pediatric critical care nursing.



Greensboro, North Carolina, has a population of ~250,000 people, and the mean age is in the mid-40s. The community wanted improved care for the critically ill children. A feasibility study supported the development of a 4-bed PICU.



Planning committee met. Feasibility study done. PICU added to fiscal objectives. Multidisciplinary team formed. CNS hired. Construction. Education. Training. Patients.



To date, over 300 admissions with outcomes and length of stays comparable to national benchmarks.



The program exemplifies the successful implementation of a large-scale project brought to fruition through collaboration between nursing, medicine, and corporate support.


Implications for Practice:

An increase in patient/parent satisfaction. Increase in nursing satisfaction. Improved healthcare for children in our county.