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AAACN 44th Annual Conference 2019 Posters


P54B - Ambulatory Scope of Practice: The Nursing Process Applied to the Development of Non-Nursing Scope of Practice


Free

Description

Background: New Mexico is a rural state and access to pediatric specific education can require travel over long distances. The providers in rural areas do not utilize their pediatric skills and knowledge often and can lack confidence in the decisions needed to provide care.

Method: The CRVPedED telehealth network was developed to provide clinical support and education to rural emergency providers in the care of the acutely ill or injured pediatric patient. The network is utilized to increase knowledge and confidence in pediatric specific care. Education is offered via the telehealth network with structured, scheduled presentations and by attending originating site staff meetings virtually. Pre- and post-tests and confidence surveys are administered to evaluate knowledge acquisition and change in provider confidence level in caring for pediatric patients.

Results: Thus far, we have conducted greater than 60 education interactions over the network. The improvement in confidence of healthcare providers is demonstrated by the comparison of pre- and post-survey following education opportunity. With increased confidence and support, 33 clinical consults have been completed avoiding 27 patient transfers. This resulted in 9000 patient miles and $1.1M healthcare dollars saved.

Conclusion: The CRVPedED telehealth network has demonstrated healthcare cost savings and increased confidence of providers’ knowledge and skills. 

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