At a large tertiary care pediatric facility, hundreds of thousands of ambulatory care patients are seen annually. The majority of these patients spend countless hours a week attending school…

Purpose: The purpose of the pediatric COVID-19 care team (PCCT) was to provide a high level of pediatric care for pediatric patients who tested positive for the SARS-CoV-D (COVID-19) virus at any of the health system’s designated testing sites across the Midwest…

Introduction: The primary focus of “passport” is to improve the patient experience for patients and families with special needs, with a focus on autism spectrum disorder (ASD)…

The purpose of this project was to compare the effectiveness of answering emergent symptom pediatric telephone calls by triage nurses in a centralized pediatric operations center versus triage nurses in their individual pediatric practices…

The AAACN Ambulatory Care Registered Nurse Residency Program offers new graduates and experienced nurses new to ambulatory practice a structured approach that embodies an evidencebased curriculum and learning experiences that will prepare these nurses professionally and clinically for the ambulator…

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At a large expanding academic medical center with over 80 clinics, adult ambulatory care nurses are being expected to care for pediatric patients due to outpatient rapid expansion. These nurses did not have the pediatric emergency training needed for the ambulatory care setting…

Background: There is a paucity of studies or protocols specifically designed for the initial wean off ventilatory support in pediatric patients with chronic respiratory failure during an outpatient follow-up visit. Most of the published protocols are in the inpatient setting…

Purpose: The purpose of this work was to implement a standard process for pediatric suicide risk screening and assessment in the ambulatory care specialty and primary care clinics to appropriate resources across the organization…

There is a national mental health crisis that has been accelerated by the COVID-19 pandemic. According to the CDC, in 2020 suicide was the 2nd leading cause of death for ages 10-14. In 2018-2019, in adolescents aged 12-17 years old, 8.8% seriously considered attempting suicide, 15…

The number of pediatric youth identifying as transgender, gender non-conforming, or gender-diverse treated in the ambulatory care setting has steadily increased in recent years…

Purpose/background: Our purpose is to provide our pediatric primary care patients and their parents access to a modern HIPAA compliant secure triage text platform as an alternative method to reach triage RNs for clinical advice…

Pre-pandemic, suicide was the second leading cause of death among teens and young adults, aged 15 to 24 years; in 2019, more than one-third of high-school students aged 14-17 years reported persistent feelings of sadness and hopelessness, with nearly 20% of those individuals seriously considering s…

Emergency medical events are historically a rare occurrence in the outpatient setting…

Background: The “healthcare worker (HCW) as hand hygiene (HH) observer” model, created by the Joint Commission Center for Transforming Healthcare, works well in inpatient settings but presents challenges in ambulatory care settings…

Introduction: Influenza results in significant pediatric illness, hospitalization, and mortality. During the 2022-2023 season, 106 pediatric influenza-associated deaths were reported in the United States…

The identification of suicide risk in pediatric patients is a growing concern in ambulatory care. According to the CDC in 2022, suicide was the second leading cause of death for ages 10-14…

Data reveals a concerning pattern of delays in escalating care for patients requiring higher-level medical attention. The ambulatory care division is responsible for a variety of complex patient populations within a large pediatric healthcare system undergoing expansion…